Psychotherapy for a mood disorder

Category: Nursing

  

Create a Comprehensive Psychiatric Evaluation Note on this patient 

note, you should include the complete comprehensive psychiatric evaluation note as a Word document and pdf/images

current psychiatric diagnosis including differentials that were ruled out; current psychotherapeutic plan (include one health promotion activity and one patient education strategy you provided); and patient progress toward treatment goals.

  • 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 patient’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 diagnostic criteria and is supported by the patient’s      symptoms. 
  • Plan: What      was your plan for psychotherapy (including one health promotion activity      and one patient education strategy)? What was your plan for treatment and      management, including alternative therapies? Include nonpharmacologic      treatments, alternative therapies, and follow-up parameters, as well as a      rationale for this treatment and management plan. 
  • Reflection notes: What      would you do differently with this patient if you could conduct the      session again? With references.

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