and Conduct Disorders Dissociative and Somatic Disorders.pdf
1. Disruptive, Impulse-Control, and Conduct Disorders Dissociative and
Somatic Symptom-Related Disorders
Disruptive, Impulse-Control, and Conduct Disorders Dissociative and Somatic Symptom-
Related DisordersDisruptive, Impulse-Control, and Conduct Disorders Dissociative and
Somatic Symptom-Related DisordersUtilize the Comprehensive Psychiatric Evaluation
Template as a reference to write this paper.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.CLICK HERE TO
ORDER YOUR ASSIGNMENTComplete 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? Disruptive, Impulse-Control,
and Conduct Disorders Dissociative and Somatic Symptom-Related DisordersObjective:
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 ing evidence, listed in order from
highest priority to lowest 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.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.).Shane presents to the Psychiatrist with his
mother, they are arguing and Shane is oppositional. Poor eye contact and accusing everyone
other than himself. He has a typical 15 year old attitude. Mom is telling him to sit up straight
and get off his pone. The mom seems to be the reason the apt was made. At 13 Shane started
a new school met a bad group of friends, Shane claims she never liked any of his friends. He
got into trouble, and a friend Alex and Burton burned down a barn, put cement into the
2. teachers gas tank, Shen thinks this is funny. Alex states he doesn’t want help, his mom said
he was crying asking for help. He is charged with ”just” breaking and entering into an
abandoned building. with old rusty tractors and papers. They took tools, and Alex sold them
for money for pot. Shane has shop lifted electronics from Walmart and a bracelet from a
jeweler. Mom has no consequences, Shane is gone for days, he says he is at his friends
house, their parents say he is not there. Shane is missing a lot of school, was expelled for
truancy. At his old school at 11 he started skipping school. He has no history of physical
violence. Mom is constantly antagonizing him. He tortures an old cat. he put a can on its tail,
it ra into traffic got hit and killed. He has no access to guns, or knives. He has threatened to
beat up Alex for hitting on his girlfriend. Alex says Shane shows no emotion and his mother
agrees he has always been a calm quiet kid. Shane is slouched sitting on the couch, making
faces as he speaks and feels he is not wrong, and blaming everyone else. He smurks and
feels nothing he has done was wrong. He minimizes his behaviors and feels he has done
nothing wrong. Mother is earful, but argues with Shane, he doesn’t seem to be phased by
her pain. He has no interest in school, or activities, and only hangs out with Alex and Burton
who are ”bad influences”. Shane doesn’t care he still plans to be their friend and doesn’t
talk to his family for days, no punishments and he leaves for days at a time, no one knows
where he goes. He is clean and dressed nicely, shows extreme disrespect and no emotion for
his mother. She fears these behaviors will get worse and he will get into serious trouble .
Disruptive, Impulse-Control, and Conduct Disorders Dissociative and Somatic Symptom-
Related DisordersAfter reading this think of 3 different diagnosis and followSubjective:
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 ing evidence, listed in order from highest priority to lowest
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.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.).NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation TemplateCC (chief
complaint):HPI:Past Psychiatric History:General Statement:Caregivers (if
applicable):Hospitalizations:Medication trials:Psychotherapy or Previous Psychiatric
Diagnosis:Substance Current Use and History:Family Psychiatric/Substance Use
History:Psychosocial History:Medical History: Current Medications:Allergies:Reproductive
Hx:ROS:GENERAL:HEENT:SKIN:CARDIOVASCULAR:RESPIRATORY:GASTROINTESTINAL:GE
NITOURINARY:NEUROLOGICAL:MUSCULOSKELETAL:HEMATOLOGIC:LYMPHATICS:ENDOC
3. RINOLOGIC:Physical exam: if applicableDiagnostic results:AssessmentMental Status
Examination:Differential Diagnoses:Reflections:References