any concerns General anxiety is reasonable to consider on the differential for treatment options. It

any concerns General anxiety is reasonable to consider on the differential for treatment options. It is known that Down Syndrome patients frequently experience psychiatric comorbidities and that general anxiety is ranked as most common (Palumbo & McDougle, 2018). Due to verbal communication limitations from Rocky the expectation of a more extensive and detailed patient history is unlikely (Trenholm & Mirenda, 2006). Therefore, I would recommend, as an adjunct to your suggestion, to include medical management with anxiolytics. Close observation with follow-up with the prescribing physician should likewise be included in this course of action.

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