NURS 6670 – Anxiety Disorders, PTSD, and Related Disorders essay Assignment papers

Week 6: Anxiety Disorders, PTSD, and Related Disorders

Oh no! It is happening again. I am having a heart attack… I know it. My heart is racing, I can’t breathe, and I am shaking all over. I can’t go to the ER again. They will say what they always say… I am not having a heart attack. It is all in my head.

Barbara, age 68

The anxiety disorders provide us a good opportunity to take a close look at the nature/nurture debate as well as the gene/environment interactions that influence the nervous system and neurochemistry. A significant part of most of Sigmund Freud’s theories, the concept of anxiety has been debated and discussed over many years in the psychiatric literature. While Freud’s theories focused on the “mind” and the unconscious, another way to look at anxiety is with Hans Selye’s concept of “fight or flight” in which the sympathetic nervous system is activated as a response to stress. As you explore the concept of anxiety, you will notice that no two cases of anxiety are the same. NURS 6670 – Anxiety Disorders, PTSD, and Related Disorders essay Assignment papers.

This week, you will explore evidence-based treatment methods for clients with anxiety disorders. You will complete a midterm exam and analyze reimbursement rates for treatment of mental health disorders.

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Learning Resources

Required Readings

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 9, “Anxiety Disorders” (pp. 387–417)

Chapter 11, “Trauma- and Stressor-Related Disorders” (pp. 437–451)

Gabbard, G. O. (2014). Gabbard’s treatment of psychiatric disorders (5th ed.). Washington, DC: American Psychiatric Publications. NURS 6670 – Anxiety Disorders, PTSD, and Related Disorders essay Assignment papers.

Chapter 16, “Panic Disorder”

Chapter 18, “Social Anxiety Disorder (Social Phobia)”

Chapter 19, “Generalized Anxiety Disorder”

Chapter 20, “Specific Phobia”

Note: You will access this textbook from the Walden Library databases.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

“Anxiety Disorders”

“Trauma- and Stressor-Related Disorders”

Note: You will access this book from the Walden Library databases.

Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press. NURS 6670 – Anxiety Disorders, PTSD, and Related Disorders essay Assignment papers.

Note: All Stahl resources can be accessed through the Walden Library using the link below. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear. http://ezp.waldenulibrary.org/login?url=http://stahlonline.cambridge.org/. NURS 6670 – Anxiety Disorders, PTSD, and Related Disorders essay Assignment papers.

To access information on specific medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication. NURS 6670 – Anxiety Disorders, PTSD, and Related Disorders essay Assignment papers.

Anxiety		Generalized anxiety disorder	Panic disorder
alprazolam amitriptyline amoxapine buspirone chlordiazepoxide citalopram clomipramine clonazepam clonidine clorazepate cyamemazine desipramine diazepam dothiepin doxepin duloxetine escitalopram fluoxetine fluvoxamine gabapentin (adjunct) hydroxyzine imipramine isocarboxazid lofepramine	loflazepate lorazepam maprotiline mianserin mirtazapine moclobemide nefazodone nortriptyline oxazepam paroxetine phenelzine pregabalin reboxetine sertraline tiagabine tianeptine tranylcypromine trazodone trifluoperazine trimipramine venlafaxine vilazodone	alprazolam citalopram desvenlafaxine duloxetine escitalopram fluoxetine fluvoxamine mirtazapine paroxetine pregabalin sertraline tiagabine (adjunct) venlafaxine. NURS 6670 – Anxiety Disorders, PTSD, and Related Disorders essay Assignment papers.	alprazolam citalopram clonazepam desvenlafaxine escitalopram fluoxetine fluvoxamine isocarboxazid lorazepam mirtazapine nefazodone paroxetine phenelzine pregabalin reboxetine sertraline tranylcypromine venlafaxine

Posttraumatic stress disorder	Reversal of benzodiazepine effects	Social anxiety disorder
citalopram clonidine desvenlafaxine escitalopram fluoxetine fluvoxamine mirtazapine nefazodone paroxetine prazosin (nightmares) propranolol (prophylactic) sertraline venlafaxine	flumazenil	citalopram clonidine desvenlafaxine escitalopram fluoxetine fluvoxamine isocarboxazid moclobemide paroxetine phenelzine pregabalin sertraline tranylcypromine venlafaxine

Maples-Keller, J. L., Price, M., Rauch, S., Gerardi, M., & Rothbaum, B. O. (2017). Investigating relationships between PTSD symptom clusters within virtual reality exposure therapy for OEF/OIF veterans. Behavior Therapy, 48(2), 147–155. doi:10.1016/j.beth.2016.02.011

Note: You will access this article from the Walden Library databases.

