NURS 6630N Week 5 Assignment (2020) | NURS- 6630N Approaches to Treatment | Middle-Aged White Male with Anxiety

NURS 6630N Week 5 Assignment (2020) Topic: Middle-Aged White Male with Anxiety NURS- 6630N Approaches to Treatment 3/24/2020 Introduction One of the prevalent anxiety disorders is Generalized Anxiety Disorder (GAD) which is characterized by persistent, excessive, and anxiety that cannot be controlled and the client worries about their daily activities or event for greater six months (Newman, Cho, & Kim, 2017).According to Diagnostic and Statistical Manual 5th Edition, DSM-V for client to be worry about things such as lifestyle, health, and finance is one of the factors that meet the anxiety criterion of GAD. Clients with GAD often have increase in nervousness about having any abnormal circumstances in their daily live such as job security, health issues, finances, and the well fair of their families (NIMH, 2016). Females are more affected than male and the client with GAD worry about their work/duties, health, safety, repairing car, and doing other chores (Beaton, 2017). One of the rating scale use to measure the severity of the anxiety symptoms is Hamilton Anxiety Rating Scale (HAM-A).According to Chau et al., (2019), GAD is one of the common mental disorders that affect about 5.5% to 5.7% of the nation population. The main purpose of this paper is to assess and treat clients with GAD who requires anxiolytic therapy, support the decision making with clinical evidenced, and the ethical considerations that might impact the client’s treatment plan and ways to communicate with the client. Decision #1 Which decision did you select: I will select the option to start the client on Zoloft 50mg by mouth daily. Why did you select this decision: I selected Zoloft because Zoloft is a Selective Serotonin Reuptake Inhibitor (SSRI) and is used as the first line to treat GAD (Stahl, 2014). Some studies have shown that SSRIs - - - - - - - - References Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & William. Beaton, C. (2017). Is anxiety a white-people thing? Retrieved from . Gov/pmc/articles/PMC. Carpenter, L. L. &Schatzberg, A. F. (2017). Sertraline. Retrieved from Newman, M.G., Cho, S. & Kim, H. (2017). Worry and Generalized Anxiety Disorder: A Review. Reference Module in Neuroscience and Biobehavioral Psychology. National Institute of Mental Health. (2016).Generalized Anxiety Disorder: When Worry Gets Out of Control. Retrieved from PubMed Health. (2017). Treatment options for generalized anxiety disorder. Retrieved from Russell, J. M., Koran, L. M., Rush, J., Hirschfeld, R. M., Harrison, W., Friedman, E. S., … Keller, M. (2001). Effect of concurrent anxiety on response to sertraline and imipramine in patients with chronic depression. Depression And Anxiety, 13(1), 18–27. Retrieved from Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press. Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press. Stein, M. B., &Sareen, J. (2015). Clinical practice. Generalized Anxiety Disorder. New England Journal of Medicine, 373(21), ://nu L Strohle, A., Gensichen, J., &Domscjke, K. (2018). The Diagnosis and treatment of Anxiety disorders. DutschesAerzteblatt International, 115(37), 611-620. https://O Wai Ho Chau, S., Chun-Yu Tse, Ho-Wai, So, S., & Sau Man Chan, S. (2019). Attention Bias modification training for patients generalized anxiety disorder: A RadomisedControlled study. East Asians Archives of psychiatry, 29(1), 3-9. https://doi-org.E