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1、Simulated Patient InstructionsYou are a 54 year old womanYou open the consultation withHello DoctorIve come today as I am still losing my hair.You have been to the doctors before and told you had male pattern baldness and that there was nothing that could be done. Regain was mentioned but you felt t
2、hat it wasnt for you.Your blood tests were normal.Your hairloss is making you very upset and you are losing confidenceIf the doctor is empathic or asks directly what you worries are/ concerns are/ or what you hoped from the consultation today-Then explain that you were concerned that stress was caus
3、ing your hair loss and that you are worried that all your hair will fall out as you cant see things getting any betterYou are stressed because you have been looking after your husband. He had prostate cancer and needed care after his op.He has since been given the all clear but still acts as though
4、he needs lots of help. You do all the cooking and cleaning. He doesnt like you going out as it leaves him on his own. He moans all the time that he is bored and you have to take him out on trips to entertain him. You cant remember the last time you had a moment to yourself. There is no Domestic Viol
5、enceYou feel very low and hopelessYou have felt like this before many years ago after the birth of your son when you needed antidepressants.You have lost touch with your friends as you were so busy looking after you husband. You have stopped doing all the things you used to enjoy painting and going
6、to choir practiceYour appetite is poor You are not sleeping difficulty falling asleep and waking up earlyYou were drinking more than normal a month ago to cope but have since stopped as it was making things worseNo thoughts of self harm or suicide but you are worried that you may develop these thoug
7、hts as you had them the last time you were depressed.Re managementYou would like to talk to a counsellor re your feelings and issues with your husbandYou would consider something like relateRe antidepressants you would prefer to have a think but will take on board what the doctor recommendsG:/fileroot03/2019-218b47c96a9-b159-4cfa-b050-2e7bee212ceddaf9a3b5b982ae2f2da2eb5406a4e3bb.pdf
