Treatment of anxiety can be complex. Psychiatric mental health nurse practitioners
(PMHNPs) may provide care to clients with treatment-refractory anxiety.
1. Define treatment refractory anxiety.
Treatment refractory anxiety is the anxiety that does not respond to treatment. Before
we consider anxiety as treatment resistance, it should be ascertaining the diagnosis is
correct, the patient is compliant with the medication and the medication trial is
adequate.
2. Describe two common comorbidities of treatment refractory anxiety.
ADHD
Trauma
3. Discuss two possible approaches to treatment for treatment refractory anxiety.
Buspirone
Quetiapine with pareoxetine
4. Identify the most appropriate response to a client who states that they use
marijuana to manage their anxiety. Discuss the education the PMHNP should
provide.
5. Identify the most appropriate response to a client who states that they use Silexan to
manage their anxiety. Discuss the education the PMHNP should provide?
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