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Generalized Anxiety Disorder
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Introduction
Ivy is a 23-year-old white woman who had graduated from college the previous year and
started working as an accountant one month after graduating. Ivy states that she has been
recommended to see a doctor by her roommate and determine if she has anemia or fatigue
syndrome. She states to have felt restless and on edge for the past nine months. Ivy becomes
fatigued and irritable and has difficulty concentrating and falling asleep. Also, she reports that
her mind goes blank and sometimes makes her worried about her work performance as it is no
longer excellent. From the case of Ivy, a generalized anxiety disorder diagnosis will be
undertaken by answering various questions.
List specific treatment goals for Ivy
Ivy's treatment goals are to report complete remission of the symptoms and return to the
pre-anxiety state and activities. There are no medications to cure a generalized anxiety disorder,
but medications can assist with the symptoms. With therapy and support, it can allow Ivy to be
in remission. Therefore, the primary goals are to improve Ivy's current state by providing
medical support and other treatment methods and ensuring that her condition is improved.
What drug therapy would you prescribe and why?
The drug therapy that would be prescribed in this case would be based on the treatment
algorithm for general anxiety disorder. The patient's best medication choice will be determined:
Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs) or Selective Serotonin Reuptake
Inhibitors (SSRIs). The SSR that would be used is paroxetine 10-20mg and has a 2-4-week
delay in the therapeutic effect. SNRI that would be used us venlafaxine 37.5 to 75mh with 2-4-
week therapeutic effect delay. The doctor will need to closely monitor the patient and check
whether
Generalized Anxiety Disorder
, 2
Introduction
Ivy is a 23-year-old white woman who had graduated from college the previous year and
started working as an accountant one month after graduating. Ivy states that she has been
recommended to see a doctor by her roommate and determine if she has anemia or fatigue
syndrome. She states to have felt restless and on edge for the past nine months. Ivy becomes
fatigued and irritable and has difficulty concentrating and falling asleep. Also, she reports that
her mind goes blank and sometimes makes her worried about her work performance as it is no
longer excellent. From the case of Ivy, a generalized anxiety disorder diagnosis will be
undertaken by answering various questions.
List specific treatment goals for Ivy
Ivy's treatment goals are to report complete remission of the symptoms and return to the
pre-anxiety state and activities. There are no medications to cure a generalized anxiety disorder,
but medications can assist with the symptoms. With therapy and support, it can allow Ivy to be
in remission. Therefore, the primary goals are to improve Ivy's current state by providing
medical support and other treatment methods and ensuring that her condition is improved.
What drug therapy would you prescribe and why?
The drug therapy that would be prescribed in this case would be based on the treatment
algorithm for general anxiety disorder. The patient's best medication choice will be determined:
Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs) or Selective Serotonin Reuptake
Inhibitors (SSRIs). The SSR that would be used is paroxetine 10-20mg and has a 2-4-week
delay in the therapeutic effect. SNRI that would be used us venlafaxine 37.5 to 75mh with 2-4-
week therapeutic effect delay. The doctor will need to closely monitor the patient and check
whether
