He is acutely aware that he is unable to manage this and avoids social situations e.g. Andrew describes long term anxiety about making eye contact with people. He currently has a partner and is engaged, but says he is not sure about her level of commitment.Īndrew avoids social contact and says he has had episodes of depression in the past, the last being only 12 months ago when he was treated for 3 weeks with sertraline but stopped the medication as he was feeling better. He is currently self-employed and says he has few friends. Soon after he left school Andrew became a plumber. Andrew got braces on his teeth at age 16 and dates problems with social anxiety from that time. Given she is a busy mum and likely to be technologically savvy, there are lots of resources to help such as:Īndrew is a 31 year old man who says he was a shy as a child but transiently became more confident and more extroverted at 15 years when a girl took an interest in him. Kate is likely to benefit and respond well to eMental Health tools as an adjunct to her ongoing face-to-face psychological therapy. She tells you she is worried she is “going crazy” because if her ECG and blood tests are normal, then what is wrong with her? After further assessment Kate is diagnosed with panic disorder. Kate tells you she has experienced many episodes like this in the past and doesn’t know what is going on or why it happens.
She has no medical history to speak of, but has only just reported these previous episodes to you (Kate is a new patient) after you review her test results from her last emergency department visit. Kate is otherwise a healthy mother of two children (3 year old girl and 7 year old boy) who works part-time as a student coordinator at her local TAFE. Kate said she feels like she is going to have a heart attack or die when this happens. Kate said this whole episode only lasted a few minutes but it felt like hours. My heart was pounding so hard I thought it would explode and my whole body was shaking and then my arms went numb”. Then I started having trouble breathing and I really got scared. Kate reflects on the experience: “I was walking my dog when I started sweating, but since it wasn’t hot outside, I couldn’t quite understand why. Kate, is a 34 year old female who recently visited an emergency department at hospital for an episode of extreme chest pain, difficulty breathing and numbness in her arms.
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