Our Services

Get 15% Discount on your First Order

[rank_math_breadcrumb]

Comprehensive psyc eval

See attached docs

Comprehensive Psychiatric Evaluation Note

Select 
a patient for whom you conducted psychotherapy for a mood disorder during the last 4 weeks. Create a Comprehensive Psychiatric Evaluation Note on this patient using the template provided 

·
Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What was 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 in order of highest to lowest priority and explain why you chose them. What was your primary diagnosis and why? Describe how your primary diagnosis aligns with DSM-5-TR diagnostic criteria and is supported by the patient’s symptoms. 

·
Plan: Describe your treatment modality and your plan for psychotherapy. Explain the principles of psychotherapy that underline your chosen treatment plan to support your rationale for the chosen psychotherapy framework. What were your follow-up plan and parameters? What referrals would you make or recommend as a result of this psychotherapy session?

·
Reflection notes: What would you do differently in a similar patient evaluation? Reflect on one social determinant of health according to the HealthyPeople 2030 (you will need to research) as applied to this case in the realm of psychiatry and mental health. As a future advanced provider, what are one health promotion activity and one patient education consideration for this patient for improving health disparities and inequities in the realm of psychiatry and mental health? Demonstrate your critical thinking.

Below is a patient: 30 years female.

Therapist Initial Visit


CC

Has been in counseling her whole life.  Was with a therapist all along, and then stopped in 2021-2022.  Has learned a lot along the way, but wants to get back into it.  Her biggest struggle has been a 12-year relationship with Josh, her now-husband, which “may, or may not be a healthy one.”  

Husband broke his leg a few weeks ago.  Couple’s counseling has been put on hold.  The way we have treated each other has not been healthy.  Had one session with a therapist, then they got into a fight that turned physical.  She had advised her to leave, which she did not.  They have a child, who will be 6 in April 2025.  Is almost 100% estranged from all family members.  When she was 23, her father died of a heart attack.  Client got the proceeds of a life insurance policy he had taken out on himself.  Father had “toxic masculinity,” by her mother’s description.  He was a Marine Corps veteran and served in Vietnam.  Does not remember much from her childhood.  Father had visitation with her, and behaved poorly.  Mother had lied to her about father not wanting to see her, and that father had molested her.  Mother has BPD, and is not in therapy.  She is going to be about 68 years old.  Mother tends to blame others for everything that has gone wrong.  Mother has recently moved,  again.  She fell outside, and was there for 24 hours, and then was hospitalized for about 2 weeks.  Mother had been rotating staying with her, and her 2 sisters.  Left for Florida when client was 19, leaving client pregnant with her then-boyfriend, and now-husband.  Has been isolated from 2 sisters.  Will get into arguments with husband about “something she misheard,” etc.  Husband broke his leg after telling client “you’re just like your mother,” which then cause him to call her a b****.  He spit at her, client walked out to her car and wanted to  “just breathe.”  He came out, beat her to her car, and sat in the car himself.  She went back inside, and locked the door behind her, locking him out.  He broke his foot coming up the steps to come back inside, as he had been in sock feet, and the steps were slick.

When they’ve had arguments in the past, he will sometimes tell her “go to your room.”  She told him that she was not his child, and that she could go into any room she wants to, in that it is their home.  Their relationship has been bad for the entire 12 years they’ve been together.  They were happily married for about a month.  Client went through his phone to see who he was cheating on her with.  His excuse is that she does not give her “enough affection.”  She states that she does not “crave sex,” which is different from how her husband’s sex appetite is.



HPI

Patient presents for initial evaluation.



PsychHx

The patient has seen Has had a therapist in the past, as well as a prescriber.



PsychFHx

Mother, 2 sisters have depression.  Oldest sister quit taking her diabetes medicine and lost her foot.

Mother also has BPD.  Mother’s grandmother died by suicide.

Mother has been hospitalized in an in patient psych facility when client was 16, after she had put a gun to client’s head when she learned client was being sexually active.



PsychSHx

The patient was born in VA. Moved around her whole life, FL, GA.. The patient is the third of three. Throughout school the patient had a few friends. She is still in touch with 2 friends from high school.  High school and Was on the AB honor roll until 10th grade. Was always difficult to concentrate. When she graduated she had her medical assistant certification..



Medications: Is not on any medications currently.  Previously took Prozac prescribed by her PCP.  Saw a psychiatrist previously, and was prescribed other meds.  She states that she will sign a release to request records.



