Comprehensive Psychiatric Evaluations Are A Way To Re 481868 ✓ Solved

Comprehensive Psychiatric Evaluations Are A Way To Reflect On Your Pra

Comprehensive psychiatric evaluations are a way to reflect on your practicum experiences and connect the experiences to the learning you gain from your weekly Learning Resources. Comprehensive notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care. For this Assignment, you will document information about a patient that you examined during the last 5 weeks, using the Comprehensive Psychiatric Evaluation Template provided. You will then use this note to develop and record a case presentation for this patient. To Prepare Select a patient that you examined during the last 5 weeks.

Review prior resources on the disorder this patient has. Also, review the Kaltura Media Uploader resource in the left-hand navigation of the classroom for help creating your self-recorded Kaltura video. Conduct a Comprehensive Psychiatric Evaluation on this patient using the template provided in the Learning Resources. There is also a completed exemplar document in the Learning Resources so that you can see an example of the types of information a completed evaluation document should contain. All psychiatric evaluations must be signed, and each page must be initialed by your Preceptor.

When you submit your document, you should include the complete Comprehensive Psychiatric Evaluation as a Word document, as well as a PDF/images of each page that is initialed and signed by your Preceptor.

Subjective: What details did the patient provide regarding their personal and medical history? What are their symptoms of concern? How long have they been experiencing them, and what is the severity? How are their symptoms impacting their functioning?

Objective: What observations did you make during the interview and review of systems?

Assessment: What were your differential diagnoses? Provide a minimum of three (3) possible diagnoses. List them from highest to lowest priority. What was your primary diagnosis, and why?

Reflection notes: What would you do differently in a similar patient evaluation?

Sample Paper For Above instruction

Patient Evaluation and Case Presentation

Introduction

The purpose of this comprehensive psychiatric evaluation is to document the clinical assessment of a patient examined during the past five weeks. This evaluation aims to synthesize subjective and objective data, formulate differential diagnoses, and reflect on the clinical encounter to improve future practice.

Subjective Data

The patient, a 32-year-old female, reported a history of persistent depressive symptoms over the past six months, including decreased energy, anhedonia, and difficulty concentrating. She reported experiencing feelings of worthlessness and increased sleep disturbances. The patient mentioned that these symptoms significantly impair her ability to perform at her job and maintain social relationships. She also reported occasional panic attacks characterized by heart palpitations and sweating, which started three months ago and have become more frequent.

Objective Data

During the interview, the patient appeared disheveled, with tearfulness observed at times. Her psychomotor activity was slowed. She maintained minimal eye contact, and her mood was depressed with a congruent affect. No obvious psychotic features or suicidal ideations were observed during the assessment. Her speech was coherent but slow, and she demonstrated difficulties in recalling recent events. The review of systems was unremarkable aside from reported sleep disturbances and fatigue.

Assessment and Differential Diagnoses

1. Major Depressive Disorder (MDD): The patient's persistent depressive mood, anhedonia, and functional impairment are consistent with MDD. The duration exceeds two weeks, and symptoms have persisted for over six months.
2. Generalized Anxiety Disorder (GAD): Occasional panic attacks and reports of excessive worry about daily activities suggest comorbid GAD.
3. Timed Substance-Induced Mood Disorder: Ruled out based on clinical history, but substance use was not prominent.

The primary diagnosis is Major Depressive Disorder due to the severity, duration, and impact on functioning.

Reflection

In future evaluations, I would incorporate standardized assessment tools such as the PHQ-9 to quantify depression severity and follow a more structured approach for anxiety symptoms. Additionally, I would consider involving family or close contacts to gather collateral information for a comprehensive understanding of the patient's functioning.

References

• American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.).
• Kessler, R. C., et al. (2003). The Epidemiology of Major Depressive Disorder. JAMA, 289(23), 3095-3105.
• First, M. B., et al. (2015). Structured Clinical Interview for DSM-5 Disorders (SCID-5). American Psychiatric Publishing.
• Rush, A. J., et al. (2007). The Hamilton Depression Rating Scale. Journal of Psychiatric Research, 11(3), 203-211.
• Beck, A. T., et al. (1961). An Inventory for Measuring Depression. Archives of General Psychiatry, 4(6), 561–571.
• Spitzer, R. L., et al. (2006). A brief measure for assessing generalized anxiety disorder. Archives of Internal Medicine, 166(10), 1092–1097.
• Harvard Medical School. (2019). Treating depression: Medication and psychotherapy options. Harvard Health Publishing.
• World Health Organization. (2017). Depression. WHO Fact Sheet.
• McNaughton, N., & Morris, R. G. (2010). Conceptualizing anxiety and depression: Linking systems and behavior. Trends in Cognitive Sciences.
• Oquendo, M. A., & Mann, J. J. (2014). Depression and Suicide: Understanding the psychiatric and neurobiological underpinnings. World Psychiatry.