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Essay Available:
Pages:
3 pages/≈825 words
Sources:
3 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Coursework
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 17.5
Topic:

Assessing and Diagnosing Patients With Mood Disorders

Coursework Instructions:

Accurately diagnosing depressive disorders can be challenging given their periodic and, at times, cyclic nature. Some of these disorders occur in response to stressors and, depending on the cultural history of the client, may affect their decision to seek treatment. Bipolar disorders can also be difficult to properly diagnose. While clients with a bipolar or related disorder will likely have to contend with the disorder indefinitely, many find that the use of medication and evidence-based treatments have favorable outcomes.

Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:

  • Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? 
  • Objective: What observations did you make during the psychiatric assessment?  
  • Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.

Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

Coursework Sample Content Preview:

Week (enter week #): (Enter assignment title)
Student Name
College of Nursing-PMHNP, Walden University
NRNP 6635: Psychopathology and Diagnostic Reasoning
Faculty Name
Assignment Due Date
Subjective:
CC (chief complaint): Ms. Natalie Crew (N.C.) visited the psychiatrist after her mother got worried because she would typically develop mood swings every winter.
HPI: N.C. is a 17-year-old White American female who visited the psychiatrist for mood disorder evaluation. She is not currently taking medication since it is her first time seeing the psychotherapist. Regarding the onset, the clinical manifestations always emerge during winter every year. As a result of her cognitive issue, N.C. finds it challenging to concentrate in the classroom, experiences mood swings, and cannot maintain stable relationships with colleagues and classmates. In addition, N.C. is “not doing so well” in academics as she finds her teachers boring and the classroom unattractive. The client is having short-memory problems that have negatively affected her academic performance. She has also added 10 pounds to her weight. She is bored with many things, including friends and the weather.
Past Psychiatric History:
* General Statement: The adolescent lady is seeking treatment after experiencing constant mood swings in the exact period of the year. This was after her mother got worried that she had developed a serious mental health issue.
* Caregivers (if applicable): Not applicable (N/A)
* Hospitalizations: There is no information indicating that N.C. has been hospitalized before. There is also no information concerning her detox, home-based treatment, or homicidal/suicidal behavioral tendencies. In addition, N.C. does have a history of self-harm behaviors.
* Medication trials: N/A
* Psychotherapy or Previous Psychiatric Diagnosis: N.C. seems to understand the type of diagnosis she is being taken through because she seemed interested in providing genuine responses. The patient found the psychotherapy helpful because she demonstrated the need to be helped, and her body language demonstrates she is open to guidance from the psychiatrist.
Substance Current Use and History: N/A
Family Psychiatric/Substance Use History: Depression and denied substance use history.
Psychosocial History: N.C. was born and raised in New Orleans all her life. She was raised by both parents, together with her four brothers. N.C. currently resides in the specialty high school dormitory. She is currently single and has no child. Her education level is high school, and her hobbies include hanging out with friends as well as attending shows and concerns. She is currently a part-time employee at a local coffee shop. She has no legal history or issues with the authorities. She has no past, or existing trauma and safety issues wither her social environment.
Medical History: N/A
* Current Medications: N/A
* Allergies: N/A
* Reproductive Hx: N/A
ROS:
* GENERAL: N.C. has gained 10 pounds in weight. The patient has slept through five classes a month, indicating that she is fatigued and could struggle with general body weakness. No chills or fever.
* HEENT: N.C. had distorted vision; she sees snow as black and grey....
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