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Case Study: Ms. A.C. is a 32-year-old married female with a 1-year-old child who is contemplating returning to work as a paralegal. She presents to the office well-groomed and neatly dressed. During the interview she is noted to be fidgeting and makes poor eye contact. She reports she has been feeling increasingly anxious when thinking about leaving the house for work each day and leaving her child in a daycare center. She is constantly worried all day and feels her "heart pounding" at rest. Upon further questioning, she reported to having a 2-year history of insomnia, difficulty concentrating, and fatigue. These symptoms have worsened since the birth of her child. She is worried that this is affecting her marriage as well as relationships with others and will prevent her from being able to return to work. She denies any substance use/abuse. She denies suicidal/homicidal ideation, denies auditory/visual hallucinations. No other known psychiatric history.
QUESTIONS:
1. In DETAIL, what subjective and objective questions would you ask?
2. What screening tools would you use and PLEASE EXPLAIN?
3. Formulate a treatment plan AND discuss psychopharmacology - drug interactions, inducers, and inhibitors, evidence-based practice recommendations, nonpharmacologic interventions, psychotherapy modalities - discuss best practices.
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