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. Comprehensive Psychiatric Evaluations This quarter, you will be completing comprehensive psychiatric evaluations using videos and case histories. Please use only the videos assigned under the resources in each week/module. If you use a different video, you will be assigned a grade of zero. Please be thorough and conduct your evaluations as if you are taking care of patient in the clinic. Use your rubric. ***TO PREPARE: -Review this weeks Learning Resources. Consider the insights they provide about assessing and diagnosing mood disorders. -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. -select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. HERE IS THE LINK FOR THE VIDEO ( 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. **********This week, we will explore the assessment and diagnosis of clients with mood disorders. **HERE IS THE LINK FOR THE SELECTED VIDEO FOR THE ASSIGNMENT _TRAINING TITLE 2 VIDEO. THE CASE HISTORY REPORT IS ALSO ATTACHED , AND YOU WILL SEE THE INFORMATION UNDER WEEK 3 MOOD DISORDER. (TRAINING TITLE 2- Mrs. Julie Houston). {additional data for the case in the Case History Reports document, } -How would you approach your assessment? Would you ask to include family members for collateral information? What tests or assessments would you order or conduct? Are there any referrals from which your patient could benefit? How would you promote overall health and disease prevention? -Please note that the video cases may not have all the necessary information needed for your evaluation. Supplementary case histories are provided. Rather than write not provided in your evaluations, be sure to use the fact sheets to fill in gaps. For any information still missing, explain what information is needed and why it is important. Select one of the videos under this weeks resources to use for your Assignment this week (THE LINK IS BELOW). Then, access the document Case History Reports (UPLOADED DOCUMENT) and review the additional data about the patient in the specific video number you selected. -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: ****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 patients 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 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. *****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 (., socioeconomic, cultural background, etc.).
