SlideShare una empresa de Scribd logo
1 de 3
Descargar para leer sin conexión
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
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
RINOLOGIC:Physical exam: if applicableDiagnostic results:AssessmentMental Status
Examination:Differential Diagnoses:Reflections:References

Más contenido relacionado

Similar a and Conduct Disorders Dissociative and Somatic Disorders.pdf

Decision TreeNumber of Pages 5 (Double Spaced)Number of s.docx
Decision TreeNumber of Pages 5 (Double Spaced)Number of s.docxDecision TreeNumber of Pages 5 (Double Spaced)Number of s.docx
Decision TreeNumber of Pages 5 (Double Spaced)Number of s.docx
vickeryr87
 
Based on the authors’ own clinical experiences, these seventee.docx
Based on the authors’ own clinical experiences, these seventee.docxBased on the authors’ own clinical experiences, these seventee.docx
Based on the authors’ own clinical experiences, these seventee.docx
jasoninnes20
 
Comprehensive Client Family Assessment Demographic.docx
Comprehensive Client Family Assessment     Demographic.docxComprehensive Client Family Assessment     Demographic.docx
Comprehensive Client Family Assessment Demographic.docx
AASTHA76
 
Sexual Dysfunction and Gender Dysphoria.docx
Sexual Dysfunction and Gender Dysphoria.docxSexual Dysfunction and Gender Dysphoria.docx
Sexual Dysfunction and Gender Dysphoria.docx
write31
 
Comprehensive Psychiatric Evaluation Essay Example Paper.docx
Comprehensive Psychiatric Evaluation Essay Example Paper.docxComprehensive Psychiatric Evaluation Essay Example Paper.docx
Comprehensive Psychiatric Evaluation Essay Example Paper.docx
4934bk
 
and the as needed to support your.docx
and the as needed to support your.docxand the as needed to support your.docx
and the as needed to support your.docx
write12
 
Comprehensive Psychiatric Evaluation And Patient Case Presentation.docx
Comprehensive Psychiatric Evaluation And Patient Case Presentation.docxComprehensive Psychiatric Evaluation And Patient Case Presentation.docx
Comprehensive Psychiatric Evaluation And Patient Case Presentation.docx
write22
 
Eight to Ten Pages in length...To complete this assignment, read.docx
Eight to Ten Pages in length...To complete this assignment, read.docxEight to Ten Pages in length...To complete this assignment, read.docx
Eight to Ten Pages in length...To complete this assignment, read.docx
shandicollingwood
 
The DSM-5 Clinical Cases e-book has provided multiple case-scena.docx
The DSM-5 Clinical Cases e-book has provided multiple case-scena.docxThe DSM-5 Clinical Cases e-book has provided multiple case-scena.docx
The DSM-5 Clinical Cases e-book has provided multiple case-scena.docx
karisariddell
 
psychiatric-interview-module-1.pdf
psychiatric-interview-module-1.pdfpsychiatric-interview-module-1.pdf
psychiatric-interview-module-1.pdf
bernardsurbakti
 
Ethics Case Study Essay GuideAs you prepare to write, please n
Ethics Case Study Essay GuideAs you prepare to write, please nEthics Case Study Essay GuideAs you prepare to write, please n
Ethics Case Study Essay GuideAs you prepare to write, please n
BetseyCalderon89
 

Similar a and Conduct Disorders Dissociative and Somatic Disorders.pdf (17)

Decision TreeNumber of Pages 5 (Double Spaced)Number of s.docx
Decision TreeNumber of Pages 5 (Double Spaced)Number of s.docxDecision TreeNumber of Pages 5 (Double Spaced)Number of s.docx
Decision TreeNumber of Pages 5 (Double Spaced)Number of s.docx
 
Sexual Dysfunction Gender Dysphoria.docx
Sexual Dysfunction Gender Dysphoria.docxSexual Dysfunction Gender Dysphoria.docx
Sexual Dysfunction Gender Dysphoria.docx
 
Based on the authors’ own clinical experiences, these seventee.docx
Based on the authors’ own clinical experiences, these seventee.docxBased on the authors’ own clinical experiences, these seventee.docx
Based on the authors’ own clinical experiences, these seventee.docx
 
Comprehensive Client Family Assessment Demographic.docx
Comprehensive Client Family Assessment     Demographic.docxComprehensive Client Family Assessment     Demographic.docx
Comprehensive Client Family Assessment Demographic.docx
 