MSE

The patient’s speech was normal, sharing conversation with normal laryngeal efforts. Appropriate mood and affect were seen on exam. Thought processes were logical, relevant, and thoughts were completed normally. Thought content was normal with no psychotic or suicidal thoughts. The patient’s judgement was realistic with normal insight into their present condition. Mental status included: correct time, place, person orientation, normal recent and remote memory, normal attention span and concentration ability. Language skills included the ability to correctly name objects. Fund of knowledge included normal awareness of current and past events.



Tests

None at the present time.



Psych Impression

The patient is a 30 year old female who presented with anxiety symptoms and depression.



DSM-5

Depression, anxiety

 



Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Week 5

Please see attached Question: Using the ICHS Library find an article on a child developmental disorder and summarize the article. Write a care plan for the child in the discussion? Article: Building Bridges! Children with Autism Spectrum  Disorder and Their Transition from Kindergarten to School – A Scoping Review • 12/31/2023 Purpose:

Nursing ASSIGNMENT

Focused SOAP Note and Patient Case Presetation, Part 1 FOCSED SOAP NOTES AND PATIENT CASE PRESENTATION: Prepared: Review the  Kaltura button from the  Classroom Support Center (accessed via the  Help button) for help creating your self-recorded Kaltura video. · Select an  adult patient that you examined during the last 4 weeks who presented with a disorder 

Nursing ASSIGNMENT

STUDY GUIDE FORUM Assigned ADHD Prepare: Your Instructor will assign you to a specific neurodevelopmental disorder from the  DSM-5-TR . Research your assigned disorder using the Walden Library. Then, develop an organizational scheme for the important information about the disorder. Create a study guide for your assigned disorder. Your study guide

Assessment 3

See attached for instructions After reviewing the materials you created to research a specific diagnosis (DVT) in the first two assessments, apply the PICO(T) process to develop a research question and research it. Your initial goal is to define the population, intervention, comparison, and outcome. In some cases, a time

week 2 case

Case 2 Chief Complaint (CC)  A 45-year-old female presents with a complaint of an itchy red rash on her arms and legs for about two weeks. Subjective She has been going on a daily basis to the local YMCA with children for Summer camp.  VS (T) 98.3°F; (RR) 18; (HR)

Marshall reading found in attached

find attached To prepare: · Review the Marshall et. al. (2017) Reading Excerpt linked above. Prompt: What challenges to completion do you anticipate you will encounter in your doctoral program? What strategies for successful completion do you anticipate will be the most useful for you, and how will you work

WEEK 2 HEALTH

What are the Pros and Cons to telehealth? How will you approach and perform a telehealth assessment? What are the limits to telehealth? What is the difference between the provider’s need for a successful telehealth visit versus the Patient’s perspective?

unit 10 discussion

see attached Topic: Reflection In this course many assignments were completed that pertain to the following course objectives. As you reflect back on these objectives, what assignment do you feel was most beneficial to your learning concepts related to your role as a PMHNP and how do you feel this assignment

Nursing Homework Promotion Week 2

 Please read the study I’ve attached and answer the reflective questions.   MSN 5550 Health Promotion: Prevention of Disease Case Study Module 4 Instructions: Read the following case study and answer the reflective questions. Please provide rationales for your answers. Make sure to provide a citation for your answers. Must follow

NUR 506

Agency Synopsis Identify regulatory agencies that regulate health and the health care system within the US, create a table listing your 5 regulatory agencies and address the following:
 1. Describe the agency, level of regulatory authority (local, state, federal), scope of regulatory authority, and role within the US healthcare system.

NUR 504 506

NUR 506 Discussion 1 Nursing & Health-Care-Policy Analyze the history, structure, and process of health-care-policy and politics in nursing and the health care delivery systems in the United States. Submission Instructions: • Your initial post should be at least 500 words, formatted and cited in current APA style with support

MT week 9 soap

47year oldBlackFemaleChronic Kidney Disease Stage 3 1 SOAP Note Assignment Instructions Consider constructing a Word document ‘SOAP note template’ and use it to assemble your note. By doing this you can use the template for efficiently constructing your SOAP notes such that you will be able to copy-and-paste for your

611 discussion 2

Discussion 2 What is the importance of a literature review and what should you avoid when conducting a literature review? Submission Instructions: · Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 

324Topic 2 DQ 2

If health care practitioners cannot communicate to the patients in their language, how important is it to find a translator? Whose problem is it, the health care provider’s or the patient’s? Why?

324Topic 2 DQ 1

From your readings in Chapter 4, choose one of the organizational systems such as social, ethical, religious, spiritual, educational, ecological/environmental, political, economic, technological, and legal systems. Discuss how this organizational system can prepare you to care for individuals from other cultures.

soap note

pls read instuuctions will need to be done on a schizophrenic pt with extensive history make it as complicated pt as it can be, in terms of sickness. follow template attached.