Maureen signs and symptoms will be discussed in detail. Maureen has demonstrated that that she always tense and constantly worries something will go wrong with the unborn child and her work. The usual worries in GAD include work related issues, health of family members and house hold issues (Elder, Evans & Nizette). The major sign and symptom of GAD according to diagnostic criteria of GAD DSM -IV is excessive anxiety and worry for at least six months on issues that involve career, family or financial issues.(McGrandles & Duffy (2012). Intolerance of uncertainty is highly related to GAD Intolerance of the uncertain future (Mahoney & McEvoy (2011). Maureen also presents with the following, feeling on the edge, sleep disturbance, difficulty with concentration, irritable, feels tense. These symptoms are more than the three symptoms that should be associated with excessive worry for one to be diagnosed with GAD. Maureen has demonstrated hyper arousal which is characterised by her elevated heart rate, irritability, insomnia, quivering, concentration problems and insomnia and tension …show more content…
At the moment Maureen’s daughter is using reassurance by explaining to Maureen that nothing is wrong with her unborn baby. In my opinion this is not effective since she is stating that she cannot cope.However if function is impaired the low intensity steps can be bypassed and start intervention with high intensity psychological intervention or medications. The least invasive intervention is non-facilitated self help, guided self help and psycho educational groups. In both Non-facilitated self help and guided self help the patient will be given written materials, computerized self help materials based on cognitive behavioural therapy. The difference is that with Non facilitated self help there is no contact with health care professionals while in guided facilitated Maureen would have meeting with the health care professionals. Maureen can also join psycho educational groups and the groups are used in teaching consumers nature of anxiety and ways of managing anxiety. The Choice of the intervention depends with the consumer as evidence is similar for all the low intensity therapies. The next step will involve high psychological intervention. The high intensity psychological therapies recommended are cognitive behaviour therapy and applied relaxation. Involves teaching the consumer relaxation skill and using the skills in situations that provoke anxiety. Cognitive behaviour