Follow-up
 |
One
week later, you see Dr. Johnson in your office. She has had no recurrence of acute panic attacks. The
Valium has been helping to control her baseline anxious feeling. She reports no adverse side effects. You increase her BuSpar to 10mg tid. Two
weeks later she returns for a scheduled visit.
She has completed her course of Valium.
As she is tolerating her BuSpar you plan to have her continue with
that medication. You also
encourage her to continue using the relaxation tapes and breathing
exercises. At the end of the
appointment, you encourage her to call if her symptoms worsen in any way.
She thanks you for your continued care as she heads off to a
faculty meeting. For
furthur discussion regarding the use of benzodiazepines, please continue
on with case (#24
( a much shorter case). |
|
Authors:
Faculty reviewers:
Sources
for Both Anxiety Cases: Basic
and Clinical Pharmacology. Sixth Edition. Bertram G. Katzung, MD, PhD.
Appleton and Lange,1995. Diagnostic
and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV).
American Psychiatric Association, 1994. Gliatto,
Michael F. MD. “Generalized
Anxiety Disorder.” American Family Physician, October 1, 2000. Handbook
of Psychiatric Drug Therapy. Third Edition. Steven E.
Hyman, George W. Arana, Jerrold F. Rosenbaum. Little, Brown and Company,
1995. Interview
Guide for Evaluating DSM-IV Psychiatric Disorders and the Mental Status
Examination. Mark
Zimmerman, M.D. Psych Products
Press, 1994. Kaplan
and Sadock's Synopsis of Psychiatry. Eighth Edition. Harold I.
Kaplan, MD and Benjamin J. Sadock, MD Williams and Wilkins, 1998. Longo,
Lance P. M.D. and Brian Johnson. “Addiction: Part I. Benzodiazepines –
Side Effects, Abuse Risk and Alternatives.” American Academy of Family
Physicians, April 1, 2000. Manual
of Psychiatric Emergencies. Third Edition. Steven E.
Hyman, MD and George E. Teaser MD. Little, Brown and Company, 1994. Massachusetts General Hospital Handbook of General Hospital Psychiatry. Fourth Edition. Ned H. Cassem, Theodore A. Stern, Jerrold F. Rosenbaum, Michael S. Jellinek. Mosby, 1997. |
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