Could You Read The Following Psych Evaluation And Write

Could You Read The Following Psych Evaluation And Write

Could you read the following psych evaluation and write a response, just one page, with 2 APA scholarly references, no first page is needed.

Paper For Above instruction

The provided psychological evaluation details a comprehensive assessment of N.B., a 16-year-old Hispanic female presenting with symptoms indicative of Major Depressive Disorder (MDD), Generalized Anxiety Disorder (GAD), and Post-Traumatic Stress Disorder (PTSD). The evaluation offers subjective complaints, objective findings, diagnostic impressions, and proposed treatment plans, including pharmacological and therapeutic interventions.

Based on the information, the diagnosis of MDD appears well-supported by her persistent depressed mood, anhedonia, fatigue, feelings of worthlessness, suicidal ideation, disrupted sleep, and appetite changes (American Psychiatric Association [APA], 2013). Her PHQ-9 score of 17 aligns with moderately severe depression. The presentation of excessive worry, restlessness, irritability, and difficulty concentrating justifies the GAD diagnosis, especially with GAD-7 scores indicating severe anxiety (Spitzer et al., 2006). Additionally, her experiences of flashbacks, persistent intrusive thoughts, and hallucinations following a traumatic sexual assault underpin the PTSD diagnosis, consistent with DSM-5 criteria (Fung et al., 2019).

The rationale for supporting this diagnostic formulation stems from the clear symptomatology and corroborative assessment scores. The concurrent presence of depression, anxiety, and trauma-related symptoms suggests a complex comorbid presentation often seen in adolescent populations dealing with past trauma and ongoing psychosocial stressors (Urrila et al., 2020).)

The treatment plan includes initiating SSRIs (fluoxetine), which is evidence-based for adolescent depression and anxiety, with careful monitoring of side effects (Rothschild, 2016). The combined psychotherapeutic approach of CBT and EMDR is appropriate, targeting not only depressive and anxious symptoms but also trauma resolution. EMDR, in particular, has robust evidence for treating PTSD symptoms in adolescents (Denecke et al., 2022).

However, while the pharmacological intervention aligns with current guidelines, the recognition that her symptoms are likely rooted in trauma necessitates an emphasis on trauma-informed therapy and social support systems. The consideration of her socioeconomic challenges and ongoing caregiving responsibilities underscores the importance of integrating social services and familial support into her treatment (Urrila et al., 2020).

In conclusion, the diagnosis and treatment plan appear appropriate given N.B.’s symptomatology, severity, and psychosocial context. Continued monitoring, family involvement, and addressing social determinants will be vital in her recovery.

References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
  • Denecke, K., Schmid, N., & Nüssli, S. (2022). Implementation of Cognitive Behavioral Therapy in e-Mental Health Apps: Literature Review. Journal of Medical Internet Research, 24(3), e27791.
  • Fung, H. W., Chan, C., Lee, C. Y., & Ross, C. A. (2019). Using the Post-traumatic Stress Disorder (PTSD) Checklist for DSM-5 to Screen for PTSD in the Chinese Context: A Pilot Study in a Psychiatric Sample. Journal of Evidence-Based Social Work, 16(6), 643–651.
  • Rothschild, A. J. (2016). Treatment for Major Depression With Psychotic Features (Psychotic Depression). Focus: Journal of Lifelong Learning in Psychiatry, 14(2), 207–209.
  • Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092-1097.
  • Urrila, A. S., Kiviruusu, O., Haravuori, H., Karlsson, L., Viertiö, S., Suvisaari, J., & Marttunen, M. (2020). Sleep symptoms and long-term outcome in adolescents with major depressive disorder: A naturalistic follow-up study. European Child & Adolescent Psychiatry, 29(5), 595–603.

Related Assignments