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Comprehensive Psychiatric Evaluation Template Discussion Essay

Comprehensive Psychiatric Evaluation Template Discussion Essay

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INSTRUCTIONS ON HOW TO USE EXEMPLAR AND TEMPLATE—READ CAREFULLY

If you are struggling with the format or remembering what to include, follow the Comprehensive Psychiatric Evaluation Template AND the Rubric as your guide.  It is also helpful to review the rubric in detail in order not to lose points unnecessarily because you missed something required. Below highlights by category are taken directly from the grading rubric for the assignments. After reviewing full details of the rubric, you can use it as a guide. Comprehensive Psychiatric Evaluation Template Discussion Essay

In the Subjective section, provide:

  • Chief complaint
  • History of present illness (HPI)
  • Past psychiatric history
  • Medication trials and current medications
  • Psychotherapy or previous psychiatric diagnosis
  • Pertinent substance use, family psychiatric/substance use, social, and medical history
  • Allergies
  • ROS
  • Read rating descriptions to see the grading standards!

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In the Objective section, provide:

  • Physical exam documentation of systems pertinent to the chief complaint, HPI, and history
  • Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses.
  • Read rating descriptions to see the grading standards! Comprehensive Psychiatric Evaluation Template Discussion Essay

In the Assessment section, provide:

  • Results of the mental status examination, presented in paragraph form.
  • At least three differentials with supporting evidence. List them from top priority to least 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.
  • Read rating descriptions to see the grading standards!

Reflect on this case. Include what you learned and what you might do differently. 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.).

(The comprehensive evaluation is typically the initial new patient evaluation. You will practice writing this type of note in this course. You will be ruling out other mental illnesses so often you will write up what symptoms are present and what symptoms are not present from illnesses to demonstrate you have indeed assessed for all illnesses which could be impacting your patient. For example, anxiety symptoms, depressive symptoms, bipolar symptoms, psychosis symptoms, substance use, etc.)

EXEMPLAR BEGINS HERE

CC (chief complaint): A brief statement identifying why the patient is here. This statement is verbatim of the patient’s own words about why they are presenting for assessment. For a patient with dementia or other cognitive deficits, this statement can be obtained from a family member. Comprehensive Psychiatric Evaluation Template Discussion Essay

HPI: Begin this section with patient’s initials, age, race, gender, purpose of evaluation, current medication, and referral reason. For example:

N.M. is a 34-year-old Asian male who presents for psychotherapeutic evaluation for anxiety. He is currently prescribed sertraline by (?) which he finds ineffective. His PCP referred him for evaluation and treatment.

Or

P.H. is a 16-year-old Hispanic female who presents for psychotherapeutic evaluation for concentration difficulty. She is not currently prescribed psychotropic medications. She is referred by her mental health provider for evaluation and treatment.

Then, this section continues with the symptom analysis for your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis.

Paint a picture of what is wrong with the patient. This section contains the symptoms that is bringing the patient into your office. The symptoms onset, the duration, the frequency, the severity, and the impact. Your description here will guide your differential diagnoses. You are seeking symptoms that may align with many DSM-5 diagnoses, narrowing to what aligns with diagnostic criteria for mental health and substance use disorders. You will complete a psychiatric ROS to rule out other psychiatric illnesses.

Past Psychiatric History: This section documents the patient’s past treatments. Use the mnemonic Go Cha MP. 

General Statement: Typically, this is a statement of the patients first treatment experience. For example: The patient entered treatment at the age of 10 with counseling for depression during her parents’ divorce. OR The patient entered treatment for detox at age 26 after abusing alcohol since age 13.

Caregivers are listed if applicable. Comprehensive Psychiatric Evaluation Template Discussion Essay

Hospitalizations: How many hospitalizations? When and where was last hospitalization? How many detox? How many residential treatments? When and where was last detox/residential treatment? Any history of suicidal or homicidal behaviors? Any history of self-harm behaviors?

