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- Jul 29, 2007
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The patient is a 24 year old law student (on a medical leave of absence due to severe panic attacks and constant anxiety). Patient is also a severe hypochondriac, has been in the ER and off-campus urgent care centers ~30 times within the past 4 months worried about a serious heart condition (owing to his panic attacks). Patient has been hospitalized on psych for a few days but refused to take an SSRI, citing that he is afraid of the side effects. Will only use a minimal dose of clonazapam BID.
Also a compulsive pulse and blood pressure checker.
Any suggestions for how to get/pursuade this kid to take an SSRI? He has has a 2d echo, stress echo, full exam by an electrophysiologist, 24hr urinary metanephrine study to rule out a pheo, and yet still cannot let go of his compulsive need to monitor his heart. I feel really bad for this kid and he really wants help, he is just "afraid" of SSRIs.
Anyone with similar stories or just suggestions on how you would treat this person pharmacologically?
Also a compulsive pulse and blood pressure checker.
Any suggestions for how to get/pursuade this kid to take an SSRI? He has has a 2d echo, stress echo, full exam by an electrophysiologist, 24hr urinary metanephrine study to rule out a pheo, and yet still cannot let go of his compulsive need to monitor his heart. I feel really bad for this kid and he really wants help, he is just "afraid" of SSRIs.
Anyone with similar stories or just suggestions on how you would treat this person pharmacologically?