A 35-year-old patient is seen for ongoing care in an outpatient psychiatric clinic for worsening and constant worry,
A 35-year-old patient is seen for ongoing care in an outpatient psychiatric clinic for worsening and constant worry, fatigue, irritability, jitteriness, restlessness, and difficulty falling asleep. The patient has felt this way since childhood, and their symptoms have worsened over the past 8 months since their partner became pregnant. The patient worries about the health of the child, their relationship, their aging parents, and “everything you can imagine.” Their symptoms are manageable with anxiolytic medication. The patient works long hours as a government researcher for a large federal organization and worries that their work hours will interfere with their supporting their partner after the birth of the child. The patient asks the nurse practitioner whether they can write a letter to the employer for work accommodations. What is the nurse practitioner’s best response? Help the patient to recognize their cognitive distortions about their partner’s capabilities to care for the child independently Inform the patient that the nurse practitioner cannot write a work accommodation letter to the patient’s employer because of HIPAA restrictions Tell the patient the letter must come from the pregnant partner’s obstetrician and must include the partner’s need for support after the birth Write the patient a letter
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