NRNP-6635 Week 4 Assignment Assessing and Diagnosing Patients With Anxiety Disorders, PTSD, and OCD
Fear,” according to the DSM-5-TR, “is the emotional response to real or perceived imminent threat, whereas anxiety is anticipation of future threat” (APA, 2022). All anxiety disorders contain some degree of fear or anxiety symptoms (often in combination with avoidant behaviors), although their causes and severity differ. Trauma-related disorders may also, but not necessarily, contain fear and anxiety symptoms, but their primary distinguishing criterion is exposure to a traumatic event. Trauma can occur at any point in life. It might not surprise you to discover that traumatic events are likely to have a greater effect on children than on adults. Early-life traumatic experiences, such as childhood sexual abuse, may influence the physiology of the developing brain. Later in life, there is a chronic hyperarousal of the stress response, making the individual vulnerable to further stress and stress-related disease.
For this Assignment, you practice assessing and diagnosing patients with anxiety disorders, PTSD, and OCD. Review the DSM-5-TR criteria for the disorders within these classifications before you get started, as you will be asked to justify your differential diagnosis with DSM-5-TR criteria.
To Prepare:
- Review this week’s Learning Resources and consider the insights they provide about assessing and diagnosing anxiety, obsessive-compulsive, and trauma- and stressor-related disorders.
- 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.
By Day 7 of Week 4
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 patient’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.
- 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.).
Solution: NRNP-6635 Week 4 Assignment Assessing and Diagnosing Patients With Anxiety Disorders, PTSD, and OCD
Subjective:
CC (chief complaint): “I think she gets pretty scared when you are out of the room, when you’re not around her.” (Symptom Media, 2017).
HPI: MJ is an 8-year-old Caucasian female who was referred for evaluation by her pediatrician, Dr. Ferguson, due to complaints of headaches, stomachaches, and school refusal behavior for the past three months. MJ is not currently on any medication, and her vaccinations are up-to-date. MJ seems to get scared when her mother is out of the room or not around her. During the interview, she described her fear of being kidnapped or her parents being in a car accident and not returning. She stated that she is scared of the dark because people might be staring at her, although she cannot see or hear them. MJ’s refusing school began after the winter holidays, about three months ago. Her mother reported that MJ cries and complains of stomachaches when it is time to go to school, leading the teacher to call and request that she be picked up. The situation escalated to the point where MJ refused to get out of the car at school, and the principal had to carry her inside, which was embarrassing for them. Despite her reluctance to attend school, MJ’s mother stated that she is a good student who makes excellent grades. However, MJ expressed disliking the classwork and stated that she hates school. When asked about her social relationships, she said she has friends at school but did not provide further details. MJ’s mother also mentioned that she has temper tantrums when pushed to do something she does not want to do, such as the incident where she broke her model house after being sent to her room for a timeout because she refused to walk the dog due to fear of being kidnapped. Her symptoms; fear of separation from her mother, fear of being kidnapped or her parents being in an accident, and refusing school have been present for approximately three months and have a significant impact on her daily functioning and family life.
Past Psychiatric History:
- General Statement: No reported previous psychiatric history.
- Caregivers (if applicable): MJ is 8 years old and lives with her mother.
- Hospitalizations: No previos hospitalizations
- Medication trials: None.
- Psychotherapy or Previous Psychiatric Diagnosis: No previous psychotherapy or psychiatric diagnoses reported. According to her mother, this represents new onset of symptoms over the past 3 months without apparent precipitating events
Substance Current Use and History: No reported history of substance use.
Family Psychiatric/Substance Use History: No significant family psychiatric history reported. Parents have no history of mental illness, substance abuse, or traumatic experiences according to mother.
Psychosocial History: MJ is an 8-year-old female living with her mother, 12-year-old brother, and 14-year-old sister. Her mother does not work outside the home and seems to have a close relationship with MJ, often lying down with her until she falls asleep at night. MJ’s mother….Please click purchase button below to get full answer for $10
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