Case Study For Psychiatric And Mental Health Evaluation

Case Study For Psychiatric And Mental Health Evaluation

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Case study #29

Name: Mr. Harold Feldman
Gender: male
Age:20 years old
T- 98.4 P- 76 R 18 116/74 Ht 5â€6 Wt 120lbs
Background: European-American male. He has two younger sisters, one with a history of ADHD and the other with a history of separation anxiety. His mother has depression; his father has paranoia schizophrenia. He is home for spring break. He has no previous medical problems. Developmental milestones met as a child. His appetite is inconsistent, and he has lost 18lbs since returning to school in the fall. He had a short trial of risperidone in the last six months of high school for mild paranoia. He stopped the medication after graduation as he could
not tolerated due to the side effects of over-sedation. Harold has HS several friends but has not kept in touch with them since being back home. He has not been showering. Sleeping 14 hrs./ he admits to episodic cannabis use weekly. Allergies shellfish Case Study For Psychiatric And Mental Health Evaluation


his parents make an appointment for psychiatric and mental health evaluation. His parents report that he has some difficulty in school. He reports that he is in State College. He has been in college since his first year. He stated that he is taking an Advanced Placement course in high school. He is now taking advanced mathematics and theoretical physics. He is thinking of taking a double major in philosophy and physics. When complimented, that is an interesting combination, he says, “Yes, the mysteries of life. The course is a mystery and is gone when you think you have understood it”.
When asked to clarify more about gone, he said the totality of life precludes us from repeating it. I mean, what is the point? He acknowledged having a roommate, but he’s uncomfortable talking about him. He says his roommate put a microwave in there, but he knows what that means, but he won’t say even a word. He continued by saying they had them here, too, in the same building, but they will spare him and the provided since he was with him. He goes on to explain that this is about bleeding generation of blood cells, Bleeding humanity from making of his true destiny, but the room spy on them. He remains silent when questioned if he came with anyone. Case Study For Psychiatric And Mental Health Evaluation


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 patientâ€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. Case Study For Psychiatric And Mental Health Evaluation
• 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.).


Differential diagnosis
2-Schizoaffective disorder
3-Substance induce psychosis
My primary diagnosis will be Schizophrenia disorder.
Note: Please use DMS-5 criteria for each diagnostic.

Note : I upload the comprehensive psychiatric evaluation EXAMPLE as well , That you can use for direction. Case Study For Psychiatric And Mental Health Evaluation

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