solved Goal: To analyze and apply critical thinking skills in the

Goal: To analyze and apply critical thinking skills in the pharmacokinetics and pharmacodynamics of psychopharmacological agents for patient treatment and health promotion while applying evidence-based research.
Chapter 7, Case 1Beth is a 23-year-old Asian American graduate student. She is currently in treatment with a psychologist for anxiety. She claims that her cognitive therapy has helped her control her worry and anxiety, but she has noticed that her symptoms have worsened this year with all of the pressures of school. In addition to worry, her mind races at night when she tries to sleep, and she claims it may often take her two to three hours to finally fall asleep. She describes herself as a “type A” person who is rather “anal” about doing well. She worries nonstop about grades but also worries nonstop about her health, money, her parents’ health, and world affairs. She is very insightful about her condition and agrees the worry is excessive and unwanted. She admits that there is really no basis for the worry, as she has a full scholarship, she and her parents are in good health, and she currently has a 3.9 GPA. She claims that she has always been rather tense, but it didn’t get to the point that she sought treatment until her senior year in college. She was worried about getting accepted to grad school and “obsessed” over getting straight A’s. She sought the help of a psychologist at the university counseling service, was placed on Paxil, and began therapy. For the most part, her symptoms disappeared, but she remembers feeling tired during the day.Chapter 11, Case 1
Lotus is a 36-year-old Asian American female who recently started a new executive position with an advertising firm. While she loves her new job and the field of advertising, she admits that the new schedule is grueling and that she often doesn’t get home until quite late. She has noticed that it is difficult for her to relax before getting to bed and her mind often wanders to the many tasks she needs to complete when she returns to work in the morning. These “racing thoughts” result in significant initial insomnia, causing her to be alert for nearly an hour or more before she is able to fall asleep. When questioned about these symptoms, she claims that she has never seen a therapist before, doesn’t consider herself to be anxious or depressed, and has never had a problem with sleeping in the past. There are no worries of money or health-related issues, and she claims to enjoy her job and the people with whom she works. She even does not find these thoughts unpleasant, as she uses the time to plan her next day. She admits that they are just a bit intrusive and that she really needs to wind down and get more rest.Questions:Remember to answer these questions from your textbooks and clinical guidelines to create your evidence-based treatment plan. At all times, explain your answers. 

Summarize the clinical case.
Create a list of the patient’s problems and prioritize them.
Which pharmacological treatment would you prescribe? Include the rationale for this treatment.
Which non-pharmacological treatment would you prescribe?   Include the rationale for this treatment.
Include an assessment of treatment’s appropriateness, cost, effectiveness, safety, and potential for patient adherence.