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Thursday March 12 Keolwulf 17
Adrienne Venet DOB 7/1/1982
Vanessa McClain, MA, LAPC
Psychotherapy Note
A.V. has experienced sudden and unexpected severe panic symptoms that have occurred repeatedly and have resulted in persistent concern about additional attacks. The client has significantly modified her normal behavior patterns in an effort to avoid panic attacks. The client described fear of environmental situations that she believes may trigger intense anxiety symptoms. A.V.’s fear of environmental situations has resulted in her avoidance behavior directed toward those environmental situations. Client has a significant fear of leaving home and being in open or crowded public situations. A.V.’s phobic fear has persisted in spite of the fact that she acknowledges that her fear is unreasonable. The client described situations in which she has declined involvement with others due to fear of leaving her home. Today’s clinical contact focused on building the level of trust with the client through consistent eye contact, unconditional positive regard, warm acceptance, and active listening. A.V. was asked about the frequency, duration, intensity, and history of her panic symptoms, fear, and avoidance. The client was assisted in identifying specific situations that precipitate panic symptoms. Client was administered psychological instruments designed to objectively assess her level of anxiety symptoms. The client was administered The Anxiety Sensitivity Index (Reiss, Peterson, and Grusky).The client has identified a specific anxiety disorder, which is freestanding from her severe and persistent mental illness, and this was reviewed within the session. Follow up session TBA.