Generalized Anxiety Disorder (GAD)

The Case Study of Mary The case study reflects a woman named Mary, who has been diagnosed with Generalized Anxiety Disorder (GAD). Mary looks at everything in life as a stressor and a worry, from schoolwork to family dinners (Laureate Education, 2012). After conversing with Mary, it is evident she has low self-esteem and very critical of herself. She believes others scrutinize everything about her and are just as critical as she is of herself (Laureate Education, 2012). This paper will discuss the concerns and ethical issues regarding Mary’s GAD and the factors taken into consideration when treating Mary. The paper will then go into detail of the treatment strategy and the justification for medication.
Concerns of Mary’s GAD There are two major concerns regarding Mary’s GAD, which are her heath issues and the interference this has caused her in her life. Mary discusses her concern for her high blood pressure (Laureate Education, 2012). This is not only a worry for her but for me as her counselor.
Buspirone acts as an antagonist at the serotonin receptors, leaving Mary feeling less anxious and worried (Laakmann et al., 1998). Buspirone will not interfere with Mary’s blood pressure, and has minimal side effects such as nausea, dizziness, and restlessness (Preston et al., 2013). Another reason Buspirone would be the most appropriate medication for Mary, is because of the low tolerance and dependence (Preston et al., 2013). This is especially important because during the counseling session with Mary, she harped on the thought of drinking and was glad she didn’t or she probably would abuse it (Laureate Education, 2012). Several other medications such as benzodiazepines treat GAD; however have a high risk of dependency. As Mary’s counselor, I must take in account several factors when creating a strategy for