Medication trials: What are the previous psychotropic medications the patient has tried and what was their reaction? Effective, Not Effective, Adverse Reaction? Some examples: Haloperidol (dystonic reaction), risperidone (hyperprolactinemia), olanzapine (effective, insurance wouldn’t pay for it)

Psychotherapy or Previous Psychiatric Diagnosis: This section can be completed one of two ways depending on what you want to capture to support the evaluation. First, does the patient know what type? Did they find psychotherapy helpful or not? Why? Second, what are the previous diagnosis for the client noted from previous treatments and other providers. (Or, you could document both.)

Substance Use History: This section contains any history or current use of caffeine, nicotine, illicit substance (including marijuana), and alcohol. Include the daily amount of use and last known use. Include type of use such as inhales, snorts, IV, etc. Include any histories of withdrawal complications from tremors, Delirium Tremens, or seizures.

Family Psychiatric/Substance Use History: This section contains any family history of psychiatric illness, substance use illnesses, and family suicides. You may choose to use a genogram to depict this information (be sure to include a reader’s key to your genogram) or write up in narrative form. Comprehensive Psychiatric Evaluation Template Discussion Essay

Psychosocial History: This section may be lengthy if completing an evaluation for psychotherapy or shorter if completing an evaluation for psychopharmacology.  However, at a minimum, please include:

  • Where patient was born, who raised the patient
  • Number of brothers/sisters (what order is the patient within siblings)
  • Who the patient currently lives with in a home? Are they single, married, divorced, widowed? How many children?
  • Educational Level
  • Hobbies
  • Work History: currently working/profession, disabled, unemployed, retired?
  • Legal history: past hx, any current issues?
  • Trauma history: Any childhood or adult history of trauma?
  • Violence Hx: Concern or issues about safety (personal, home, community, sexual (current & historical)

 

Medical History: This section contains any illnesses, surgeries, include any hx of seizures, head injuries.

 

Current Medications: Include dosage, frequency, length of time used, and reason for use. Also include OTC or homeopathic products.

Allergies: Include medication, food, and environmental allergies separately. Provide a description of what the allergy is (e.g., angioedema, anaphylaxis). This will help determine a true reaction vs. intolerance.

Reproductive Hx: Menstrual history (date of LMP), Pregnant (yes or no), Nursing/lactating (yes or no), contraceptive use (method used), types of intercourse:  oral, anal, vaginal, other, any sexual concerns Comprehensive Psychiatric Evaluation Template Discussion Essay

Diagnostic results: Include any labs, X-rays, or other diagnostics that are needed to develop the differential diagnoses (support with evidenced and guidelines).

Assessment

Mental Status Examination: For the purposes of your courses, this section must be presented in paragraph form and not use of a checklist! This section you will describe the patient’s appearance, attitude, behavior, mood and affect, speech, thought processes, thought content, perceptions (hallucinations, pseudo hallucinations, illusions, etc.), cognition, insight, judgment, and SI/HI. See an example below. You will modify to include the specifics for your patient on the above elements—DO NOT just copy the example. You may use a preceptor’s way of organizing the information if the MSE is in paragraph form.

He is an 8 yo African American male who looks his stated age. He is cooperative with examiner. He is neatly groomed and clean, dressed appropriately. There is no evidence of any abnormal motor activity. His speech is clear, coherent, normal in volume and tone. His thought process is goal directed and logical. There is no evidence of looseness of association or flight of ideas. His mood is euthymic, and his affect appropriate to his mood. He was smiling at times in an appropriate manner. He denies any auditory or visual hallucinations. There is no evidence of any delusional thinking.   He denies any current suicidal or homicidal ideation. Cognitively, he is alert and oriented. His recent and remote memory is intact. His concentration is good. His insight is good.  Comprehensive Psychiatric Evaluation Template Discussion Essay

Differential Diagnoses: You must have at least three differentials with supporting evidence. Explain what rules each differential in or out and justify your primary diagnosis selection. Include pertinent positives and pertinent negatives for the specific patient case.

 

 

Also included in this section is the reflection. Reflect on this case and discuss whether or not you agree with your preceptor’s assessment and diagnostic impression of the patient and why or why not. What did you learn from this case? What would you do differently?

Also include in your reflection a discussion related to legal/ethical considerations (demonstrating critical thinking beyond confidentiality and consent for treatment!), social determinates of health, 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.). Comprehensive Psychiatric Evaluation Template Discussion Essay

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Case Formulation and Treatment Plan.

