Nurs 6660 Week 5: Anxiety Disorders in Childhood and Adolescence Essay.

Nurs 6660 Week 5: Anxiety Disorders in Childhood and Adolescence Essay.

NURS 6660: Psychiatric Mental Health Nurse Practitioner Role I: Child and Adolescent | Week 5

“I don’t know why everyone is worried that I don’t want to go out with my friends anymore. I just like to stay home. There is nothing wrong with that. I go to school and get good grades, but I don’t know what to say to those other girls in my class. They ask why I can’t go to the mall with them on the weekend and I get all embarrassed. They don’t understand that I don’t know what to say to them. When I do say something, it is always wrong, or they laugh. I can just stay home and read my books.”

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Emma, age 15

Anxiety disorders that plague many individuals in adulthood often have their origins in childhood and adolescence. By identifying those children and adolescents with anxiety disorders, the PMHNP can intervene and teach skills that the client can use to control anxiety throughout his or her life.Nurs 6660 Week 5: Anxiety Disorders in Childhood and Adolescence Essay.

This week, you analyze case studies to determine the diagnosis and treatment of anxiety disorders.

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.Nurs 6660 Week 5: Anxiety Disorders in Childhood and Adolescence Essay.

Required Readings – Nurs 6660 Week 5: Anxiety Disorders in Childhood and Adolescence Essay.

American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.

• Standard 8 “Education” (pages 69-70)

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 31, “Child Psychiatry” (pp. 1253–1268)

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

• “Anxiety Disorders”

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

American Academy of Child & Adolescent Psychiatry (AACAP). (2012a). Practice parameter for the assessment and treatment of children and adolescents with obsessive-compulsive disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 51(1), 98–113. Retrieved from http://www.jaacap.com/article/S0890-8567(11)00882-3/pdf

McClelland, M., Crombez, M-M., Crombez, C., Wenz, C., Lisius, M., Mattia, A., & Marku, S. (2015). Implications for advanced practice nurses when pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) is suspected: A qualitative study. Journal of Pediatric Health Care, 29(5), 442–452. doi:10.1016/j.pedhc.2015.03.005

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

Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press.

Note: All Stahl resources can be accessed through the Walden Library using the link. 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.Nurs 6660 Week 5: Anxiety Disorders in Childhood and Adolescence Essay.

To access information on the following medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication.

Review the following medications:

Note: Many of these medications are FDA approved for adults only. Some are FDA approved for disorders in children and adolescents. Many are used “off label” for the disorders examined in this week. As you read the Stahl drug monographs, focus your attention on FDA approvals for children/adolescents (including “ages” for which the medication is approved, if applicable) and further note which drugs are “off label.”

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Required Media

YMH Boston. (2013b, May 22). Vignette 3 – Asking about depression in a preventive services visit [Video file]. Retrieved from https://www.youtube.com/watch?v=TO8aITpMG5E

Note: The approximate length of this media piece is 3 minutes.

YMH Boston. (2013b, May 22). Vignette 5 – Assessing for depression in a mental health appointment [Video file]. Retrieved from https://www.youtube.com/watch?v=Gm3FLGxb2ZU

Note: The approximate length of this media piece is 3 minutes.

Laureate Education (Producer). (2017c). Anxiety disorder, ODC, or something else? [Multimedia file]. Baltimore, MD: Author.

Optional Resources

Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s child and adolescent psychiatry (6th ed.). Hoboken, NJ: Wiley Blackwell.

• Chapter 60, “Anxiety Disorders” (pp. 822–840)
• Chapter 61, “Obsessive Compulsive Disorder” (pp. 841–857)

Nurs 6660 Week 5 Discussion: Clinical Supervision

Clinical Supervision is an essential component of your development as a psychiatric mental health nurse practitioner. It provides an opportunity for professional collaboration as you share experiences with and gain insights from colleagues. For this Clinical Supervision, consider a client whom you do not think is adequately progressing according to expected clinical outcomes.Nurs 6660 Week 5: Anxiety Disorders in Childhood and Adolescence Essay.

Learning Objectives

Students will:

• Analyze clients presenting for treatment of anxiety disorders
• Evaluate effectiveness of therapeutic approaches for clients diagnosed with an anxiety disorder

To Prepare:

• Review this week’s Learning Resources concerning treating patients with anxiety disorders.
• Reflect on a child or adolescent client you are currently counseling or have previously counseled at your practicum site who has been diagnosed with an anxiety disorder.Nurs 6660 Week 5: Anxiety Disorders in Childhood and Adolescence Essay.

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!

By Day 3

Post a 3- to 5-minute Kaltura video in which you do the following:

• Describe the client. Note: Do not use the client’s actual name.
• Explain your therapeutic approach with the client, including the perceived effectiveness of your approach.
• Identify any additional information about this client that may potentially impact expected outcomes.

