COMPLEX CASE STUDY PRESENTATION
Order InstructionsSubjective: 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 their mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses and why you chose them. List them from highest priority to lowest priority. 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: What was your plan for psychotherapy (include one health promotion activity and patient education)? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Discuss an identified social determinate of health impacting this patient’s mental health status and provide your recommendation for a referral to assist this patient in meeting this identified need (students will need to conduct research on this topic both in the literature and for community resources).Reflection notes: What would you do differently with this patient if you could conduct the session again? If you are able to follow up with your patient, explain whether these interventions were successful and why or why not. If you were not able to conduct a follow-up, discuss what your next intervention would be.
PLEASE MAKE SURE TO ADD 5 REFERENCIES; INTEXT CITATION, APA format..
BELOW IS THE CASE STUDY TO USE:————-
23 years old African American female, presented with depression and anxiety for the past one month and its affecting her appettite.
BELOW ARE SOME IMPORTANT INFORMATION TO USE FOR THE TEMPLATES AND EVERYTHING————————————
For your upcoming written psych eval pdf please be sure to include in the chief complaint client’s stated complaint in quotes. The HPI needs to include a brief hx of treatment and also list the current s/s, severity, frequency, and any aggravating or modifying factors. The past psych hx needs to include all prior inpatient stays with dates and the reason for admission, any prior SA and if there were prior attempts you need to list intent, what was the attempt, what was the treatment. Also assess for any other disorders in the past psych hx such as hx of mania, compulsions, AH, VH, delusions, etc. Your MSE is objective and cannot include subjective information. You also need to put client’s stated mood in quotes in the MSE. It is best practice to use the PHQ-9, MDQ and GAD-7 assessment tools with your presentations. It is important to have a baseline score for the PHQ-9 and GAD-7 so you can compare the scores on future visits to see if the medication is working.
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