Topic > Clinical Evaluation: Case Study

IndexClinical EvaluationDiagnosisTreatment PlanResultConclusionOne of the most common mental health disorders affecting people around the world is anxiety. According to the World Health Organization, anxiety disorders affect approximately 284 million people worldwide, making them a significant public health concern. In this clinical evaluation case study, we will explore the evaluation process, diagnosis, and treatment of a 30-year-old client, Sarah, who presents with symptoms of generalized anxiety disorder (GAD). Through a comprehensive assessment and treatment plan, we aim to provide Sarah with the support and interventions needed to improve her mental health and quality of life. Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get an Original Essay Clinical Evaluation As part of the clinical evaluation process, Sarah's current symptoms and medical history were carefully reviewed to determine the presence of an anxiety disorder. Sarah reported persistent feelings of worry, restlessness, and irritability for the past six months. He also described having difficulty concentrating and sleeping, along with physical symptoms such as muscle tension and fatigue. These symptoms align with the diagnostic criteria for GAD outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which include excessive anxiety and worry about a variety of topics. In addition to an in-depth clinical interview, Sarah underwent a series of standardized assessment tools to further assess her symptoms and severity of anxiety. The Beck Anxiety Inventory (BAI) scale and the Generalized Anxiety Disorder 7-item scale (GAD-7) were administered to assess the level of anxiety and functional impairment experienced by Sarah. Results indicated moderate to severe levels of anxiety and impairment in daily functioning, confirming the presence of GAD. Diagnosis Based on the results of the clinical evaluation and the diagnostic criteria outlined in the DSM-5, Sarah was diagnosed with generalized anxiety disorder. GAD is characterized by excessive worry and anxiety about a variety of events or activities that are difficult to control. Individuals with GAD often experience physical symptoms such as muscle tension, fatigue, and sleep disturbances, which can significantly impact their quality of life. Sarah's symptoms were consistent with criteria for GAD, highlighting the need for targeted interventions and treatments. Treatment Plan Following her GAD diagnosis, a comprehensive treatment plan was developed to address Sarah's symptoms and improve her overall well-being. The treatment plan involved a combination of pharmacological and non-pharmacological interventions to target both the psychological and physical symptoms of anxiety. Sarah was prescribed an SSRI antidepressant to relieve anxiety symptoms and improve her mood. In addition to medication, Sarah was referred for cognitive behavioral therapy (CBT) to address the underlying thoughts and behaviors contributing to her anxiety. CBT is an evidence-based psychotherapeutic approach that focuses on identifying and challenging negative thought patterns and developing coping strategies to manage anxiety. Through weekly therapy sessions, Sarah learned relaxation techniques, cognitive restructuring, and problem-solving skills to better manage her anxiety symptoms. Result After six months of treatment, Sarah showed significant improvement in her anxiety symptoms and overall functioning. He reported a reduction.