Write a 3-page, treatment plan for the client with Obsessive-compulsive disorder in which you do the following: • Describe the HPI and clinical impression for the client. • Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.) • Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices. • Identify medical management needs, including primary care needs, specific to this client. • Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client. • Recommend a plan for follow-up intensity and frequency and collaboration with other providers. Scenario: CC “I feel very anxious and cannot seem to stop checking my doors and windows at home and now at work.” HPI: Client Z is a 60-year-old Caucasian woman with a history of generalized anxiety disorder. The client was accompanied by her husband and presented to the clinic because of her ritualistic behaviour, complains of insomnia, increasing irritability and depression. Her husband reports his wife has not been herself lately, especially after she was promoted to the position of director of accounting in her firm three months ago. The client states “I seem to feel this way whenever I am under so much pressure. The promotion is a good thing as I have worked so hard to be where I am today.” Client not on any medication but would like to start taking medication if it will help her with her anxiety.
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