Hayes, J. P., Logue, M. W., Reagan, A., Salat, D., Wolf, E. J., Sadeh, N., & … Miller, M. W. (2017). COMT Val158Met polymorphism moderates the association between PTSD symptom severity and hippocampal volume. Journal of Psychiatry & Neuroscience: JPN, 42(2), 95–102. doi:10.1503/jpn.150339

Note: You will access this article from the Walden Library databases. NURS 6670 – Anxiety Disorders, PTSD, and Related Disorders essay Assignment papers.

Quinn, B. L., & Peters, A. (2017). Strategies to reduce nursing student test anxiety: A literature review. Journal of Nursing Education, 56(3), 145–151. doi:10.3928/01484834-20170222-05

Note: You will access this article from the Walden Library databases.

Document: Reimbursement Rate Template (Word document)

Required Media

Wolpe, J. (Producer). (n.d.). Joseph Wolpe on systematic desensitization [Video file]. Mill Valley, CA: Psychotherapy.net

Note: The approximate length of this media piece is 59 minutes. You will access this video from the Walden Library databases

Optional Resources

Acosta, M. C., Possemato, K., Maisto, S. A., Marsch, L. A., Barrie, K., Lantinga, L., . . . Rosenblum, A. (2017). Web-delivered CBT reduces heavy drinking in OEF-OIF veterans in primary care with symptomatic substance use and PTSD. Behavior Therapy, 48(2), 262-–276. doi:10.1016/j.beth.2016.09.001

Substance Abuse and Mental Health Services Association (SAMHSA). (2014). TIP 57: Trauma-informed care in behavioral health services. Retrieved from: http://store.samhsa.gov/product/TIP-57-Trauma-Informed-Care-in-Behavioral-Health-Services/SMA14-4816

Note: This document is available as a free download. NURS 6670 – Anxiety Disorders, PTSD, and Related Disorders essay Assignment papers.

Discussion: Treatment of Anxiety Disorders

Anxiety disorders are common in both primary care and psychiatric practice. Clients with anxiety disorders including generalized anxiety disorders, agoraphobia, and other specific phobias will present to the PMHNP’s office with a significant level of distress. Successful recognition and treatment of anxiety disorders includes an accurate diagnostic assessment with a treatment plan that includes a combination of psychopharmacology and psychotherapy. Although psychoanalytic theories are based on the concept of anxiety, the more recent standard of care is with the cognitive-behavioral therapies. NURS 6670 – Anxiety Disorders, PTSD, and Related Disorders essay Assignment papers.

In this Discussion, you will analyze evidence-based treatment plans for clients with anxiety disorders.

Learning Objectives

Students will:

Analyze differences between adjustments disorders and anxiety disorders
Analyze diagnostic criteria for anxiety disorders
Analyze evidence-based psychotherapy and psychopharmacologic treatment for anxiety disorders
Compare differential diagnostic features of anxiety disorders

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts and cannot post anonymously. Please check your post carefully before clicking Submit!NURS 6670 – Anxiety Disorders, PTSD, and Related Disorders essay Assignment papers.

To prepare for this Discussion:

By Day 5 of Week 5, your Instructor will have assigned you an anxiety disorder, which will be your focus for your initial post for this Discussion.
Review the Learning Resources.

By Day 3

Post:

Explain the difference between an adjustment disorder and anxiety disorder. Provide examples to illustrate your rationale.
Explain the diagnostic criteria for your assigned anxiety disorder. NURS 6670 – Anxiety Disorders, PTSD, and Related Disorders essay Assignment papers.
Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned anxiety disorder.
Support your rationale with references to the Learning Resources or other academic resource.

By Day 6

Respond to at least two of your colleagues by comparing the differential diagnostic features of the disorder you were assigned to the diagnostic features of the disorder your colleagues were assigned. NURS 6670 – Anxiety Disorders, PTSD, and Related Disorders essay Assignment papers.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 6 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 6 Discussion

Assignment 1: Midterm Exam

This exam is designed to assess how well you have synthesized the information from all your PMHNP courses. It draws upon the material from all the textbooks from NURS 6630, NURS 6640, NURS 6670, NURS 6660, and NURS 6670. It is very similar to what you will experience in your certification exam. NURS 6670 – Anxiety Disorders, PTSD, and Related Disorders essay Assignment papers.

