Assessing and Diagnosing Patients With Mood Disorders Accurately diagnosing depressive disorders can be challenging given their periodic and, at times, cyclic nature. Some of these disorders occur in response to stressors and, depending on the cultural history of the client, may affect their decision to seek treatment. Bipolar disorders can also be difficult to properly diagnose. While clients with a bipolar or related disorder will likely have to contend with the disorder indefinitely, many find that the use of medication and evidence-based treatments have favorable outcomes.
- 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 a primary diagnosis. Incorporate the following into your responses in the template:Mood Disorders
- 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 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.Mood Disorders
- 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.).
Mood Disorders
Training Title 8 Name: Mrs. Abrianna Tilman Gender: female Age: 27 years old T- 98.6 P- 88 R 18 154/92 Ht 5’1 Wt 230lbs Background: Recently had her first child two months ago. Currently married; stay at home mother after working in community library for 5 years. Grew up with her mother after her parents divorced when she was 16; has two sisters in Troy, Alabama. Completed education through bachelor’s level, majoring in English Literature. No previous suicidal gestures. Brother committed suicide via GSW. She denied drugs/alcohol; brother was addicted to methamphetamines. Hx of HTN-prescribed Trandate 100mg twice daily, admits to missing doses due to forgetting. No legal hx. Allergies: PCN
Transcript of the video Mood Disorders
00:00:15OFF CAMERA Mrs. Tilman, your husband is extremely worried about you.
00:00:20MRS. TILMAN Yes, I know that.
00:00:25OFF CAMERA Does coming her bother you?
00:00:25MRS. TILMAN Yes. Yes it does. I’ve never been to a shrink before. I don’t think I need to be here now.
00:00:35OFF CAMERA I’d like to ask you a few questions if that’s ok.
00:00:40MRS. TILMAN Yeah, that should be fine.
00:00:40OFF CAMERA How have you been feeling health wise?
00:00:45MRS. TILMAN Fine. No health problems.
00:00:45OFF CAMERA Sleep?
00:00:50MRS. TILMAN I can’t sleep much. But that’s to be expected.