Mei-Ling is a 42-year-old married female of Taiwanese descent. She has been married to Adam for 17 years. Adam is from Malaysia. Mei-Ling and Adam met in graduate school in California. They are both now American citizens and have been in the states continuously for over 20 years. Mei-Ling is referred by her primary care physician because of high blood pressure. The physician has prescribed a diuretic medication to lower her blood pressure but is also considering an SSRI to reduce anxiety and stress. He asks for your opinion as to whether this would be helpful for Mei-Ling.

Although she is hesitant to speak with anyone in behavioral health, Mei-Ling does provide some background and information. Mei-Ling is a process engineer in a technology company. She has been there for 20 years and has a master's degree in engineering. While at work, Mei-Ling began to feel light-headed, and her heart felt like it was racing. She contacted the medical team at her company who checked her temperature, blood pressure, and other vitals. Her blood pressure was significantly high, resulting in the company sending her to ER by ambulance for a cardiac workup. From the ER, she was sent home with a clean cardiac report and a referral to her primary care physician to monitor blood pressure.

Mei-Ling reports that she has always worked hard and is always "stressed" and "tense." She has recently changed to a different team within the company and finds her new manager to be very high strung, making her feel like she is always "putting out small fires." She referred to it as being part of "urgent care" for projects she is working on. She does not like this management style and doesn't like the feeling she has when going through each day. She is losing sleep at night due to the amount of stress and the erratic work schedule. Some of her suppliers are in Asia, and her meetings with them are at 9pm to accommodate daytime hours there. She feels that she is always working. She states that she does not have time to engage in social events or activities she used to do. She is exhausted most of the time and spends long hours behind her computer screen working on projects, improving processes, and problem-solving issues that arise. She appears tired, doesn't make eye contact, and her posture is stiff and tense. During the intake session, she answers questions with short and direct answers. She provides very little insight into her emotional self. She indicates that she has not engaged in exercise nor any type of physical activity for enjoyment or pleasure. She has coffee for breakfast, doesn't typically eat lunch, and often eats fast food or take-out for dinner. Neither she nor her husband take time to cook meals. She indicates that she has felt tightness in her chest fairly often, has trouble catching her breath sometimes (especially when presenting at meetings), and doesn't enjoy being in a group of people. She stated that she is anxious about the possibility of having an ambulance show up at her work and having to go to the ER again.

Mei-Ling wants to know about the SSRI that the doctor is considering prescribing, and whether that would help her feel better and give her more energy. She gives you the name of the cardiologist along with a release of information to speak with her. Because of the times she has felt her heart race, pressure in her chest, and pain in her back and shoulders, Mei-Ling believes there is something wrong with her heart. She has read about heart attacks and believes that her symptoms are indicative of heart attacks.

Identify the boundaries of the counselor's professional scope of practice with this client. Summarize the ethical responsibilities of working with this client. Recommend evidence-based treatment for such a client with an anxiety disorder. Apply ethical strategies for communicating with other professionals, including the need for a release of information form, within the counselor's limits of practice to advocate for this client's treatment.

can i get at least 4 intext citations please.