The Richness Available Within Medication Management.

PROBLEM: An 18-year-old male patient comes in for an initial evaluation of his anxiety. His anxiety is not in remission on his current medication, and he is experiencing tics when his anxiety escalates.

METHODS: Time and patience are used to complete a comprehensive evaluation of the patient by interviewing him, gathering collateral information from a family member, utilizing a screening tool, reviewing past history and treatment regimens, and conceptualizing the patient.

FINDINGS: A thorough interview and assessment reveals a rich history of possible antecedents to the anxiety of the patient.

CONCLUSION: In order to make a thorough biopsychosocial assessment, the practitioner needs to approach the patient with a genuine interest. By utilizing time and patience, the practitioner has a greater opportunity to gather pertinent information for comprehensive recommendations. Underlying issues contributing to the patient's anxiety may be alleviated through nonpharmacologic management in addition to medication.