Posted: November 4th, 2022
Comprehensive Psychiatric Evaluation Note Discussion Paper
COMPREHENSIVE EVALUATION: of Group Therapy Client with Mood Disorder. Template and rubric attached Learning Resources Required Readings (click to expand/reduce) American Group Psychotherapy Association. (2007–2020). Practice guidelines for group psychotherapy. https://www.agpa.org/home/practice-resources/practice-guidelines-for-group-psychotherapy American Psychiatric Association. (2020). Clinical practice guidelines. https://psychiatryonline.org/guidelines Carlat, D. J. (2017). The psychiatric interview (4th ed.). Wolters Kluwer. Chapter 23, “Assessing Mood Disorders I: Depressive Disorders” Chapter 24, “Assessing Mood Disorders II: Bipolar Disorders” Week4 Assignment 2: Comprehensive Psychiatric Evaluation Note on Client with Mood Disorder in Group Psychotherapy (to be used for Patient Case Presentation video) Comprehensive Psychiatric Evaluation Note Discussion Paper
Template Attached Psychiatric notes are a way to reflect on your practicum experiences and connect them to the didactic learning you gain from your NRNP courses. Comprehensive psychiatric evaluation notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care. For this Assignment, you will document information about a patient that you examined in a group setting during the last 4 weeks, using the Comprehensive Psychiatric Evaluation Note Template provided. You will then use this note to develop and record a case presentation for this patient. To Prepare Review this week’s Learning Resources and consider the insights they provide about clinical practice guidelines. Select a group patient for whom you conducted psychotherapy for a mood disorder during the last 4 weeks. Create a Comprehensive Psychiatric Evaluation Note on this patient using the template provided in the Learning Resources. There is also a completed template provided as an exemplar and guide. Comprehensive Psychiatric Evaluation Note Discussion Paper
All psychiatric evaluation notes must be signed, and each page must be initialed by your Preceptor. When you submit your note, Include at least five scholarly resources to support your assessment and diagnostic reasoning. Ensure that you have the appropriate lighting and equipment to record the presentation. The Assignment. Include subjective and objective data; assessment from most recent mental status exam; 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?Comprehensive Psychiatric Evaluation Note Discussion Paper
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-TR diagnostic criteria and is supported by the patient’s symptoms. 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 as a result 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 Comprehensive Psychiatric Evaluation Note Discussion Paper
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