Sexual Dysfunction and Gender Dysphoria.docx
Sexual Dysfunction and Gender Dysphoria.docxSexual Dysfunction and Gender Dysphoria.docx
Sexual Dysfunction and Gender Dysphoria.docx
 
Comprehensive Psychiatric Evaluation Essay Example Paper.docx
Comprehensive Psychiatric Evaluation Essay Example Paper.docxComprehensive Psychiatric Evaluation Essay Example Paper.docx
Comprehensive Psychiatric Evaluation Essay Example Paper.docx
 
Describe each client violating HIPAA.docx
Describe each client violating HIPAA.docxDescribe each client violating HIPAA.docx
Describe each client violating HIPAA.docx
 
Note this is not my case scenario at all. it is just how i want m
Note this is not my case scenario at all. it is just how i want mNote this is not my case scenario at all. it is just how i want m
Note this is not my case scenario at all. it is just how i want m
 
and the as needed to support your.docx
and the as needed to support your.docxand the as needed to support your.docx
and the as needed to support your.docx
 
Comprehensive Psychiatric Evaluation And Patient Case Presentation.docx
Comprehensive Psychiatric Evaluation And Patient Case Presentation.docxComprehensive Psychiatric Evaluation And Patient Case Presentation.docx
Comprehensive Psychiatric Evaluation And Patient Case Presentation.docx
 
Eight to Ten Pages in length...To complete this assignment, read.docx
Eight to Ten Pages in length...To complete this assignment, read.docxEight to Ten Pages in length...To complete this assignment, read.docx
Eight to Ten Pages in length...To complete this assignment, read.docx
 
The DSM-5 Clinical Cases e-book has provided multiple case-scena.docx
The DSM-5 Clinical Cases e-book has provided multiple case-scena.docxThe DSM-5 Clinical Cases e-book has provided multiple case-scena.docx
The DSM-5 Clinical Cases e-book has provided multiple case-scena.docx
 
Veiled Pain
Veiled PainVeiled Pain
Veiled Pain
 
Psychiatric case presentation a case of asperger -feb. 2015
Psychiatric case presentation  a case of asperger -feb. 2015Psychiatric case presentation  a case of asperger -feb. 2015
Psychiatric case presentation a case of asperger -feb. 2015
 
psychiatric-interview-module-1.pdf
psychiatric-interview-module-1.pdfpsychiatric-interview-module-1.pdf
psychiatric-interview-module-1.pdf
 
Advanced Clinical Discussion.pdf
Advanced Clinical Discussion.pdfAdvanced Clinical Discussion.pdf
Advanced Clinical Discussion.pdf
 
Ethics Case Study Essay GuideAs you prepare to write, please n
Ethics Case Study Essay GuideAs you prepare to write, please nEthics Case Study Essay GuideAs you prepare to write, please n
Ethics Case Study Essay GuideAs you prepare to write, please n
 

Más de studywriters

inventor who is currently living in Northeast Ohio and answer.docx
inventor who is currently living in Northeast Ohio and answer.docxinventor who is currently living in Northeast Ohio and answer.docx
inventor who is currently living in Northeast Ohio and answer.docx
studywriters
 
Health care organizations strive to create a culture of.docx
Health care organizations strive to create a culture of.docxHealth care organizations strive to create a culture of.docx
Health care organizations strive to create a culture of.docx
studywriters
 
Health care has become to depend on information technology.docx
Health care has become to depend on information technology.docxHealth care has become to depend on information technology.docx
Health care has become to depend on information technology.docx
studywriters
 
Health care facilities treat many types of For.docx
Health care facilities treat many types of For.docxHealth care facilities treat many types of For.docx
Health care facilities treat many types of For.docx
studywriters
 
he brain changes as we Explain the changes in.docx
he brain changes as we Explain the changes in.docxhe brain changes as we Explain the changes in.docx
he brain changes as we Explain the changes in.docx
studywriters
 
Hawksbill sea turtle Conservation Management.docx
Hawksbill sea turtle Conservation Management.docxHawksbill sea turtle Conservation Management.docx
Hawksbill sea turtle Conservation Management.docx
studywriters
 
Is social media more beneficial or more harmful to our.docx
Is social media more beneficial or more harmful to our.docxIs social media more beneficial or more harmful to our.docx
Is social media more beneficial or more harmful to our.docx
studywriters
 
Having more clarity about helps one become a better.docx
Having more clarity about helps one become a better.docxHaving more clarity about helps one become a better.docx
Having more clarity about helps one become a better.docx
studywriters
 
