COMMUNITY-BASED CARE
Nurses encounter many people with anxiety disorders in community
settings rather than in inpatient settings. Formal treatment for these clients
usually occurs in community men-tal health clinics and in the offices of
physicians, psychiatric clinical specialists, psychologists, or other mental
health counselors. Because the person with an anxiety disorder often believes
the sporadic symptoms are related to medical prob-lems, the family practitioner
or advanced practice nurse can be the first health-care professional to
evaluate him or her.
Knowledge of community resources helps the nurse guide the client
to appropriate referrals for assessment, diagnosis, and treatment. The nurse
can refer the client to a psychiatrist or to an advanced practice psychiatric
nurse for diagnosis, therapy, and medication. Other community resources such as
anxiety disorder groups or self-help groups can provide support and help the
client feel less isolated and lonely.
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