Beverly was diagnosed with Type 2 Burning Mouth Syndrome after being ruled out for oral candidiasis and other common orofacial pain disorders.
She was referred to the psychologist / counselor at the interdisciplinary pain center for acceptance and coping therapy as well as cognitive behavioral therapy for her anxiety.
She was prescribed clonazepam 0.5mg dissolvable wafers to be used orally every 12 hours.
Her citalopram was discontinued and she was started on paroxetine 20mg tablets to be taken by mouth at bedtime.
She was provided patient educational materials on avoidance of aggravating factors and parafunctional habits.
She will begin acupuncture next week.