Includes documentation of diagnostic studies that will be obtained, referrals to other health care providers, therapeutic interventions with psychotherapy, education, disposition of the patient, and any planned follow-up visits. Each diagnosis or condition documented in the assessment should be addressed in the plan. The details of the plan should follow an orderly manner.  *see an example below—you will modify to your practice so there may be information excluded/included—what does your preceptor document?

Example:

Initiation of (what form/type) of individual, group, or family psychotherapy and frequency.

Documentation of any resources you provide for patient education or coping/relaxation skills, homework for next appointment.

Client has emergency numbers:  Emergency Services 911, the  Client’s Crisis Line 1-800-_______. Client instructed to go to nearest ER or call 911 if they become actively suicidal and/or homicidal. (only if you or preceptor provided them)

 

Reviewed hospital records/therapist records for collaborative information; Reviewed PCP report (only if actually available) Comprehensive Psychiatric Evaluation Template Discussion Essay

 

Time allowed for questions and answers provided. Provided supportive listening. Client appeared to understand discussion. Client is amenable with this plan and agrees to follow treatment regimen as discussed. (This relates to informed consent; you will need to assess their understanding and agreement.)

 

Follow up with PCP as needed and/or for:

 

Write out what psychotherapy testing or screening ordered/conducted, rationale for ordering

 

Any other community or provider referrals

 

Return to clinic:

 

Continued treatment is medically necessary to address chronic symptoms, improve functioning, and prevent the need for a higher level of care OR if one-time evaluation, say so and any other follow up plans.

References (move to begin on next page)

You are required to include at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines which relate to this case to support your diagnostics and differentials diagnoses. Be sure to use correct APA 7th edition formatting. Comprehensive Psychiatric Evaluation Template Discussion Essay

Subjective:

CC (chief complaint):

I dislike myself. I have experienced a great deal in my life, including sexual assault, physical violence, and a chaotic background. I was hospitalized after being beaten by my boyfriend. I am greatly affected by the lack of affection and attention I had as a child. I want to become more spiritual as well as discover how to love myself, yet I get overwhelmed in large gatherings.

HPI:
T. B., an African American woman 47 years old, comes in with a history of significant childhood trauma, which includes physical as well as sexual abuse. She needs therapy to deal with unresolved trauma as well as foster self-love since she struggles with ongoing emotional discomfort, poor self-esteem, as well as substance usage.

Past Psychiatric History:

  • General Statement: The mental history of T. B. indicates a complicated image created by difficult life circumstances and long-lasting trauma. Her long-standing issues with self-esteem, as well as unresolved trauma, have contributed to an ongoing cycle of emotional chaos and substance abuse.
  • Caregivers (if applicable): she has no caregiver.
  • Hospitalizations: She had a week of hospitalization following a beating from her boyfriend eight years ago.
  • Medication trials: She is currently on no medication.
  • Psychotherapy or Previous Psychiatric Diagnosis: she has no previous psychiatric diagnosis or psychotherapy. Comprehensive Psychiatric Evaluation Template Discussion Essay

Substance Current Use and History: She has a history of substance abuse due to her traumatic experiences.

Family Psychiatric/Substance Use History: There is no history of substance use or family psychiatric.

Psychosocial History: Childhood trauma, adolescent pregnancy, violent relationships, and a strong journey are all part of T. B’s life story. Currently 47 years old, married, a mother, overcoming obstacles at work, and pursuing treatment to heal and love herself.

Medical History:

 

  • Current Medications: Currently not under medication.
  • Allergies: She has no known allergy to food and drugs.
  • Reproductive Hx: No menstrual history provided; her live births are four with no history of miscarriage.

ROS

General: T. B. reports fatigue but no fever, chills, or unintentional weight loss or gain.

Head, Eyes, Ears, Nose, Throat (HEENT): she has no reports of visual disturbances, headaches, hearing loss, or sinus problems.

Cardiovascular: No reports of palpitations or chest pain.Comprehensive Psychiatric Evaluation Template Discussion Essay

Respiratory: No reports of cough or difficulty breathing.

Gastrointestinal: No reports of nausea, vomiting, or abdominal pain.

