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The Richness Available Within Medication Management
Author(s) -
Byssum Doris M.
Publication year - 2016
Publication title -
journal of child and adolescent psychiatric nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.331
H-Index - 35
eISSN - 1744-6171
pISSN - 1073-6077
DOI - 10.1111/jcap.12140
Subject(s) - patience , biopsychosocial model , anxiety , interview , collateral , medicine , motivational interviewing , psychology , psychiatry , clinical psychology , social psychology , finance , political science , law , economics , intervention (counseling)
PROBLEM An 18‐year‐old male patient comes in for an initial evaluation of his anxiety. His anxiety is not in remission on his current medication, and he is experiencing tics when his anxiety escalates. METHODS Time and patience are used to complete a comprehensive evaluation of the patient by interviewing him, gathering collateral information from a family member, utilizing a screening tool, reviewing past history and treatment regimens, and conceptualizing the patient. FINDINGS A thorough interview and assessment reveals a rich history of possible antecedents to the anxiety of the patient. CONCLUSION In order to make a thorough biopsychosocial assessment, the practitioner needs to approach the patient with a genuine interest. By utilizing time and patience, the practitioner has a greater opportunity to gather pertinent information for comprehensive recommendations. Underlying issues contributing to the patient's anxiety may be alleviated through nonpharmacologic management in addition to medication.