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Practice Week 5 Assignment. Differential Diagnosis.

Essay Instructions:

https://mym(dot)cdn(dot)laureate-media(dot)com/2dett4d/Walden/NURS/6670/05/mm/decision_tree/index.html
use above link to see case detail for this assignment
Examine Case 2: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical, as well as mental factors that might impact the client’s diagnosis and treatment.
At each Decision Point stop to complete the following:
Decision #1: Differential Diagnosis
Which Decision did you select?
Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?
Decision #2: Treatment Plan for Psychotherapy
Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different?
Decision #3: Treatment Plan for Psychopharmacology
Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
Also include how ethical considerations might impact your treatment plan and communication with clients and their family.

Essay Sample Content Preview:

Practice Week 5 Assignment
Student’s Name
Institutional Affiliation
Course Number and Name
Instructor’s Name
Due Date
Practice Week 5 Assignment
Decision #1: Differential Diagnosis
Stefanie meets the criteria for cyclothymic disorder. She meets the symptoms of hypomania including increased need to perform goal-oriented activities and decreased need for sleep (American, 20130. She sleeps for about 3 hours a night but does not feel fatigued the next day. Another hypomanic symptom is decreased ability to concentrate. Stefanie also meets the criteria for depressive symptoms. She claims that when her energy levels end, she is left feeling sad. Stefanie reports feeling depressed and empty. Stefanie’s hypomania symptoms have persisted for more than 2 years and depressive symptoms but does not meet the criteria for major depressive symptoms (American, 2013). The decision I expected in Decision #1 is Bipolar II disorder. However, Stefanie does not meet criteria for abnormally elevated mood lasting for 4 consecutive days and present nearly each day. Additionally, she only meets one symptom of mood disturbance instead of three of more.
Decision #2: Treatment Plan for Psychotherapy
Arranging to see Stefanie every 3 weeks would be an effective psychotherapy. Routine follow-up every 3 months would ensure that the client is moving in the right direction with the treatment. For example, ensuring that Stefanie is taking medications as prescribed and changes applied in case of adverse side effects. Jackson et al. (2015) notes that follow-up on patients remains vital in increasing positive outcomes while also promoting safety and minimizing liability concerns. The physician can make sure the patient is faring well and satisfied with the treatment by following up (Jackson et al., 2015). I was hoping to ensure that Stefanie is doing well given the medication and problems she identifies after prescription. I had expected that CBT would be the psychotherapy tr...
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