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w- Panic disorder and Medication Management

P​‌‍‍‍‌‍‍‌‌‍‌‍‍‌‌‌‍‍‍‍​lease note the following requirements: A minimum of 150 words, scholarly written, APA formatted. A minimum of 2 references are required. Peer reviewed scholarly resources should be no more than 5 years old. Example: professional, peer reviewed publications or reports from resources such as CDC, IOM, AACN, etc. These should be written by professionals and scholars in the field. Websites are only scholarly, if written by professionals and experts in the area. Wikipedia is not a scholarly source, for example. A website such as Medscape, CDC, and TIGER Initiative are examples of scholarly sources. Case study: This is 22 years old Hispanic female with a history of depression and panic attacks. The patient states that all her problems started when she was 20 years old after she witnessed a car accident where two people died. Since that, the patient has been under the care of a psychologist who referred her for psychiatric evaluation. The pat​‌‍‍‍‌‍‍‌‌‍‌‍‍‌‌‌‍‍‍‍​ient states that her depression is resolved with the psychotherapies, but for about five months, when she feels under pressure, she has suffered fear attacks, without apparent causes”. These symptoms occur about one to two times per week and are accompanied by numbness in the extremities, heart palpitation, nausea, chest apprehension, and anxiety. The patient described her symptoms as if the world stopped around and she felt that cants breathe”. She has been attending psychotherapies for the last six weeks and learned some relaxation and breathing techniques that are helping a lot to cope with her problem, but she thinks that she needs some medication to help. The Psychiatric nurse practitioner started the patient on Fluoxetine 10 mg Po daily for the management of her symptoms. Explain why an SSRI such as fluoxetine is appropriate treatment for this patient and not a benzodiazepine such as lorazepam or alprazolam for panic treat​‌‍‍‍‌‍‍‌‌‍‌‍‍‌‌‌‍‍‍‍​ment?

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