Assignment: Assessingand Diagnosing Patients With Schizophrenia, Other Psychotic Disorders, andMedication-Induced Movement Disorders
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Psychotic disorders andschizophrenia are some of the most complicated and challenging diagnoses inthe DSM. The symptoms of psychotic disorders may appear quite vividin some patients; with others, symptoms may be barely observable. Additionally,symptoms may overlap among disorders. For example, specific symptoms, such asneurocognitive impairments, social problems, and illusions may exist inpatients with schizophrenia but are also contributing symptoms for otherpsychotic disorders.
For thisAssignment, you will analyze a case study related to schizophrenia, anotherpsychotic disorder, or a medication-induced movement disorder.
Review this weeks 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.
By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. 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.
Completeand submit your Comprehensive Psychiatric Evaluation, including yourdifferential diagnosis and critical-thinking process to formulate primarydiagnosis.
Incorporatethe 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 (e.g., socioeconomic, cultural background, etc.).
Please use at least 5 peer reviews references dated 5 yearsor less.
You can access the case study video through the link https://video-alexanderstreet-com.ezp.waldenulibrary.org/watch/training-title-9/transcript?context=channel:test-section-index.
The transcript of the case study video ci-dessous
Case study report
Training Title 9 Name: Ms. Nijah Branning Gender: femaleAge: 25 years old T- 98.4 P- 80 R 18 128/78 Ht 50 Wt 120lbs Background: Raisedby parents, lives alone in Santa Monica, CA. Only child. Works in office supplysales, has a bachelors in business degree. Has medical history ofhypothyroidism, currently treated with daily levothyroxine. Guarded anddeclined to discuss past psychiatric history. Denied family mental healthissues, declined to allow you to speak to parents for collaborativeinformation. Allergies: medical tape; menses regular Symptom Media. (Producer).(2016). Training title 9 [Video].https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-9
TRANSCRIPT OF VIDEO FILE:
00:00:15OFF CAMERA Ms. Branning, Mr.Nehring asked suggested you see me. He said your having some issues at work.
00:00:20MS. BRANNING You could call themthat.
00:00:20OFF CAMERA What kind of difficulty are you having at work?
00:00:25MS. BRANNING Well Mr. Nehring wantsto fire me.
00:00:30OFF CAMERA Why do you think Mr.Nehring wants to fire you?
00:00:30MS. BRANNING Because Eric is inlove with me. And it’sprobably getting in the way. And he wants to fire me.
00:00:40OFF CAMERA Who is Eric?
00:00:40MS. BRANNING Eric is my supervisor.
00:00:45OFF CAMERA Are the two of you ina relationship?
00:00:45MS. BRANNING No! Eric has his own girlfriend, I have my ownboyfriend. But Mr. Nehring got it in his head that this is my fault. And they’ve been ganging up againstme.
00:01:00OFF CAMERA What happened to makeyou feel this way?
00:01:00MS. BRANNING Eric is lustful for me. Lust. Lustful.
00:01:10OFF CAMERA Well has Eric doneanything inappropriate?
00:01:10MS. BRANNING No, he doesn’t haveto.
00:01:15OFF CAMERA What do you mean?
00:01:15MS. BRANNING Well, he has this way of walking toward me and he gives methe easiest assignments to do and he asksme to voice my opinion a lot in our weekly meetings. And I’m beautiful. I mean, not to be boastful or anything but I’m a strong woman. Andpeople are attracted to that. And others,like Mr. Nehring feel threatened by it. He probably feels I could replace him in a couple years. And Icould.
00:01:45OFF CAMERA But there have been no instances of sexual harassment.
00:01:50MS. BRANNING No. And now they want to fire me, and it’s probablybecause they don’t want me to get in the way of their day. I’m probably a distraction or something.
00:02:00OFF CAMERA According to Mr. Nehring you haven’t made a sale inthree weeks.
00:02:05MS. BRANNING Oh, it’s been a slowtime period. I guess itwouldn’t be bad thing if they fired me. I mean after all of this, all the bad it’s done for myhealth. You know I shouldreally sue for discrimination, you know the stress and the health problems.
00:02:25OFF CAMERA You’ve been having healthproblems?
00:02:25MS. BRANNING Yes. Yes. It keepsgetting worse.
00:02:30OFF CAMERA Can you describe itfor me?
00:02:30MS. BRANNING Well you know there’s this pain in my neck, it aches, it spreads to my back, I think there’s a lump, right here. I’m really worried.
00:02:55OFF CAMERA And what do you feelis the cause?
00:02:55MS. BRANNING I told you, pain, suffering, broken heart. I think it’s cancer.
00:03:05OFF CAMERA Have you been seen bya doctor?
00:03:10MS. BRANNING No. But it’s probablycancer. And it’s slowly killing me. And it’sall because of them. And Eric’sobsession with me.
00:03:20OFF CAMERA Ms Branning, I don’tthink you have to worry, a brokenheart can’t cause cancer.
00:03:25MS. BRANNING You never know untilit happens.