Problem:
Natasha Pinsky comes to the outpatient mental health office. She is concerned that she has had a recent panic attack. She reports that during a recent pharmacology examination at college, she felt like the walls of the classroom were closing in on her. She reports that her heart was pounding, she was sweating, and she felt like she had no air to breathe. She says that this has never happened before, but when she thinks about this incident, she is very frightened it will happen again. She appears nervous, slightly shaky, and tearful. The health care professional should instruct Natasha to: a. Avoid stopping the alprazolam (Xanax XR) abruptly. b. Report any signs of drowsiness. c. Take an additional dose of the alprazolam (Xanax XR) if symptoms are not relieved immediately. d. Discontinue the alprazolam (Xanax XR) immediately if a rash develops.