February 17th, 2020 
Respond to these questions on a Word document and deposit the file in this drop box.
Visit 3/1/20
Marlene has not been seen since Jan 2020. She reports that she tried the sertraline for a week but didnt see anything change and began feeling nervous about being on the medication. She relates that since that time she has continued to have ongoing worry as well as exacerbations when I was really losing it, reporting she felt she was having a heart attack. The only thing she found that helped was she took a few alprazolam pills her friend gave her. She says this was the only thing that helped her to calm down enough and feel like I am going to live! She relates that she is ready to try anything that helpsI dont want to keep living like this.
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QUESTIONS
On a Word document, write one paragraph (4-5 sentences), describing changes in your clients clinical presentation from the initial assessment.
Identify 5 top priority concerns you have for this client. Explain your rationale for each concern (2-3 sentences for each concern).
From your list in #2, select ONE specific concern, and discuss ONE psychotherapeutic intervention and ONE psychopharmacologic intervention to address the concern. Submit a minimum of two evidence-based articles to support your rationale. (Articles should be within the last 5 years).
Outline your plan of care for the client for each of these areas:
Psychotherapeutic modality and treatment plan:
Medication:
Labs/Diagnostics:
Disease Management/Patient Education:
Prevention/Health Promotion:
Follow-up:
Provide citations and references in APA format.
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