Station 48

Anita Bells

Age: 26 years old female

Patient

Patient's Story (Role player’s brief)

You are Anita Bells, 26-year-old female. 

Opening Line (if doctor asks, “How can I help?”): “I sweat excessively under both armpits. It’s been going on for about two years now, and it’s becoming really stressful for me.”

Additional Information (Volunteer only when asked appropriate questions):

The sweating is localised to your armpits only. It occurs almost every day, but stops completely at night while you sleep

You’ve tried various antiperspirants (e.g. Dove, Nivea roll-ons) but have not noticed any improvement. You’re not aware of their ingredients

You have no family history of similar issues. You have experienced no weight loss, no lumps, bumps or other concerning symptoms

Your mood is generally okay, but your self-confidence is being impacted

If Asked About Possible Triggers or Causes: You can’t identify any clear trigger, but you wonder if it’s related to coffee, since your symptoms seem to have become more noticeable and worsened during periods of increased coffee intake. You currently drink 3–5 cups of coffee daily

Social History: You do not smoke, do not drink alcohol, and do not use recreational drugs. You’ve been in a stable relationship with your partner of 5 years, and you live together. You work as a fashion model. 

Ideas: You wonder if the sweating might be linked to caffeine use

Concerns: You work as a model, and the sweating causes visible patches on your clothing, which is embarrassing and affects your confidence, especially during jobs. However, you are not depressed or anxious. 

Expectations: You’ve heard about a treatment called iontophoresis from a friend and would like to know if you can be referred for it. You’d also like the doctor to explain what it involves. 

Say NO to any other questions asked outside of the details already provided in the scenario. Accept anything offered to you by the doctor.