Essay Example on Psychiatrist-Patient Collaboration: Reducing Tension During Treatment

Introduction

Ideally, the psychiatrist should create and achieve a collaborative effort with the patient. In most cases, patients with evidence of anxiety, panic attacks, and insomnia have a phobia to a certain form of treatment because of the side effects (Kaczkurkin et al., 2020). The sensitization of the disorder at hand and the presumed kind of treatment should be well explained to the patient with a thoughtful approach to reduce cases of unnecessary tensions during the treatment sessions.

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The Assessment Phase

According to Park et al. (2018), the psychiatrist will first begin with a thorough diagnostic process to confirm the problem of the client. The current symptoms of illness are evaluated with a review of the client history. Identify an in-depth account of the patient in terms of the previous medical history, use of substances, family, occupation, mental status, physical examination, and also conduct the diagnostic tests that will reveal the possible medical causes of the presumed problem. While assessing the use of the substance, identify the medications the patients have used before. Consider the use of drug substances to check whether they pose a physiological effect that triggers anxiety, insomnia, or panic attacks (Park et al., 2018).

Delimiting the specific characteristics of the panic attacks, anxiety, and insomnia for the patient at hand also assists in the treatment plan (Park et al., 2018). Check for any cases of agoraphobia, and know whether the patient is faced with other psychiatric disorders as such conditions if ignored, will eventually affect the diagnosis and treatment to be administered. The assessment of suicide risk is imminent, as patients with panic attacks have high chances of developing suicidal thoughts (Park et al., 2018). The evaluation is done with a review of the history of the patient's family concerning mental illness, suicide-related cases, as well as current stressors within the family.

The Treatment Plan and Interventions

The therapist should thoughtfully assess the extent of the problem in terms of frequency (Kaczkurkin et al., 2020). Such disorders are also known to associate with an increased risk of suicidal idealization thoughts. The patient can then be advised to keep a diary to record the frequency of the disorders, with the systematic monitoring, the therapist will quickly identify the main panic, fear, and insomnia stimulus agents. The co-occurring psychiatric conditions are also evaluated to specify the treatment plan for the patient (Park et al., 2018). Much as the average treatment could be administered, the chances are that lingering symptoms can still recur even after remission. Both psychosocial and pharmacological are interventions that can effectively clear anxiety, panic, and insomnia.

Endocrine considerations

Endocrine disorders are caused by the malfunctioning of the pancreas, pituitary glands, and the adrenal glands (Park et al., 2018). The issue of insomnia, panic disorders, and anxiety can also be considered as a result of a prolonged hormonal imbalance of the endocrine hormone in the body system, which leads to stress and insomnia as a result of thyroid malfunctioning. As per Kaczkurkin et al., (2020), in the event the patient's disorder is featured with somatic symptoms such as chest pains or extreme tremors; then an endocrinal disease can be considered as a causative factor.

References

Kaczkurkin, A. N., Tyler, J., Turk-Karan, E., Belli, G., & Asnaani, A. (2020). The Association between Insomnia and Anxiety Symptoms in a Naturalistic Anxiety Treatment Setting. Behavioral Sleep Medicine, 1-16.

Park, H. J., Kim, M. S., Park, E. C., Jang, S. Y., Kim, W., & Han, K. T. (2018). Association between sleep disorder and panic disorder in South Korea: Nationwide nested case-control study of data from 2004 to 2013. Psychiatry research, 260, 286-291.