Assignment: Psychological services
Assignment: Psychological services
A young woman sought psychological services after her
cardiologist referred her for stress management and treatment of
“heart attack” symptoms. This 36-year-old woman had the world
by the tail. Marketing director for a local high-tech firm, she was in
line for promotion to vice president. She drove a new sports car,
traveled extensively, and was socially active.
Although on the surface everything seemed fine, she felt that, “the
wheels on my tricycle are about to fall off. I’m a mess.” Over the
past several months she had attacks of shortness of breath, heart
palpitations, chest pains, dizziness, and tingling sensations in her
fingers and toes. Filled with a sense of impending doom, she
would become anxious to the point of panic. Every day she awoke
with a dreaded feeling that an attack might strike without reason
or warning.
On two occasions, she rushed to a nearby hospital emergency
room fearing she was having a heart attack. The first episode
followed an argument with her boyfriend about the future of their
relationship. After studying her electrocardiogram, the emergency
room doctor told her she was “just hyperventilating” and showed
her how to breathe into a paper bag to handle the situation in the
future. She felt foolish and went home embarrassed, angry and
confused. She remained convinced that she had almost had a
heart attack
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