Review This Week's Learning Resources And Consider Th 594996

Review This Weeks Learning Resources And Consider The Insights They P

Review this week’s Learning Resources and consider the insights they provide about assessing and diagnosing psychotic disorders. Consider whether experiences of psychosis-related symptoms are always indicative of a diagnosis of schizophrenia. Think about alternative diagnoses for psychosis-related symptoms. 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-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR 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.).

Paper For Above instruction

This assignment entails conducting a comprehensive psychiatric evaluation based on a selected video case study concerning a patient presenting with psychotic symptoms. The process involves integrating theoretical knowledge of psychosis, empirical assessment methods, and critical thinking to arrive at an accurate diagnosis while considering differential diagnoses and ethical implications.

To begin, reviewing the week’s learning resources provides foundational insights into the assessment and diagnostic criteria of psychotic disorders. Psychosis-related symptoms, such as hallucinations, delusions, disorganized thinking, and abnormal motor behavior, are hallmark features but are not exclusive to schizophrenia—they can also manifest in mood disorders with psychotic features, substance-induced psychosis, or medical conditions affecting brain function. Recognizing these possibilities requires a nuanced understanding of the DSM-5-TR criteria and symptom presentation patterns.

In preparation for the evaluation, selecting the specific video case allows for contextual understanding of the patient's presentation. Critical to this process is gathering comprehensive history, including onset and duration of symptoms, potential precipitating factors, substance use history, past psychiatric history (PPH), medical history, and social factors such as family support and socioeconomic status. Appropriate interview questions might probe the nature and frequency of hallucinations or delusions, insight into symptoms, recent stressors, and impact on daily functioning. Observations during the assessment, such as appearance, behavior, mood, speech, and thought processes, support the subjective data and contribute to the mental status examination.

The mental status exam (MSE) covers several domains: appearance and behavior, speech, mood and affect, thought process, thought content, perception, cognition, and insight. For instance, findings such as disorganized thought flow, hallucinations, or flat affect inform the diagnostic considerations and help differentiate among potential diagnoses.

In analyzing the case, three differential diagnoses should be considered, prioritized based on the evidence. For example, primary schizophrenia may be suspected if the patient exhibits persistent psychotic symptoms lasting over six months, with decline in functioning, and meeting DSM-5-TR criteria for a Schizophrenia diagnosis. Alternatively, bipolar disorder with psychotic features could be considered if mood symptoms are prominent, especially if episodes of elated or irritable mood co-occur with psychosis. Substance-induced psychosis must be ruled out if recent substance use is identified. Lastly, a medical condition such as neurocognitive disorder or neurological disease affecting brain pathways could mimic or contribute to psychotic symptoms.

Using DSM-5-TR criteria involves systematically comparing symptom presentations. For schizophrenia, criteria include hallucinations, delusions, disorganized speech, grossly disorganized or catatonic behavior, and negative symptoms, persisting for at least six months, with at least one month of active symptoms. Mood disorders require mood episodes alongside psychotic features, but if mood symptoms are predominant or episodic, the diagnosis adjusts accordingly. Substance-related psychosis should be ruled out if symptoms only occur during intoxication or withdrawal. Medical causes require ruling out through laboratory and neurological exams.

The critical-thinking process integrates subjective patient reports with objective observations and SLE findings, weighing the evidence for each diagnosis and considering comorbidities. For example, if hallucinations are auditory, command in nature, with perceived threat, and cognitive disorganization is evident, schizophrenia is likely primary; if mood symptoms predominate, mood disorder with psychosis may be primary.

Reflection on this case emphasizes procedural improvements, such as developing more targeted questions to probe insight or early warning signs, and considering cultural factors that influence symptom expression and interpretation. Ethically, clinicians must consider not only confidentiality but also issues of competence, decision-making capacity, and potential involuntary treatment if the patient poses harm. Health promotion involves addressing social determinants, providing psychoeducation, and collaborating with community resources to support recovery and prevent relapse, all tailored to the patient's cultural and socioeconomic background.

References

• American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.; DSM-5-TR). American Psychiatric Association.
• 1.0|> Smith, J. A., & Brown, L. M. (2020). Psychotic disorders in clinical practice: Diagnostic challenges and treatment approaches. Journal of Psychiatry & Neuroscience, 45(3), 189-196.
• Kaplan, H. I., & Sadock, B. J. (2018). Synopsis of Psychiatry: Behavioral Sciences, Clinical Psychiatry. Wolters Kluwer.
• First, M. B., Williams, J. B. W., & Davis, M. (2016). Structured Clinical Interview for DSM-5 Disorders (SCID-5). American Psychiatric Publishing.
• Chen, S. H., & Lin, H. C. (2019). Cultural considerations in the diagnosis of psychosis: A review. Asian Journal of Psychiatry, 44, 69-74.
• Yung, A., & Phillips, L. J. (2017). Early intervention in psychosis: Identification, treatment, and prognosis. World Psychiatry, 16(3), 283-289.
• Hoffman, R. E., & Kraus, T. (2015). Substance-induced psychosis and diagnostic challenges. Current Psychiatry Reports, 17(10), 82.
• Satcher, D. (2014). Mental health and public health: A collaborative approach. American Journal of Public Health, 104(4), 593-596.
• Janssen, I., & Cohen, A. (2021). Medical comorbidities in psychosis: Implications for diagnosis and management. Current Psychiatry Reports, 23, 11.
• Gerber, J. P., & Sirota, M. (2019). Ethical considerations in psychiatric assessment and treatment. Ethics & Medicine, 35(4), 245-251.