Is Price gouging criminal or is it the free market.docx
Is Price gouging criminal or is it the free market.docxIs Price gouging criminal or is it the free market.docx
Is Price gouging criminal or is it the free market.docx
studywriters
 

Más de studywriters (20)

inventor who is currently living in Northeast Ohio and answer.docx
inventor who is currently living in Northeast Ohio and answer.docxinventor who is currently living in Northeast Ohio and answer.docx
inventor who is currently living in Northeast Ohio and answer.docx
 
Health care organizations strive to create a culture of.docx
Health care organizations strive to create a culture of.docxHealth care organizations strive to create a culture of.docx
Health care organizations strive to create a culture of.docx
 
Health care has become to depend on information technology.docx
Health care has become to depend on information technology.docxHealth care has become to depend on information technology.docx
Health care has become to depend on information technology.docx
 
Health care facilities treat many types of For.docx
Health care facilities treat many types of For.docxHealth care facilities treat many types of For.docx
Health care facilities treat many types of For.docx
 
Health Belief Model.docx
Health Belief Model.docxHealth Belief Model.docx
Health Belief Model.docx
 
Health assessment.docx
Health assessment.docxHealth assessment.docx
Health assessment.docx
 
Health and Professional Ethics.docx
Health and Professional Ethics.docxHealth and Professional Ethics.docx
Health and Professional Ethics.docx
 
Health and Advocacy.docx
Health and Advocacy.docxHealth and Advocacy.docx
Health and Advocacy.docx
 
he brain changes as we Explain the changes in.docx
he brain changes as we Explain the changes in.docxhe brain changes as we Explain the changes in.docx
he brain changes as we Explain the changes in.docx
 
HCR 210 Week 1 DQs.docx
HCR 210 Week 1 DQs.docxHCR 210 Week 1 DQs.docx
HCR 210 Week 1 DQs.docx
 
HCS 131 Course Presentation.docx
HCS 131 Course Presentation.docxHCS 131 Course Presentation.docx
HCS 131 Course Presentation.docx
 
Hawksbill sea turtle Conservation Management.docx
Hawksbill sea turtle Conservation Management.docxHawksbill sea turtle Conservation Management.docx
Hawksbill sea turtle Conservation Management.docx
 
Is social media more beneficial or more harmful to our.docx
Is social media more beneficial or more harmful to our.docxIs social media more beneficial or more harmful to our.docx
Is social media more beneficial or more harmful to our.docx
 
Is relevant to Teslas.docx
Is relevant to Teslas.docxIs relevant to Teslas.docx
Is relevant to Teslas.docx
 
Having more clarity about helps one become a better.docx
Having more clarity about helps one become a better.docxHaving more clarity about helps one become a better.docx
Having more clarity about helps one become a better.docx
 
Is prostitution morally Should we legalize.docx
Is prostitution morally Should we legalize.docxIs prostitution morally Should we legalize.docx
Is prostitution morally Should we legalize.docx
 
Is Moral Anger.docx
Is Moral Anger.docxIs Moral Anger.docx
Is Moral Anger.docx
 
Is Price gouging criminal or is it the free market.docx
Is Price gouging criminal or is it the free market.docxIs Price gouging criminal or is it the free market.docx
Is Price gouging criminal or is it the free market.docx
 
is never total and never The Social.docx
is never total and never The Social.docxis never total and never The Social.docx
is never total and never The Social.docx
 
is medicine and doctors need to prescribe.docx
is medicine and doctors need to prescribe.docxis medicine and doctors need to prescribe.docx
is medicine and doctors need to prescribe.docx
 

Último

Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...
Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...
Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...
ZurliaSoop
 
1029-Danh muc Sach Giao Khoa khoi 6.pdf
1029-Danh muc Sach Giao Khoa khoi  6.pdf1029-Danh muc Sach Giao Khoa khoi  6.pdf
1029-Danh muc Sach Giao Khoa khoi 6.pdf
QucHHunhnh
 
1029 - Danh muc Sach Giao Khoa 10 . pdf
1029 -  Danh muc Sach Giao Khoa 10 . pdf1029 -  Danh muc Sach Giao Khoa 10 . pdf
1029 - Danh muc Sach Giao Khoa 10 . pdf
QucHHunhnh
 

Último (20)

Micro-Scholarship, What it is, How can it help me.pdf
Micro-Scholarship, What it is, How can it help me.pdfMicro-Scholarship, What it is, How can it help me.pdf
Micro-Scholarship, What it is, How can it help me.pdf
 