Genitourinary: No reports of genitourinary symptoms.

Musculoskeletal: No reports of joint pain or limited mobility.

Integumentary/Skin: No reports of skin issues.

Neurological: No reports of tremors or seizures.

Psychiatric: T. B.’s mental health issues, such as depression, poor self-esteem, and challenges connected to trauma, have been reported.

Endocrine: No changes in weight and appetite, and there is no excessive thirst.

Hematologic: There are no reports of abnormal bleeding.

Lymphatic: No enlarged lymph nodes.

Objective:

Diagnostic results:

Trauma Assessment: The process will entail conducting clinical interviews in order to clarify the kind, frequency, and consequences of trauma. The degree of symptoms related to trauma will be measured using standardized trauma assessment instruments, highlighting particular regions that call for focused therapy intervention (Silverman et al., 2015). T. B. will be able to address and move past her traumatic past with the help of the collaborative production of a trauma narrative, which will facilitate the process of therapy. Comprehensive Psychiatric Evaluation Template Discussion Essay

Substance Abuse Screening: Standardized screening instruments such as the Alcohol Usage Disorders Identification Test (AUDIT) as well as the Drug Abuse Subtle Screening Inventory (SASSI) are used to obtain a thorough grasp of T. B.’s drug usage. Laboratory tests, such as blood or urine analysis, will also be performed in order to determine the level of usage and find out whether drugs are present. Important insights will come from a contextual investigation of drug abuse, considering triggers, frequency, and related behaviors (Levy et al., 2016). To support self-reported substance use, supporting documentation from relatives or other important people will be requested.

Mental Health Assessment: Standardized psychological examinations will determine the degree of symptoms of depression and anxiety, like the Generalized Anxiety Disorder 7 (GAD-7) as well as the Beck Depression Inventory (BDI) (Videbeck & Videbeck, 2013). Her feelings, mental ideas, and behavioral patterns will all be covered in detail during clinical interviews. Finding co-occurring mental health issues that could be a factor in her general clinical presentation will be part of the assessment. A customized treatment plan will be developed based on an assessment of how T. B.’s mental health symptoms affect her everyday functioning and overall quality of life. Comprehensive Psychiatric Evaluation Template Discussion Essay

Cognitive Functioning Test: Cognitive assessment instruments, such as the Mini-Mental State Examination (MMSE) as well as the Montreal Cognitive Assessment (MoCA), will be used to evaluate T. B.’s cognitive functioning (Semkovska et al., 2019). These instruments will assess her capacity for focus, information processing, and decision-making. The investigation will also look for any possible negative thinking patterns or cognitive distortions that could be affecting her present mental health. Closely monitoring any indications of cognitive impairment affecting her participation in treatment interventions is important.

Assessment:

Mental Status Examination:

On appearance and behavior, she is well-groomed and correctly attired. She behaved cooperatively during the entire test, showing that she was willing to interact with the therapist.

Regarding speech and language, she speaks intelligibly, coherently, and in a regular tone. She does not appear to be experiencing any communication difficulties or aberrant motor activity. Her reasoning seems to be rational and goal-directed.

On mood and affect, she is in a depressed mood, which is consistent with how she seemed during the test. Comprehensive Psychiatric Evaluation Template Discussion Essay

On thought content, there is no indication of psychotic traits or delusional thinking. T. B. states that she has never considered suicide or homicide throughout the test. Her stated issues with self-esteem and her traumatic history seem to be the main topics of her thoughts.

During the examination, she denied experiencing any visual or auditory hallucinations, indicating that there were no perceptual abnormalities.

  1. B. possesses cognitive alertness and is aware of time, location, and people. She can precisely recollect old events, and her present and distant memories seem to be unharmed. Her reported level of concentration is fair, though, suggesting that she may have trouble maintaining her attention.
  2. B. is said to have poor insight, which suggests that she has little knowledge of or comprehension of her own psychological issues. Comprehensive Psychiatric Evaluation Template Discussion Essay

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Differential Diagnoses:

Post-Traumatic Stress Disorder (PTSD): She has a history of extreme trauma, which includes sexual assault, physical abuse, and familial distancing; PTSD seems a plausible diagnosis. Her avoidance tendencies, ongoing emotional anguish, and reported nightmares point to PTSD-like symptoms (Yehuda et al., 2015). Her traumatic experiences are persistent, which fits the criteria for post-traumatic stress disorder (PTSD); thus, a comprehensive evaluation is necessary.

