Madeline is a real-estate agent and married
Madeline is a real-estate agent and married with children. She reports that she worries about maintaining her status as the top realtor in her company, about being a good mother, and about getting older. In fact, she reports worrying about everything. She says she feels high strung, is easily irritated, and has difficulty concentrating. She feels muscle tension all over her body. As she talks she fidgets, shakes her leg constantly, makes no eye contact, and clears her voice frequently. “I realize my fears are unjustified, but I can’t seem to control them”. After reviewing Madeline’s medical records John identifies the diagnosis of Generalized Anxiety Disorder (GAD). What objective and subjective data indicate Madeline is having GAD? What interventions could John suggest to deal with Madeline’s anxiety? How could John help clients understand the biological approach to management of mental illness and the importance of following the treatment regimen?
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