Reference no: EM133821290

Problem

T.B., a 66-year-old female, reports significant depression, anxiety, insomnia, and symptoms of PTSD since the death of her mother four years ago, which marked the onset of her current challenges. Her symptoms, including persistent crying, emotional agitation, and difficulty coping with the compounded grief of losing her brother earlier, have been exacerbated by chronic anxiety, often peaking in crowded spaces. She experiences frequent sleep disturbances, waking in the middle of the night with racing thoughts, despite occasional use of Ambien. Previously prescribed Lexapro and Zoloft were ineffective, and she now takes low-dose Xanax for anxiety alongside hydrocodone for back pain and blood pressure medication. She finds her role as a patient service manager fulfilling, providing a respite from her struggles, and describes her husband as a supportive partner. Get the instant assignment help. T.B. has been advised to start Prozac at 10 mg daily and engage in therapy to address mood stabilization, develop coping strategies and improve her sleep patterns and anxiety management.