Note: Nurse practitioners must have strong oral communication skills. This Discussion is designed to help you hone these skills. When filming your Kaltura video, be sure to dress and speak in a professional manner.

View a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues by suggesting an alternate therapeutic approach. Support your feedback with evidence-based literature and/or your own experiences with clients.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 5 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 5 Discussion

Nurs 6660 Week 5 Assignment 1: Practicum: Decision Tree

For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat pediatric clients presenting symptoms of a mental health disorder.

Learning Objectives

Students will:

• Evaluate clients for treatment of mental health disorders
• Analyze decisions made throughout diagnosis and treatment of clients with mental health disorders

The Assignment:

Examine Case 2: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might im

ADDITIONAL INFO 

Anxiety Disorders in Childhood and Adolescence

Introduction

Anxiety disorders in childhood and adolescence are common. The symptoms of anxiety disorders may mimic those of typical childhood development, which makes it difficult for parents to recognize them. Anxiety is associated with emotional and physical symptoms. Short-term treatment for anxiety generally leads to better long-term outcomes but can also be addictive; therefore, medications should only be used as part of an overall treatment plan that includes counseling or CBT. Early identification, evaluation, and intervention for anxiety can improve clinical outcomes

Anxiety disorders in childhood and adolescence are common.

Anxiety disorders are common in children and adolescents. They can be treated with therapy, medication (such as antidepressants), or both. Anxiety disorders may also lead to depression, substance abuse, and suicide. These problems should be addressed by your doctor at the earliest possible time to help you avoid a lifetime of suffering from anxiety or other mental health issues

The symptoms of anxiety disorders may mimic those of typical childhood development.

If you think your child is suffering from an anxiety disorder, it can be hard to know what to do. Symptoms may include hyperactivity, difficulty concentrating and sleeping problems. These symptoms may mimic those of typical childhood development.

This can make diagnosis difficult for parents and teachers alike; however, there are several things that can help make the process easier for both parties involved:

• If a child exhibits some of these common signs but also has additional ones that seem unique to their situation (such as excessive crying), this indicates an underlying issue—one which requires further investigation before an official diagnosis can be made.*

Anxiety is associated with emotional and physical symptoms.

Anxiety disorders can be serious and can lead to other mental health issues. If you have a loved one who has been diagnosed with an anxiety disorder, it’s important to know that there are many treatments available. For example, behavioral therapy (also known as CBT) is often used in conjunction with medication to help manage symptoms of anxiety. Therapy can also help children learn skills for dealing with their own emotions so they don’t react so strongly when they feel anxious or worried.”

Short-term treatment for anxiety generally leads to better long-term outcomes.

Short-term treatment for anxiety generally leads to better long-term outcomes. Medications and therapy can help with short-term relief, but they don’t address the root causes of anxiety disorders.

The main goal of treating childhood and adolescent anxiety is to improve quality of life by reducing symptoms and improving social and personal functioning. Treatment often involves counseling (psychotherapy), medications, or both. It’s important that you seek help if your child is suffering from an anxiety disorder because it can have serious consequences for their physical health as well as their educational success later in life.

Treatment for anxiety disorders typically includes cognitive behavioral therapy (CBT) and/or psychotropic medications.

CBT is the most effective treatment for anxiety disorders. It can be used alone or in combination with other treatments, such as psychotropic medications. Medication can help with symptoms but should not be used as a replacement for CBT.

Early identification, evaluation, and intervention for anxiety can improve clinical outcomes.

Early identification and evaluation of anxiety disorders can improve clinical outcomes. The earlier an anxiety disorder is detected, the more likely it is to respond to treatment.

Early intervention in children with anxiety disorders also appears to reduce the risk of developing chronic or severe forms of childhood-onset depression (COD) or generalized social phobia (GSP). Early intervention can prevent these conditions from becoming lifelong problems; therefore it’s important that you seek help for your child as soon as possible!

Anxiety isn’t unusual in children but it is treatable.

Anxiety is common in children. It’s estimated that up to 10% of children experience anxiety disorders, including obsessive-compulsive disorder (OCD) and social anxiety disorder (SAD).

Anxiety isn’t unusual in childhood—it’s just as common as it is in adults. What makes it different from other things that happen to kids? You may be wondering if there’s something wrong with your child if they have developed an anxiety disorder at such an early age. You may also be worried about how their behavior will affect them later on down the line if they continue having difficulties with their mental health issues.

It’s important not to label children who have symptoms associated with anxiety disorders as being weak or flawed because these labels can lead them down a path towards self-doubt and negative thinking patterns which could leave them feeling ashamed about their condition instead of accepting help from others who understand what they’re going through!

Conclusion

Anxiety disorders are common in children and adolescents. However, if you or your child has anxiety, the best thing you can do is seek professional help. The sooner you get started on treatment, the more likely it is that your child will be able to manage his or her symptoms and live a normal life.

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