STRESS CASE STUDY
Stress is a common affliction in our breakneck speed society. There are many patients on psychotropics for a variety of reasons, but it is important to learn how to approach a patient that is potentially facing these concerns. A big piece of proper workup is that it is all too easy to narrow our differential far too quickly. The below case study focuses on a patient who has very generalized symptoms. She is stressed, tired, in spiritual distress, blood pressure is slightly elevated, she is tired, irritable, and forgetful. You can all relate to her busy life. Don’t forget that just because she is busy, there may be something wrong. What are some of the physical afflictions that can explain these symptoms? If there is nothing physically wrong, how do we approach this patient without being too quick to reach for a pill? Consider the holistic and spiritual teaching .
Complete the below case study to learn more about this.
Case Study: A 28-year-old female presents to your office for a routine physical examination. When you ask about her blood pressure that is slightly elevated (144/86), she mentions that she is under a great deal of stress. When you probe into this more, you discover that she is currently attending school part-time online for her MBA while working a full-time position. She is also struggling with her marriage, citing feeling unsupported and says that she is so busy that she hasnâ€™t had time to spend time with friends or family recently. She has also been unable to attend church services recently. She reports that she is often feeling tired, irritable, and forgetful.
1.What is your immediate differential diagnosis considering all of the symptoms this patient is presenting with? Support your answers.
2.What assessment, screening, or diagnostic tools would you utilize within her office visit to ensure that you are considering each piece of your differential? (How would you rule in/rule out your differential.)
3.You have completed the above workup and have determined that the patient’s diagnosis is stress, but you cannot yet rule out depression. Discuss lifestyle recommendations that you could make for the patient to help her manage stress.
4.What is the diagnostic criteria for depression and discuss how you plan to follow up on ruling this in or out?
5.Depression is a very common diagnosis in our country. It is debated that perhaps this is a condition that is improperly diagnosed and improperly treated as well. Conclude your assignment with a personal reflection about experiences you have had with a client or a social contact where screening was inappropriately conducted resulting in either delayed diagnosis, inappropriate diagnosis, or inappropriate treatment plans. Discuss how this could have been prevented.