Major Depressive Disorder (MDD): T. B. may have MDD, given her admission of having a recurring poor mood, self-esteem issues, and a history of being hospitalized after a stressful event (Marx et al., 2023). Her traumatic events’ effects on her mental state meet the criteria for Major Depressive Disorder (MDD).

Substance Use Disorder: T. B. may have a drug use problem based on her description of a cycle of substance misuse that is brought on by intense emotions and exacerbates feelings of shame ((Hasin et al., 2013). It is credited to the trauma-triggered cycles that affect her everyday functioning and contribute to a recurring conflict, as demonstrated by intense feelings of shame and sadness.

Adjustment Disorder: T. B. may have adjustment disorder based on her difficulties managing her prior traumas, her difficult relationships, and the emotional toll they take on her (Maercker  & Lorenz, (2018). The fact that her problems are ongoing and that she needs flexible coping techniques are factors in this diagnosis. Comprehensive Psychiatric Evaluation Template Discussion Essay

Primary Diagnosis

Post-Traumatic Stress Disorder (PTSD): Post-horrific Stress Disorder (PTSD): Considering how frequently her horrific events come to mind, PTSD may be T. B.’s primary diagnosis. The criteria for PTSD, as outlined in the DSM-5-TR, include being exposed to traumatic events, persistent symptoms, avoidance, unfavorable changes in mood and cognition, and changes in alertness as well as reactivity (Yehuda et al., 2015). These criteria are met by T. B.’s stated nightmares, fear of crowds, and issues with self-love, highlighting the possible effects of her trauma on her psychological well-being. Comprehensive Psychiatric Evaluation Template Discussion Essay

Reflections:

In order to comprehend the social factors impacting T. B.’s mental health, I would place a higher priority on getting more specific information on her neighborhood’s services and social support networks. One important social variable to take into consideration while thinking about Healthy People 2030 is “Social and Community Context.” Strong social ties have been linked to mental health, according to research. T. B.’s entire treatment plan might thus be improved by looking into her support systems and utilizing community resources. Encouraging mental health awareness in T. B.’s community might be a health promotion action as an advanced provider. T. B. may be able to find timely resources to address health inequalities in mental health treatment if she is educated about the community-based support services for mental health that are available, as well as the stigma associated with requesting assistance. This method recognizes the influence of socioeconomic variables on mental wellness outcomes and is consistent with a holistic viewpoint. Comprehensive Psychiatric Evaluation Template Discussion Essay

Case Formulation and Treatment Plan:

Person-centered therapy, as well as Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), are the therapy modalities I have selected for T. B. By addressing how trauma affects ideas, feelings, and actions, TF-CBT seeks to improve coping mechanisms as well as reframe unfavorable beliefs. This is enhanced by person-centered therapy, which creates a secure environment for T. B. to express herself by encouraging self-exploration, as well as building a therapeutic partnership. This strategy is based on the ideas of collaborative goal-setting, highlighting T. B.’s abilities and attending to her specific needs. Structured trauma processing is made possible by the incorporation of TF-CBT, whereas Person-Centered Therapy offers flexibility according to T. B.’s comfort level with exploring as well as processing emotions. Progress in improving self-esteem, controlling symptoms associated with trauma, and creating healthy coping mechanisms will be evaluated during follow-up sessions. Tracking changes in mood, drug use habits, and the use of therapy practices in day-to-day living are examples of measures. Referrals include an outpatient psychological service for continuous support, a specialist trauma rehab program to supplement individual therapy, as well as a psychiatrist to assess possible medication alternatives. A thorough strategy to meet T. B.’s complicated demands and encourage long-term rehabilitation is ensured through collaborative care.

