Details  

Comprehensive psychiatric evaluations are a way to reflect on your practicum experiences and connect the experiences to the learning you gain from your weekly Learning Resources. Comprehensive notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care.

For this Assignment, you will document information about a patient that you examined during the last 2 weeks, using the Comprehensive Psychiatric Evaluation Template provided. You will then use this note to develop and record a case presentation for this patient.

To Prepare

• Review this week’s Learning Resources and consider the insights they provide about assessment and diagnosis. Also review the Kaltura Media Uploader resource in the left-hand navigation of the classroom for help creating your self-recorded Kaltura
• Select a patient that you examined during the last 2 weeks who presented with a disorder other than the one present in your selected case for Week 5.
• Conduct a Comprehensive Psychiatric Evaluation on this patient using the template provided in the Learning There is also a completed exemplar document in the Learning Resources so that you can see an example of the types of information a completed evaluation document should contain. All psychiatric evaluations must be signed, and each page must be initialed by your Preceptor. When you submit your document, you should include the complete Comprehensive Psychiatric Evaluation as a Word document, as well as a PDF/images of each page that is initialed and signed by your Preceptor.

Please Note: Electronic signatures are not accepted. If both files are not received by the due date, Faculty will deduct points per the Walden Late Policies.

• Develop a video case presentation, based on your evaluation of this patient, that includes chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; and current psychiatric diagnosis, including differentials that were ruled
• Include at least five (5) scholarly resources to support your assessment and diagnostic
  • Ensure that you have the appropriate lighting and equipment to record the
• AssignmentRecord yourself presenting the complex case for your clinical patient. In your presentation:
  • Dress professionally with a lab coat and present yourself in a professional
  • Display your photo ID at the start of the video when you introduce
  • Ensure that you do not include any information that violates the principles of HIPAA (i.e., don’t use the patient’s name or any other identifying information).
  • Present the full case. Include chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; and current psychiatric diagnosis including differentials that were ruled
  • Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific

  Be succinct in your presentation, and do not exceed 8 minutes. Address the following:

  • Subjective: What details did the patient provide regarding their personal and medical history? What are their symptoms of concern? How long have they been experiencing them, and what is the severity? How are their symptoms impacting their functioning?
  • Objective: What observations did you make during the interview and review of systems?
  • Assessment: What were your differential diagnoses? Provide a minimum of three (3) possible diagnoses. List them from highest to lowest What was your primary diagnosis and why?
  • Reflection notes: What would you do differently in a similar patient evaluation?

SOLUTION 

Subjective:

CC: “I am pretty tired, otherwise I am ok”.

HPI: T.M is a 27-year-old male who presented voluntarily for a psychiatric psychotherapy session. He has a history of anxiety, poor sleep, impulsive behaviors, paranoia, depression, irritability, anger, mood instability. He reports “manic” episodes in the back. The patient also has a history of sadness, decreased energy, decreased motivation, decreased concentration, isolation, and social anxiety. The patient also has a good response to the current medication regimen.

Past Psychiatric History:

• General Statement: The patient started treatment for mental health issues at a very young age, which he did not disclose. He conveyed that he never felt the need of therapy until
• Caregivers (if applicable): The patient is considered an adult and provided consent for this
• Hospitalizations: The patient indicated a history of multiple inpatient
• Medication trials: Although, admitted optimum results with many previous medications regimen. The patient stated that he sometimes becomes non-compliant with his medications.
• Psychotherapy or Previous Psychiatric Diagnosis: The patient was previously diagnosed with MDD, substance abuse disorder, and adjustment……please click the purchase solution to  access the entire solution at $19.5