NRNP 6635 Week 4: Assessing and Diagnosing Patients With Anxiety Disorders, PTSD, and OCD WINTER 2024 WALDEN UNIVERSITY

Subjective: CC (chief complaint): “I am just here out of a courtesy” HPI: I.F. is a 47-year-old Caucasian female who was referred to the clinic by her husband Greg for psychiatric evaluation. Her husband reported a recent school shooting nearby 3 weeks ago “flipped a switch” in her. She is concerned about her children’s safety, and she believes something bad may happen to them. She cites cases of serial rapists, gun deaths and missing children and must check regularly on her children to make sure they are safe. She is watching the news 24/7, barely sleeping, and even when she does, it is only a few hours, Appetite is decreased. Past Psychiatric History: No psychiatric history Substance Current Use and History: She denied drugs/alcohol Family Psychiatric/Substance Use History: No family history of substance abuse. Her parents were killed in a car accident by a drunk driver when she was 19. Psychosocial History: I.F. was born and raised in Northern Ireland, parents brought her and her one sister to U.S. when she was 15 to go to U.S. university where she met her husband. They live in Charleston, SC. She obtained her master’s degree in education. Her husband reported a recent school shooting nearby 3 weeks ago “flipped a switch” in her. She pulled her children from public school and started home schooling them 1 month after the shooting. She reported having a fight with the husband because of that. She does not want to lose her children. The school shooting brought back memories of the car accident that killed her parents, and she is still traumatized by the thoughts. She has made a promise to herself not to lose anyone she loves, especially her kids. She is watching the news 24/7, barely sleeping, and even when she does, it is only a few hours, Appetite is decreased. Medical History: No medical history • Current Medications: None noted • Allergies: None noted • Reproductive Hx: hysterectomy ROS: • GENERAL: No weight loss, fever, chills, weakness, or fatigue. • HEENT: Eyes: No visual loss, blurred vision, double vision, or yellow sclerae. Ears, Nose, Throat: No hearing loss, sneezing, congestion, runny nose, or sore throat. • SKIN: No rash or itching • CARDIOVASCULAR: No chest pain, chest pressure, or chest discomfort. No palpitations or edema.