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
Anxiety is a symptom in several disorders. It can occur when we became
worried, uneasy or fearful about events that are about to happen or may
happen in the future (Mind, 2017). A thorough evaluation is, therefore, necessary in
order to establish an appropriate diagnosis and a treatment plan. The goal of this article therefore
to present a complete client evaluation that includes differential diagnosis and a treatment plan
for a client with an anxiety disorder who has been watched or counseled.
Subjective:
CC: Pt states “I went to the emergency department last week because I was feeling like I was
dying from a heart attack .”(Training Title 37, 2016).
HPI:
T. P is an 18-year-old Caucasian male who………………………………..$10