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4 pages/≈1100 words
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Subject:
Health, Medicine, Nursing
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Essay
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English (U.S.)
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Topic:

Effective Relaxation Therapy to Patients Suffering from Anxiety Disorders

Essay Instructions:

To Prepare:
Review this week’s Learning Resources and consider the insights they provide about assessing and diagnosing anxiety, obsessive-compulsive, and trauma- and stressor-related disorders.
Download the Comprehensive Psychiatric Evaluation Template, which you will use to complete this Assignment. Also review the Comprehensive Psychiatric Evaluation Exemplar to see an example of a completed evaluation document.
By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.
Consider what history would be necessary to collect from this patient.
Consider what interview questions you would need to ask this patient.
Identify at least three possible differential diagnoses for the patient.
Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate 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 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.).
Required Reading:
American Psychiatric Association. (2013). Anxiety disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.dsm05
American Psychiatric Association. (2013). Obsessive compulsive and related disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.dsm06
American Psychiatric Association. (2013). Trauma- and stressor-related disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.dsm07
Sadock, B. J., Sadock, V. A., and Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.
Chapter 9, Anxiety Disorders
Chapter 10, Obsessive-Compulsive and Related Disorders
Chapter 11, Trauma- and Stressor-Related Disorders
Chapter 31.11 Trauma-Stressor Related Disorders in Children
Chapter 31.13 Anxiety Disorders in Infancy, Childhood, and Adolescence
Chapter 31.14 Obsessive-Compulsive Disorder in Childhood and Adolescence
Document: Case History Reports:
Anxiety Disorders, PTSD, and OCD
Training Title 15
Name: Mr. David Jackson
Gender: male
Age:19 years old
T- 98.8 P- 89 R 18 110/62 Ht 5’7 Wt 133lbs
Background: Lives in Minneapolis, MN with both of his parents, only child. Works part time at
Starbucks. Not currently partnered. No previous psychiatric history. Symptoms began in the last
1.5 months when he discovered he is being activated with the Navy Reserves. His MOS is SK1
Storekeeper; no medical illnesses Allergies: NKDA; sleeps 6.5 hrs; appetite good
Required Media:
Symptom Media. (Producer). (2017). Training title 15 [Video]. https://video-alexanderstreetcom(dot)ezp(dot)waldenulibrary(dot)org/watch/training-title-15

Essay Sample Content Preview:

Week (4): (Comprehensive Psychiatric Evaluation)
Student’s Name
Institution
Course
Professor’s Name
Date
Subjective:
CC (chief complaint): I realized that I would always have difficulties applying learned lessons despite attending a class. Therefore, I had problems concentrating. In addition, I have experienced rejection for my sexuality as a gay, which could have caused me to develop confusion and depression. Although I knew rejection was the primary cause of such symptoms, I could not change my sexuality. Besides, I experienced being uneasy and nervous regarding uncertain outcomes that even made me think of killing myself.
HPI: Mr. David Jackson is a male aged 19 who works part-time at Starbucks. He lives in Minneapolis with both parents as the only child. David reported nervousness and unease in the last 1.5 months after discovering that he had been activated with Navy Reserves. David Jackson has no form of allergies or medical illness and has a good appetite.
Past Psychiatric History:
* General Statement: The patient had no previous psychiatric history
* Caregivers (if applicable): none
* Hospitalizations: no hospitalization history
* Medication trials/ Diagnostic: None
* Psychotherapy or Previous Psychiatric Diagnosis: none
Substance Current Use and History: No reports regarding the history of substance abuse.
Family Psychiatric/Substance Use History: David did not provide any psychiatric or history of substance abuse.
Psychosocial History: David Jackson is a male aged 19 who resides in Minneapolis with both parents and the only child. Although he does not have any psychiatric history, he developed PTSD symptoms in the last 1.5 months.
Medical History:
* Current Medications: none
* Allergies: No form of medical illnesses allergies
* Reproductive Hx: None
ROS:
* GENERAL: he can express himself
* HEENT: he does not report any hint of loss of vision or any cavities.
* SKIN: he does not report any signs of rashes, lesions, or pain.
* CARDIOVASCULAR: no report of irregular heartbeat
* RESPIRATORY: denies having any issue in breathing or any other respiratory conditions. Besides, he does not have any wheezing or cough.
* GASTROINTESTINAL: he has a good appetite and has no form of abdominal pain.
* GENITOURINARY: He has no blood in his urine.
* NEUROLOGICAL: He denies having any form of limb weaknesses.
* MUSCULOSKELETAL: he has a normal range of motion without any signs of arthritis.
* HEMATOLOGIC: He has no form of joint pain or swelling
* LYMPHATICS: he has no swelling in lymph nodes
* ENDOCRINOLOGIC: he has no form of endocrine symptoms
OBJECTIVES:
Physical exam: TP is AAOX3; he is perfectly groomed and can express himself freely.
Vs-T-98.8, P-89, R-18, BP -110/62, Ht- 5’7”, wt- 133lbs
Diagnostic results: Normal EKG
Assessment:
Mental Status Examination: David Jackson is AAOX3 and well-groomed. According to observation, he is cooperative with the assessment and has no psychomotor movement or restlessness. Jackson has a clear speech in expressing himself. He has a logical thought process without suicidal or homicidal thoughts. Notably, the patient lacks any form of delusion ...
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