CLASS:
NRNP-6635: Psychpathology Diag Reasoning
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.).
Solution
Introduction
Alcohol use disorder (AUD) is a medical condition characterized by an impaired ability to
stop or control alcohol use despite adverse social, occupational, or health consequences
(National Institute of Alcohol Abuse and Alcoholism, 2021). The patient has shown that she has
been using alcohol for over 20 years and it has become an impairment not in her personal and
occupational life. The patient has also shown she has anxiety that is causing her to continue to
drink.
Subjective:
CC (chief complaint): “Really, come on. I’m missing first period. And now you want me to be late
for my second class. Can we do this during my third period break?……….Why?”.
HPI: A.C. is a 44-year-old Asian female who presents for psychiatric evaluation of potential
substance use. She is currently not prescribed any psychotropic medications. She was referred
by her supervisor for evaluation and treatment……………………………..$10