A client with panic disorder is experiencing anticipatory anxiety. Which of the following statements by the client indicates an understanding of anticipatory anxiety?

Choice A rationale:

"Tell me about your coping strategies and support system." This choice may not be the most appropriate initial question because it focuses on coping strategies and support systems rather than gathering information about the frequency and triggers of panic attacks. While coping strategies and support systems are important, understanding the pattern of panic attacks is crucial for assessment and planning.

Choice B rationale:

"How often do you experience panic attacks and what triggers them?" This is the correct choice. It directly addresses the primary concerns related to panic disorder by inquiring about the frequency of panic attacks and their triggers. This information is essential for developing a comprehensive understanding of the client's condition and tailoring an effective treatment plan.

Choice C rationale:

"What medications are you currently taking for your panic disorder?" While inquiring about medication use is important, this question should come after understanding the frequency and triggers of panic attacks. Knowing about medications alone does not provide a holistic picture of the client's experience with panic disorder.

Choice D rationale:

"Have you ever had any laboratory tests done for your panic disorder?" This question is not directly relevant to the assessment of panic disorder. Panic disorder is primarily diagnosed based on clinical symptoms and criteria outlined in diagnostic manuals like the DSM-5. Laboratory tests are not routinely used for diagnosing panic disorder, so this question might not yield pertinent information for assessment.

Choice A rationale:

The statement "I don't think I'll ever be able to control my panic attacks" indicates a negative and hopeless outlook. This perspective can contribute to increased anxiety and difficulty in managing panic attacks. Education is needed to address and challenge such negative beliefs.

Choice B rationale:

The statement "I'm worried about the consequences of having another panic attack" reflects a valid concern. People with panic disorder often worry about the impact of panic attacks on their daily lives and functioning.

Choice C rationale:

The statement "I feel confident that I can prevent future panic attacks" demonstrates an understanding of coping strategies and confidence in managing panic attacks. This is a positive sign that the client is actively engaged in their treatment and recovery.

Choice D rationale:

The statement "I've learned some relaxation techniques to help manage my anxiety" indicates that the client has acquired useful tools to manage anxiety. This suggests that the client is actively seeking ways to cope with panic attacks, which is a positive indicator.