My client is a 46-year-old female who works as a marketing executive. Six months ago, she was a victim of a workplace violence/active shooting incident. During the workplace incident she witnessed two of her male coworkers shot and killed. Since then, she is experiencing insomnia, panic anxiety attacks when going out alone. She is currently receiving Cognitive Behavior Therapy for her paranoia and panic anxiety attacks that are becoming debilitating. She is refusing any other medication other than Alprazolam 0.5 mg as needed anxiety and Vistaril 25 mg as needed for sleep. She is normally a healthy active woman, who is dating the same male partner for the last 2 two years. Her work performance is suffering due to multiple days missed and poor work performance. She is fearful she may lose her job if her symptoms dont resolve. She is six weeks into Cognitive behavioral therapy and is now sleeping 6-8 hours a night, with decreasing amount of panic anxiety attacks.
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