1) For this case below, what contextual features would you need to address when
ID: 3460465 • Letter: 1
Question
1) For this case below, what contextual features would you need to address when assessing or treating this case with respect to gender, cultural, religious, age, and/or family issues?Janet is a 23-year-old single, African-American woman who was referred for evaluation by her cardiologist. In the prior 1.5 months, she presented to the emergency room three times for acute complaints of palpitations, shortness of breath, sweats, trembling, and the fear that she was about to die. Each of these events had a rapid onset. The symptoms peaked within minutes, leaving her scared, exhausted, and fully convinced that she had just experienced a heart attack. Medical evaluations done right after these episodes yielded normal physical exam findings, vital signs, lab results, toxicology screens, and electrocardiograms.
The patient reported a total of four such attacks in the prior 6 months, with the panic occurring at work, at home, and while driving a car. She had developed a persistent fear of having other attacks, which led her to take many days off work and to avoid exercise, driving, and coffee on those days. Her sleep quality declined, as did her mood. She avoided social relationships. She did not accept the reassurance offered to her by friends and physicians, believing that the medical workups were negative because they were performed after the resolution of the symptoms. She continued to suspect that something was wrong with her heart and that without an accurate diagnosis, she was going to die.
Janet is currently living with her father and two younger siblings, and reports that the relationships are all strained. She graduated from high school, is working as a telephone operator, and is not dating anyone. She denied depression but appears worried and preoccupied with ideas of having heart disease. She denied psychotic symptoms, confusion, and all suicidality.
This patient is suffering from agoraphobia due to her frequent panic attacks and fear of going to work and driving because she has experienced them in those situations in the past 6 months.
1) For this case below, what contextual features would you need to address when assessing or treating this case with respect to gender, cultural, religious, age, and/or family issues?
Janet is a 23-year-old single, African-American woman who was referred for evaluation by her cardiologist. In the prior 1.5 months, she presented to the emergency room three times for acute complaints of palpitations, shortness of breath, sweats, trembling, and the fear that she was about to die. Each of these events had a rapid onset. The symptoms peaked within minutes, leaving her scared, exhausted, and fully convinced that she had just experienced a heart attack. Medical evaluations done right after these episodes yielded normal physical exam findings, vital signs, lab results, toxicology screens, and electrocardiograms.
The patient reported a total of four such attacks in the prior 6 months, with the panic occurring at work, at home, and while driving a car. She had developed a persistent fear of having other attacks, which led her to take many days off work and to avoid exercise, driving, and coffee on those days. Her sleep quality declined, as did her mood. She avoided social relationships. She did not accept the reassurance offered to her by friends and physicians, believing that the medical workups were negative because they were performed after the resolution of the symptoms. She continued to suspect that something was wrong with her heart and that without an accurate diagnosis, she was going to die.
Janet is currently living with her father and two younger siblings, and reports that the relationships are all strained. She graduated from high school, is working as a telephone operator, and is not dating anyone. She denied depression but appears worried and preoccupied with ideas of having heart disease. She denied psychotic symptoms, confusion, and all suicidality.
This patient is suffering from agoraphobia due to her frequent panic attacks and fear of going to work and driving because she has experienced them in those situations in the past 6 months.
1) For this case below, what contextual features would you need to address when assessing or treating this case with respect to gender, cultural, religious, age, and/or family issues?
Janet is a 23-year-old single, African-American woman who was referred for evaluation by her cardiologist. In the prior 1.5 months, she presented to the emergency room three times for acute complaints of palpitations, shortness of breath, sweats, trembling, and the fear that she was about to die. Each of these events had a rapid onset. The symptoms peaked within minutes, leaving her scared, exhausted, and fully convinced that she had just experienced a heart attack. Medical evaluations done right after these episodes yielded normal physical exam findings, vital signs, lab results, toxicology screens, and electrocardiograms.
The patient reported a total of four such attacks in the prior 6 months, with the panic occurring at work, at home, and while driving a car. She had developed a persistent fear of having other attacks, which led her to take many days off work and to avoid exercise, driving, and coffee on those days. Her sleep quality declined, as did her mood. She avoided social relationships. She did not accept the reassurance offered to her by friends and physicians, believing that the medical workups were negative because they were performed after the resolution of the symptoms. She continued to suspect that something was wrong with her heart and that without an accurate diagnosis, she was going to die.
Janet is currently living with her father and two younger siblings, and reports that the relationships are all strained. She graduated from high school, is working as a telephone operator, and is not dating anyone. She denied depression but appears worried and preoccupied with ideas of having heart disease. She denied psychotic symptoms, confusion, and all suicidality.
This patient is suffering from agoraphobia due to her frequent panic attacks and fear of going to work and driving because she has experienced them in those situations in the past 6 months.
Explanation / Answer
age- 23 years the developmental normal course and the disparity from that
culture- african american. cultural background and norms and its influences
gender - female . biological nd emotional characteristics and differences associated with gender.
family issues - living with two younger sibblings and strained relaationships. no partner
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