Therapeutic Interventions for Client with Severe Anxiety
A panic attack or severe anxiety is a psychological disorder in which a person experiences sudden feelings of intense terror, confusion, and irrational thinking which is physically manifested by sweating,   shaking, shortness of breath, and numbness among other symptoms.  There is no single treatment that has been established as a cure for panic attacks, but medics have identified therapeutic interventions to be very effective in reducing the occurrence of the attacks. Here we discuss the assessment and therapeutic intervention methods that I (being his nurse) used on a 24-year-old male college student; Melvin, who was a patient at our local clinic.
Assessment of the Patient
Melvin experienced his first attack while he was at school during a lecture in class which led him to dash out of the classroom in the middle of the lesson. This event astonished him and the entire class including his lecturer which forced him to seek medical help from our clinic. In assessing his condition, I used several methods of medications to address Melvin’s case such as Self-administered cognitive behavioral therapy (SCBT), Cognitive Behavior Therapy (CBT) and interoceptive techniques.
Effective and Non-effective Nursing Intervention Methods
The CBT method proved to be an effective nursing intervention while SCBT and interoceptive techniques were non-effective here. The CBT method was effective since it enabled Melvin to confront his triggers by subjecting him to a controlled lecture hall setup where he had experienced the attack. I was able to establish Melvin’s cause of severe anxiety as emanating from his past childhood experiences. This included being neglected by his parents as he disclosed during the CBT sessions.
Stress Reduction Techniques Recommended
Two main stress reduction techniques that I recommended to him include writing exercises and deep breathing exercises. Writing exercise involved him writing down whatever he felt and describing what he was visualizing in his mind during any time that he was anxious. Deep breathing exercises, on the other hand, required Melvin to inhale slowly through the nostrils, hold his breath shortly, and release the air to ease the tension. The two methods were very helpful in reducing Melvin’s stress as he was able to relax during the CBT sessions whenever a panic attack was looming.
Bandelow, B., Michaelis, S., & Wedekind, D. (2017). Treatment of anxiety disorders. Dialogues in Clinical Neuroscience, 19(2), 93–107.