Learning Objectives

Students will:

Assess knowledge of adult and older adult psychotherapy concepts and principles

This exam will cover the following topics:

Psychiatric Assessment of the Adult and Older Adult
Depressive Disorders
Personality Disorders
Substance-Related and Addictive Disorders
Bipolar Disorders
Anxiety Disorders, PTSD, & Related Disorders

By Day 7

Complete the Midterm Exam. Prior to starting the exam, you should review all of your materials. There is a 2-hour time limit to complete this 75-question exam. You may only attempt this exam once.

This exam is a test of your knowledge in preparation for your certification exam. No outside resources including books, notes, websites, or any other type of resource are to be used to complete this exam. You are expected to comply with Walden University’s Code of Conduct.

By Day 7

Submit your Exam.

Submission and Grading Information

NURS_6670_Week6_Discussion_Rubric

	Outstanding Performance	Excellent Performance	Competent Performance	Proficient Performance	Room for Improvement
Main Posting: Response to the discusion question is reflecive with critical analysis and synthesis representive of knowledg gained from the course readings for the module and current credible sources.	Points Range: 44 (44%) – 44 (44%) * Thoroughly responds to the discusion question(s) is reflecive with critical analysis and synthesis representive of knowledg gained from the course readings for the module and current credible sources. supported by at least 3 current, credible sources	Points Range: 40 (40%) – 43 (43%) * Responds to the discusion question(s) is reflecive with critical analysis and synthesis representive of knowledg gained from the course readings for the module. 75% of post has exceptional depth and breadth * supported by at least 3 credible references	Points Range: 35 (35%) – 39 (39%) * Responds to most of the discusion question(s) is somewhat reflecive with critical analysis and synthesis representive of knowledg gained from the course readings for the module. 50% of post has exceptional depth and breadth * supported by at least 3 credible references	Points Range: 31 (31%) – 34 (34%) * Responds to some of the discusion question(s) * one to two criteria are not addressed or are superficially addresed is somewhat lacking reflection and critical analysis and synthesis somewhat represents knowledge gained from the course readings for the module. * post is cited with fewer than 2 credible references	Points Range: 0 (0%) – 30 (30%) * Does not respond to the discusion question(s) * lacks depth or superficially addresses criteria lacks reflection and critical analysis and synthesis does not represent knowledge gained from the course readings for the module. * contains only 1 or no credible references. NURS 6670 – Anxiety Disorders, PTSD, and Related Disorders essay Assignment papers
Main Posting: Writing	Points Range: 6 (6%) – 6 (6%) * Written clearly and concisely * Contains no grammatical or spelling errors * Fully adheres to current APA manual writing rules and style	Points Range: 5.5 (5.5%) – 5.5 (5.5%) * Written clearly and concisely * May contain one or no grammatical or spelling error * Adheres to current APA manual writing rules and style	Points Range: 5 (5%) – 5 (5%) * Written concisely * May contain one to two grammatical or spelling error * Adheres to current APA manual writing rules and style	Points Range: 4 (4%) – 5 (5%) Writtten somewhat concisely May contain more than two2 spelling or grammatical errors * Contains some APA formatting erros	Points Range: 0 (0%) – 4 (4%) * Not written clearly or concisely * Contains more than two spelling or grammatical errors * Does not adhere to current APA manual writing rules and style
Main Posting: Timely and full participation	Points Range: 10 (10%) – 10 (10%) * meets requirements for timely and full participation * posts main discussion by due date	Points Range: 0 (0%) – 0 (0%)	Points Range: 0 (0%) – 0 (0%)	Points Range: 0 (0%) – 0 (0%)	Points Range: 0 (0%) – 6 (6%) * does not meet requirement for full participation
First Reponse Post to colleague’s main post that is reflective and justified with credible sources.	Points Range: 9 (9%) – 9 (9%) * response exhibits critical thinking and application to practice settings * responds to questions posed by faculty * the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives	Points Range: 8.5 (8.5%) – 8.5 (8.5%) * response exhibits critical thinking and application to practice settings	Points Range: 7.5 (7.5%) – 8 (8%) * response has some depth and may exhibit critical thinking or application to practice setting	Points Range: 6.5 (6.5%) – 7 (7%) * response is on topic, may have some depth. NURS 6670 – Anxiety Disorders, PTSD, and Related Disorders essay Assignment papers.	Points Range: 0 (0%) – 6 (6%) * reponse may not be on topic, lacks depth
