Posts are a minimum of 250 words, scholarly written, APA formatted (with some e

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Posts are a minimum of 250 words, scholarly written, APA formatted (with some e

Posts are a minimum of 250 words, scholarly written, APA formatted (with some exceptions due to limitations in the D2L editor), and a minimum of 3 references
AA is a 36-year-old woman who presents to the outpatient clinic for a follow-up.
CC: Insomnia.
HPI: Over the past two months, she has been the responding police officer for numerous cases of child abuse.
She has distressing memories, disturbing recurrent dreams and nightmares about the children she has helped.
She feels estranged from her colleagues and has had difficulty concentrating at work. Recently, she has started to dread going to work out of fear she will have to respond to another case of abuse.
The patient is very distressed by these symptoms and requests medication from you.
PMH: Denies
Current medications: Sertraline 25mg daily.
OTC Benadryl 50mg PRN for sleep -last used last night (started taking 2 weeks ago to help her sleep)
Substance Hx: 2-4 glasses of wine every night -started 2 weeks ago to help her sleep.
What would you recommend for treatment? Be specific in your answer and support your choice with a neurobiological rationale. Do not go into detail about the disorder at the expense of detail regarding the current treatment of the patient.
Include any and all considerations that accompany your choice of treatment plan.
What education must be included by the PMHNP?

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