Scripted Role Play #1 – English, Study Guides, Projects, Research of English

Download Scripted Role Play #1 – English and more Study Guides, Projects, Research English in PDF only on Docsity! Alverno Interpreter Institute: Mental Health Interpreting Workshop Scripted Role Play #1 – English Anxiety 1 Background: A patient visited the ER for an anxiety attack and is speaking with a mental health social worker to help with follow-up care. Provider: So, Mr. Smith, I got a report from the ER doctor about what happened, but I'd like to hear it directly from you in your own words. What happened this morning that brought you in to the ER? Patient: Well, I had just been feeling very anxious. Provider: When did it all start? Patient: I started feeling worse a few days ago, but last night it got really bad. Provider: What happened last night? Patient: The thing is that all night long, I was feeling nervous and jittery. I just couldn't relax. My wife was really worried. I tried to go to bed and fall asleep, but I couldn't. Then, all of a sudden, I felt short of breath. I was gasping for air as if I were drowning... Provider: Did you have any other physical symptoms like pain? Patient: Yeah, I had a terrible headache back here in the nape of my neck. Provider: You said, Mr. Smith, that you had been feeling bad for several days. What had you been feeling? Patient: At work, I couldn't concentrate at all. I was irritable with everyone. My nerves were shot. Every little thing would startle me. I didn't have any appetite. Whenever I would eat it would make me nauseous. But the worst thing is that I couldn't sleep at all. I think it's been like four nights now that I've hardly gotten any sleep. Provider: Now, I see from your chart that you had been seen by a psychiatrist for anxiety in the past. Were you ever prescribed any medications for anxiety or depression? Alverno Interpreter Institute: Mental Health Interpreting Workshop Scripted Role Play #1 – English Anxiety 2 Patient: Yeah, he gave me two pills, one was for a depression. I think it was called Zoloft. Provider: And the other one? Patient: It was a little round one that was called loraza-something... Provider: Lorazepam? Patient: Yeah, that's it. Provider: Did they seem to help? Patient: A little bit. The lorazepam one, the doctor took away. The other one I just stopped taking. Provider: Lorazepam is usually just taken short-term because it can cause dependency. What about the anti-depressant? Why did you stop taking that one? Patient: The thing is that I took it for several days and it really didn't seem like it was helping much. It just made me feel tired and numb all the time. I don't know how to describe it. It was hard to concentrate at work. I was scared that I was going to get fired and I really can't afford to lose my job, so I just decided not to take it anymore. Provider: Well, anti-depressants can take several weeks to have an effect, so you really need to stick with it. I think it would be good for you to follow up with your psychiatrist again. There are many kinds of anti-depressants out there; maybe he can try a different one to see if helps you better. The thing is, though, that sometimes when people start taking medicine for depression, at the beginning they can feel worse, even suicidal, for which reason you'll need to stay in touch with the doctor and not miss your follow-up appointments. Patient: OK. Provider: Now, they gave you a dose of Valium or diazepam here in the ER for your anxiety. But they don’t like to give you a prescription for that in the ER, so you'll need