Google Gemini An AI Revolution in Education.pptx
Google Gemini An AI Revolution in Education.pptxGoogle Gemini An AI Revolution in Education.pptx
Google Gemini An AI Revolution in Education.pptx
 
ComPTIA Overview | Comptia Security+ Book SY0-701
ComPTIA Overview | Comptia Security+ Book SY0-701ComPTIA Overview | Comptia Security+ Book SY0-701
ComPTIA Overview | Comptia Security+ Book SY0-701
 
Accessible Digital Futures project (20/03/2024)
Accessible Digital Futures project (20/03/2024)Accessible Digital Futures project (20/03/2024)
Accessible Digital Futures project (20/03/2024)
 
Introduction to Nonprofit Accounting: The Basics
Introduction to Nonprofit Accounting: The BasicsIntroduction to Nonprofit Accounting: The Basics
Introduction to Nonprofit Accounting: The Basics
 
Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...
Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...
Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...
 
1029-Danh muc Sach Giao Khoa khoi 6.pdf
1029-Danh muc Sach Giao Khoa khoi  6.pdf1029-Danh muc Sach Giao Khoa khoi  6.pdf
1029-Danh muc Sach Giao Khoa khoi 6.pdf
 
Unit-V; Pricing (Pharma Marketing Management).pptx
Unit-V; Pricing (Pharma Marketing Management).pptxUnit-V; Pricing (Pharma Marketing Management).pptx
Unit-V; Pricing (Pharma Marketing Management).pptx
 
FSB Advising Checklist - Orientation 2024
FSB Advising Checklist - Orientation 2024FSB Advising Checklist - Orientation 2024
FSB Advising Checklist - Orientation 2024
 
Mehran University Newsletter Vol-X, Issue-I, 2024
Mehran University Newsletter Vol-X, Issue-I, 2024Mehran University Newsletter Vol-X, Issue-I, 2024
Mehran University Newsletter Vol-X, Issue-I, 2024
 
SKILL OF INTRODUCING THE LESSON MICRO SKILLS.pptx
SKILL OF INTRODUCING THE LESSON MICRO SKILLS.pptxSKILL OF INTRODUCING THE LESSON MICRO SKILLS.pptx
SKILL OF INTRODUCING THE LESSON MICRO SKILLS.pptx
 
Spatium Project Simulation student brief
Spatium Project Simulation student briefSpatium Project Simulation student brief
Spatium Project Simulation student brief
 
General Principles of Intellectual Property: Concepts of Intellectual Proper...
General Principles of Intellectual Property: Concepts of Intellectual  Proper...General Principles of Intellectual Property: Concepts of Intellectual  Proper...
General Principles of Intellectual Property: Concepts of Intellectual Proper...
 
Making communications land - Are they received and understood as intended? we...
Making communications land - Are they received and understood as intended? we...Making communications land - Are they received and understood as intended? we...
Making communications land - Are they received and understood as intended? we...
 
How to Manage Global Discount in Odoo 17 POS
How to Manage Global Discount in Odoo 17 POSHow to Manage Global Discount in Odoo 17 POS
How to Manage Global Discount in Odoo 17 POS
 
Holdier Curriculum Vitae (April 2024).pdf
Holdier Curriculum Vitae (April 2024).pdfHoldier Curriculum Vitae (April 2024).pdf
Holdier Curriculum Vitae (April 2024).pdf
 
UGC NET Paper 1 Mathematical Reasoning & Aptitude.pdf
UGC NET Paper 1 Mathematical Reasoning & Aptitude.pdfUGC NET Paper 1 Mathematical Reasoning & Aptitude.pdf
UGC NET Paper 1 Mathematical Reasoning & Aptitude.pdf
 
1029 - Danh muc Sach Giao Khoa 10 . pdf
1029 -  Danh muc Sach Giao Khoa 10 . pdf1029 -  Danh muc Sach Giao Khoa 10 . pdf
1029 - Danh muc Sach Giao Khoa 10 . pdf
 
Graduate Outcomes Presentation Slides - English
Graduate Outcomes Presentation Slides - EnglishGraduate Outcomes Presentation Slides - English
Graduate Outcomes Presentation Slides - English
 
Food safety_Challenges food safety laboratories_.pdf
Food safety_Challenges food safety laboratories_.pdfFood safety_Challenges food safety laboratories_.pdf
Food safety_Challenges food safety laboratories_.pdf
 

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