1. Treating Anxiety From an Integrated Approach
A Collaborative Approach to Care
April 6, 2019 * Tex-CHIP Training Series

2. Medical Management of Anxiety

3. Understanding Provider Role in Treating Anxiety
Psychiatric Mental Health Provider (MD, PMHNP, PA)
Assessment
Diagnosis
Treatment planning
Prescribing evidence-based psychological and pharmacological treatments for anxiety
Psychoactive therapy/referral for outpatient therapy
Evaluation of treatment

4. Considerations when Interacting with Clients
Medical history
Conditions, Prescriptions
Psychiatric history
Other mental health diagnosis
Hospitalizations
Substance abuse history
Milieu

5. Our Treatment Plan Healthcare Domain: Primary Care
Provider: Nurse Practitioner
Objective-
Decrease symptoms as indicated by client report of:
(a) Sweating, chest pain, and dizziness
(b) Difficulty focusing, feeling tense and fatigued
(c) Excessive worry
(d) Beck Anxiety Inventory score of 28 (severe anxiety)
Goals:
a) Decrease symptoms
b) Restore overall functionality
Interventions:
a) Benzodiazepine (short-term, therapy)/ SSRI
b) Psychotherapy (CBT, DBT)

6. Measuring Outcomes/Success
Patient report of decrease in overall symptoms
Improvement in Beck Anxiety Inventory Score
Collaborating with counselor on patient’s progress
Monitoring medication compliance
Pharmacy

7. Communication Needed from Counselors
Patient progress
Appointment compliance, short term/long term goals (in progress, completed)
Changes in current symptoms (worsening, stagnant, improving)
New symptoms, i.e. SI, HI, AVH, mood changes
Interdisciplinary communication regarding pharmacological treatment goals