What psychological assessment and support services are recommended for Donna Sizmur, born 11/03/1959, with a National Disability Insurance Scheme (NDIS) number 431755389, who has myotonic muscular dystrophy, depression, anxiety, and post-traumatic stress disorder (PTSD), and is experiencing pain, declining mobility, and social isolation due to lack of transportation and limited access to public transport, and whose carers, including her husband Stevan and daughter Belinda, may be at risk of carer stress?

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Manuel Jimenez, MD

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Last updated: February 7, 2025 • View editorial policy

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From the Research

Psychological Assessment and Support Services

To address Donna Sizmur's complex needs, the following psychological assessment and support services are recommended:

  • Cognitive-behavioral therapy (CBT) to manage depression, anxiety, and post-traumatic stress disorder (PTSD) symptoms 1, 2, 3
  • Pain management strategies to alleviate chronic pain, which can exacerbate PTSD and depression symptoms 4
  • Sleep hygiene practices to improve sleep quality, which is often disrupted in individuals with myotonic dystrophy and PTSD 1, 5
  • Social support services to combat social isolation, including transportation assistance and access to community resources
  • Carer support services, such as counseling and respite care, to mitigate carer stress and burnout for Donna's husband Stevan and daughter Belinda

Neuropsychiatric Disorder Screening

Given the high prevalence of neuropsychiatric disorders in individuals with myotonic dystrophy, regular screening for:

  • Depression and anxiety disorders 2, 3
  • PTSD symptoms 5, 4
  • Cognitive deficits and apathy 1 is essential to ensure timely intervention and support.

Multidisciplinary Care Approach

A multidisciplinary care approach, involving healthcare professionals from various disciplines, such as psychology, neurology, and social work, is necessary to address Donna's complex needs and provide comprehensive support 1, 2, 4.

References

3
Research

Depression in myotonic muscular dystrophy.

Archives of physical medicine and rehabilitation, 1986

4
Research

The Interaction Between Chronic Pain and PTSD.

Current pain and headache reports, 2019

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What psychological assessment and support services are recommended for Donna Sizmur, born 11/03/1959, with a National Disability Insurance Scheme (NDIS) number 431755389, who has myotonic muscular dystrophy, depression, anxiety, and post-traumatic stress disorder (PTSD), and is experiencing pain, declining mobility, and social isolation due to lack of transportation and limited access to public transport, and whose carers, including her husband Stevan and daughter Belinda, may be at risk of carer stress?
What psychological assessment and support services are recommended for Donna Sizmur, born 11/03/1959, with a National Disability Insurance Scheme (NDIS) number 431755389, who has myotonic muscular dystrophy, depression, anxiety, and post-traumatic stress disorder (PTSD), and is experiencing pain, declining mobility, and social isolation due to lack of transportation and limited access to public transport, and whose carers, including her husband Stevan and daughter Belinda, may be at risk of carer stress?

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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