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
Neurocognitive and neurodevelopmental disorders are common and are often diagnosed in childhood. The purpose of this paper is to evaluate a patient with a neurocognitive disorder and establish a diagnosis based on assessment data presented in a case study.
Subjective:
CC (chief complaint): Patient is having difficulty paying attention at school and has been getting in trouble with some behaviors.
HPI: S.H. is an 11 year old African American female who presents for evaluation for attention deficit hyperactivity disorder. She is brought in by her mother who filled out evaluations forms along with patient’s teacher who recommended evaluation and treatment. Mom endorses patient met her developmental milestones on time, sleeps well, and gets good nutrition although……………………………………$10