I confirm the patient used for this assignment is a patient that was seen and managed by the student at their Meditrek approved clinical site during this quarter course of learning. Comprehensive Psychiatric Evaluation Template Discussion Essay

Case study

Mary is a 47-year-old African American female, married four years, but reported the relationship has been ten years. She has four children aged 23, 19, 18, and 14 years old. Mary reported that she works two jobs, she works at MCG as the head cook and cashier; and has been there for four years. Mary reported that she does not like herself. She reported that she was beaten by a boyfriend eight years ago. As a result, she was hospitalized for one week. Mary reported that she grew up in a chaotic and abusive home environment.
Mary has endured a life filled with severe personal trials, including physical abuse and sexual assault from multiple family members, leading to damaged self-esteem. Her attempts to reveal these incidents resulted in family estrangement and foster care placement. After becoming pregnant at 15 and eviction from her father’s house, she moved in with her mother, where her mother’s boyfriend raped her. Her fear of solitude and her inclination to help others led her to let her boyfriend stay with her after his release from prison. The death of her mother coincided with her boyfriend’s incarceration. Reflecting on her past, the happiest time in her life was in foster care, while her relationship with her father was marked by absence, cruelty, and lack of communication. She was denied common childhood experiences, such as receiving Christmas presents or new clothes from her stepmother. Comprehensive Psychiatric Evaluation Template Discussion Essay

Mary seems to grapple with profound embarrassment linked to past events of childhood maltreatment. Her struggles with these overpowering emotions often trigger a return to substance abuse. This, in turn, fuels feelings of further shame and self-loathing, both capable of plunging her back into a cycle of relapse. The sense of powerlessness and absence of control in her life prompted Mary to persistently place herself in distressing situations.
During the therapy session, T.B. expressed a desire to learn. Stated that she wants to learn how to love herself. She wants to improve her spirituality by attending a church with a small congregation, she feels overwhelmed when around a crowd of people.
Mental status
During her mental status examination, the patient is cooperative with the therapist. She is casually groomed and cleanly dressed appropriately. There is no evidence of any abnormal motor activity. Her speech is clear, coherent, and normal in volume and tone. Her thought process is goal-directed and logical. There is no evidence of looseness of association or flight of ideas. She was in a depressed mood, and her affect was appropriate to her mood. She denies any auditory or visual hallucinations. There is no evidence of any delusional thinking. She denies any current suicidal or homicidal ideation. Cognitively, she is alert and oriented. Her recent and remote memory is intact. Her concentration is fair. Her insight is poor. Comprehensive Psychiatric Evaluation Template Discussion Essay
Therapist Recommendation

Mary will be guided through Individual and Group Trauma Counseling to address her unresolved trauma issues. This will be achieved by mastering techniques and developing skills to manage her emotional self-regulation. She will learn relaxation techniques and positive self-talk to replace negative self-talk and apply positive thought interventions. She will also be taught how to cognitively restructure trauma events and identify the risk levels for re-victimization recidivism.
The conclusion has been made that Mary is suitable for Outpatient Mental Health Services, Intensive Out-Patient Substance Abuse Services, and Specialized Trauma Treatment. Comprehensive Psychiatric Evaluation Template Discussion Essay

 

THE ASSIGNMENT
Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What was 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 in order of highest to lowest priority and explain why you chose them. What was your primary diagnosis and why? Describe how your primary diagnosis aligns with DSM-5-TR diagnostic criteria and is supported by the patientâ€s symptoms. Comprehensive Psychiatric Evaluation Template Discussion Essay
Plan: Describe your treatment modality and your plan for psychotherapy. Explain the principles of psychotherapy that underline your chosen treatment plan to support your rationale for the chosen psychotherapy framework. What were your follow-up plan and parameters? What referrals would you make or recommend because of this psychotherapy session?
Reflection notes: What would you do differently in a similar patient evaluation? Reflect on one social determinant of health according to the Healthy People 2030 (you will need to research) as applied to this case in the realm of psychiatry and mental health. As a future advanced provider, what are one health promotion activity and one patient education consideration for this patient for improving health disparities and inequities in the realm of psychiatry and mental health? Demonstrate your critical thinking.

NB: Please develop the comprehensive Psychiatric Evaluation using the template, and you guide yourself with the example provide . Please see the file i upload. Comprehensive Psychiatric Evaluation Template Discussion Essay

 

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