Anxiety | Mental State Examination (MSE) | OSCE Guide | SCA Case | UKMLA | CPSA | PLAB 2

Geeky Medics
11 Jul 202311:18

Summary

TLDRJan Wilkinson, a 38-year-old woman, presents with generalized anxiety stemming from a traumatic eventโ€”her partnerโ€™s car accident. Her anxiety manifests in racing heart, sweating, and intrusive thoughts, particularly about the safety of her family. She experiences ruminating thoughts and occasional panic attacks. This condition has strained her relationships, especially with her children, who feel embarrassed by her constant reassurance-seeking. Jan is seeking counseling to help manage her anxiety, improve her emotional well-being, and restore a sense of normalcy in her life.

Takeaways

  • ๐Ÿ˜€ Jan Wilkinson, a 38-year-old woman, is struggling with generalized anxiety, which affects her relationships and daily functioning.
  • ๐Ÿ˜€ Her anxiety manifests physically with symptoms like a racing heart, sweating, and overwhelming worry about bad things happening.
  • ๐Ÿ˜€ Jan reports that her anxiety started a few months ago after her partner, Layla, was in a car accident, though Layla was not seriously injured.
  • ๐Ÿ˜€ Jan's anxiety is particularly focused on her familyโ€™s safety, especially when Layla drives or her children are at school.
  • ๐Ÿ˜€ She has experienced panic attacks in the past, including one a week ago after worrying about her children being taken by Social Services.
  • ๐Ÿ˜€ Jan's anxiety is all-consuming, affecting her sleep, mood, and ability to enjoy normal activities.
  • ๐Ÿ˜€ She acknowledges that her constant worrying and checking behaviors are causing strain in her relationships, particularly with her children, who find it embarrassing.
  • ๐Ÿ˜€ Despite her anxiety, Jan has good insight into her condition and recognizes that her worries are becoming irrational.
  • ๐Ÿ˜€ Jan has no thoughts of harming herself or others and has no history of substance abuse as a coping mechanism.
  • ๐Ÿ˜€ She hopes for counseling or someone to talk to in order to help her manage her anxiety and feel 'normal' again.
  • ๐Ÿ˜€ The doctor assesses Jan as anxious and restless but with good eye contact and insight into her mental health, emphasizing the need for professional help.

Q & A

  • What is the main reason Jan sought help?

    -Jan sought help because she has been struggling with anxiety, which has been affecting her life and relationships, especially following her partner's car accident.

  • What specific physical symptoms does Jan experience when anxious?

    -When anxious, Jan experiences a racing heart and sweating, which she associates with her worries about bad things happening.

  • What triggered Jan's anxiety in the first place?

    -Jan's anxiety was triggered a few months ago when her partner, Layla, was involved in a car accident. Although Layla wasn't badly hurt, Jan began to worry constantly about bad things happening.

  • How does Jan's anxiety affect her relationships with her children?

    -Jan's constant worry and checking on her children have affected her relationship with them, as they find it embarrassing. Jan feels this has caused strain in their relationship.

  • How does Jan cope with her anxiety, if at all?

    -Jan sometimes tries to distract herself by watching television, particularly shows she doesn't enjoy, as a way to alleviate her anxiety. However, this is only somewhat effective.

  • Has Jan experienced panic attacks before?

    -Yes, Jan had panic attacks as a teenager, and experienced another one recently when she became overly anxious about her children's welfare after receiving a message from their school.

  • How has Jan's anxiety impacted her ability to sleep?

    -Jan struggles to sleep due to her constant worry about bad things happening, which makes it difficult for her to relax or rest.

  • What does Jan think about her constant worrying and checking behaviors?

    -Jan recognizes that her worrying and checking behaviors are unreasonable and are getting out of hand. She is aware that these anxieties are affecting her life, especially her relationships.

  • Has Jan ever considered harming herself or others as a result of her anxiety?

    -No, Jan has never had thoughts of harming herself or others. She strongly denies any such thoughts and considers her family as a strong protective factor.

  • What kind of support does Jan think might help her manage her anxiety?

    -Jan is hoping for counseling or professional support, someone she can talk to in order to help her feel more 'normal' again and better manage her anxiety.

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Related Tags
AnxietyPanic AttacksMental HealthTherapyStress ManagementFamily SupportEmotional HealthSocial AnxietySelf-CareLife Challenges