First Reponse: Writing	Points Range: 6 (6%) – 6 (6%) * Communication is professional and respectful to colleagues * Response to faculty questions are fully answered if posed * Provides clear, concise opinions and ideas that are supported by two or more credible sources * Response is effectively written in Standard Edited English	Points Range: 5.5 (5.5%) – 5.5 (5.5%) * Communication is professional and respectful to colleagues * Response to faculty questions are answered if posed * Provides clear, concise opinions and ideas that are supported by two or more credible sources * Response is effectively written in Standard Edited English	Points Range: 5 (5%) – 5 (5%) * Communication is mostly professional and respectful to colleagues * Response to faculty questions are mostly answered if posed * Provides opinions and ideas that are supported by few credible sources * Response is written in Standard Edited English	Points Range: 4.5 (4.5%) – 4.5 (4.5%) * Responses posted in the discussion may lack effective professional communication * Response to faculty questions are somewhat answered if posed * Few or no credible sources are cited	Points Range: 0 (0%) – 4 (4%) * Responses posted in the discussion lack effective * Response to faculty questions are missing * No credible sources are cited. NURS 6670 – Anxiety Disorders, PTSD, and Related Disorders essay Assignment papers
First Reponse: Timely and full participation	Points Range: 5 (5%) – 5 (5%) * meets requirements for timely and full participation * posts by due date	Points Range: 0 (0%) – 0 (0%)	Points Range: 0 (0%) – 0 (0%)	Points Range: 0 (0%) – 0 (0%)	Points Range: 0 (0%) – 0 (0%) * does not meet requirement for full participation
Second Reponse: Post to colleague’s main post that is reflective and justified with credible sources.	Points Range: 9 (9%) – 9 (9%) * response exhibits critical thinking and application to practice settings * responds to questions posed by faculty * the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives	Points Range: 8.5 (8.5%) – 8.5 (8.5%) * response exhibits critical thinking and application to practice settings	Points Range: 7.5 (7.5%) – 8 (8%) * response has some depth and may exhibit critical thinking or application to practice setting	Points Range: 6.5 (6.5%) – 7 (7%) * response is on topic, may have some depth	Points Range: 0 (0%) – 6 (6%) * reponse may not be on topic, lacks depth. NURS 6670 – Anxiety Disorders, PTSD, and Related Disorders essay Assignment papers
Second Reponse: Writing	Points Range: 6 (6%) – 6 (6%) * Communication is professional and respectful to colleagues * Response to faculty questions are fully answered if posed * Provides clear, concise opinions and ideas that are supported by two or more credible sources * Response is effectively written in Standard Edited English	Points Range: 5.5 (5.5%) – 5.5 (5.5%) * Communication is professional and respectful to colleagues * Response to faculty questions are answered if posed * Provides clear, concise opinions and ideas that are supported by two or more credible sources * Response is effectively written in Standard Edited English	Points Range: 5 (5%) – 5 (5%) * Communication is mostly professional and respectful to colleagues * Response to faculty questions are mostly answered if posed * Provides opinions and ideas that are supported by few credible sources * Response is written in Standard Edited English	Points Range: 4.5 (4.5%) – 4.5 (4.5%) * Responses posted in the discussion may lack effective professional communication * Response to faculty questions are somewhat answered if posed * Few or no credible sources are cited	Points Range: 0 (0%) – 4 (4%) * Responses posted in the discussion lack effective * Response to faculty questions are missing * No credible sources are cited. NURS 6670 – Anxiety Disorders, PTSD, and Related Disorders essay Assignment papers
Second Reponse: Timely and full participation	Points Range: 5 (5%) – 5 (5%) * meets requirements for timely and full participation * posts by due date	Points Range: 0 (0%) – 0 (0%)	Points Range: 0 (0%) – 0 (0%)	Points Range: 0 (0%) – 0 (0%)	Points Range: 0 (0%) – 0 (0%) * does not meet requirement for full participation. NURS 6670 – Anxiety Disorders, PTSD, and Related Disorders essay Assignment papers