Psychotic disorders and schizophrenia are some of the most complicated and challenging diagnoses in the DSM. The symptoms of psychotic disorders may appear quite vivid in some patients; with others, symptoms may be barely observable. Additionally, symptoms may overlap among disorders. For example, specific symptoms, such as neurocognitive impairments, social problems, and illusions may exist in patients with schizophrenia but are also contributing symptoms for other psychotic disorders.
For this Assignment, you will analyze a case study related to schizophrenia, another psychotic disorder, or a medication-induced movement disorder. ***TO PREPARE:: Review this week’s Learning Resources and consider the insights they provide about assessing and diagnosing psychotic disorders. Consider whether experiences of psychosis-related symptoms are always indicative of a diagnosis of schizophrenia. Think about alternative diagnoses for psychosis-related symptoms. ********
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. (IUPLOADED) ***** this week, select a specific video case study to use for this Assignment (CASE STUDY- TRAINING TITLE 134). 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. (FOLLOW THE TEMPLATE) *****HERE IS THE LINK FOR THE VIDEO WHERE YOU CAN GET THE TRANSCRIPT. Symptom Media (Producer), & . (2018). Training Title 134. [Video/DVD] Symptom Media. *****HERE IS THE LINK FOR THE VIDEO TRANSCRIPT ******BELOW IS THE ADDITIONAL DATA FOR THE CASE “CASE HISTORY REPORTS”.
Training Title 134 -Name: Warren -Gender: Female Age: 33 years old –Background: Bunny was brought in by her bestfriend, Patty, after the police responded to her home the fifth time today. The police was threatening to arrest her for misuse of the 911 system, Bunny called you and you informed the police she needed to go the emergency room. She has been calling 911 saying people are looking in her windows, standing across the street watching her, stated they are watching for her husband to return home so they can hurt him. Today, she has a stomach ache.
She believes there is a snake inside of her stomach which she would like to have removed. She stopped eating 2 days ago because of this. –During the assessment, the patient seemed on edge, anxious, and paranoid. The patient has history of scoliosis. This is her third presentation to this hospital, she had one psychiatric admission 2years ago. No self-harm behaviors but has been physically aggressive toward others in the past. She is guarded and refuses to answer questions whether there are memory or concentration problems.
She denies any recent head injuries. She states that she has been sleeping nightly, one or two hours at a time, and waking up throughout the night. Refuses labs refuses to have her vital signs obtained. -She obtains SSDI. She lives in Atlanta, GA. Bunny denies ever using any drugs and drinks occasionally, once a month. She has a sister who is ten years older, both parents deceased in the last two years. She has no children, her husband is out of town, truck driver.
Family history includes that her father had two previous in patient psychiatric hospitalizations after bad drug experiences in the 1970s, for one week each time. Mother had diagnosis and ongoing treatment for depression. Her paternal grandmother was state hospitalized for several years. -She denies any past history of traumatic experiences, but her friend does say that losing her parents was hard for her emotionally. No history of military service. No legal issues currently. Has HS (high school) diploma. Allergies: haloperidol *****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 ******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 primary diagnosis (THIS IS VERY IMPORTANT). ******Incorporate the following into your responses in the template: (PLEASE USE THE TEMPLATE FORMAT THAT I UPLOADED)
. *****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?? ****** VERY IMPORTANT PART: 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 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. *****VERY IMPORTANT PART: 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 (past medical history), and other risk factors (., socioeconomic, cultural background, etc.). ********PLEASE MAKE SURE YOU USE THE TEMPLATE FORMAT. ATLEAST 5 RECENT/ RELIABLE SOURCES ARE REQUIRED. Learning Resources for NRNP 6635: Psychopathology and Diagnostic Reasoning American Psychiatric Association. (2013). Medication-induced movement disorders and other adverse effects of medication. In Diagnostic and statistical manual of mental disorders (5th ed., pp. 709–714). Author. American Psychiatric Association. (2013). Schizophrenia spectrum and other psychotic disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi: Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer. Chapter 7, Schizophrenia Spectrum and Other Psychotic Disorders Chapter , Medication Induced-Movement Disorders Chapter , Early-Onset Schizophrenia
