Assignment -2 /SOAP note
Case Study 3: A man who is displaying symptoms of moderate anxiety
Your writing Assignment should:
Follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and;
Use APA formatting and citation style.
Allen, a university graduate aged 21 years, attends the pharmacy of the campus counseling
health center and asks to speak to the pharmacist in private. He states he is worried about
heart palpitations that he has been experiencing. He is visibly sweating and looks on edge.
The pharmacist calls the provider on duty at the psychiatric clinic for the counseling health
center and she arrives.
Assessment:
As the PMHNP on duty, you invite Allen into the consultation room and ask him
about his symptoms. He states that he has started a new job and that the palpitations
start when he is feeling anxious. His symptoms are occurring most days of the week
and he says it makes him “feel on edge.” He adds that he does not want to socialize
with his co-workers. It is starting to affect his sleep and he does not know what to do.
He also states that he has occasional pain in his chest.
Upon arrival, the psychiatric provider introduces herself to Allen and invites him into a private room to
talk about his symptoms. During the conversation, Allen reports feeling anxious and worried about his
physical symptoms, which include heart palpitations, sweating, and feeling on edge.
The provider assesses Allen's symptoms and determines that he is displaying moderate anxiety. She
explains to Allen that anxiety is a common experience and can be caused by a variety of factors, such as
stress, genetics, or a traumatic experience. She reassures him that his symptoms are treatable and
discusses various treatment options with him, including therapy and medication.
The provider recommends that Allen schedule an appointment with a therapist for further assessment
and treatment. She also suggests some self-care strategies that he can use to manage his anxiety
symptoms in the meantime, such as deep breathing exercises and mindfulness techniques.
Overall, the provider provides Allen with a supportive and empathetic environment where he can
discuss his symptoms and receive guidance on how to manage his anxiety. By connecting him with
resources and treatment options, she helps him take steps towards improving his mental health and
well-being.
Treatment options
Allen is demonstrating symptoms of moderate anxiety, given his desire to avoid
socializing, and has a degree of functional impairment. However, as he has
potential cardiac symptoms, these issues could be related to another condition.
When questioned, he confirms he has no other problems with his health, but you
feel the patient needs further investigation. For example, tests to measure the