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Training Title 40 Name: Ms. Connie Weidre Gender: female Age: 53…

Training Title 40
Name: Ms. Connie Weidre
Gender: female
Age: 53 years old
T- 99.0 P- 102 R 24 156/86 Ht 5’4 Wt 1lbs73
Background: Lives with her husband in Memphis, TN, has one daughter age 25. She has never
worked. Raised by mother, she never knew her father. Mother with hx of generalized anxiety and
was verbally abusive, abused benzodiazepines; no substance hx for patient. No previous
psychiatric treatment. Has one glass red wine with dinner. Sleeps 12-13 hrs.; appetite decreased.
Has overactive bladder, untreated. Allergic to Zofran; complains of headaches, takes prn
Tylenol, has diarrhea 2-3 times weekly, takes OTC Imodium.

 

 

Mrs. weirder is in the office because she wanted to talk. She feels like she stuck in the house. She only go out Tuesdays and Saturday when her husband is at home. When he is home he go out with her. She go out to walk. She walk only go to the end of the block, and then I cross the street, and turn around, and I go back around the cul-de-sac. I’ll do that three times. [Losing breathe] No more, then I have to go back inside… I also go in my backyard. That’s usually okay. She just cant walk further.  She denies any physical or knew problem. She feels like she cant breath further. She is frightened and scared. Even today it took time for her to come to the office. Her husband drove her . she closed her eyes and her. Husband turned the radio up all the way as he drove. And then he lead me into. She denies any triggering factor. She said “don’t like people. Maybe that’s it. I mean I can tolerate them. The little boy next door Ethan she says hello and some tome she watch him when his parents are gone. When she is around people she get shortness of breath, and everything in the world is so close to her , everything she feels tight,air in the body and chest and she cant express what is wrong. She is afraid to die. Other things are like when car goes fast. She has flashes of murderess and rapes that seen on the news. She feels that its close. So she feels safte to stay in home. She does not know how long she is feeling like that . Last time she spent tome outs ode was fifteen years ago. She is afraid of dying. Her mother passed away she is sacred to drive in the free way.  She has to have extra courage to come today  and she is here because she have a new grandson and her daughter is not palnning to come right away

 

 

 

 

Go detailed mental status examination and diagnostic which can be used to make the diagnosis

 

 

Details of reflection case and what can be done diffrently