Psychotherapy With Multiple Modalities Essay

Week 7 – Assignment 2: Comprehensive Psychiatric Evaluation Note
Psychiatric notes are a way to reflect on your practicum experiences and connect the experiences to the learning you gain from your weekly Learning Resources. Comprehensive psychiatric evaluation notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care. Psychotherapy With Multiple Modalities Essay
Psychiatric notes are a way to reflect on your practicum experiences and connect the experiences to the learning you gain from your weekly Learning Resources. 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 at your practicum site, using the Comprehensive Psychiatric Evaluation Note Template provided. Psychotherapy With Multiple Modalities Essay

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To Prepare
• Review this week’s Learning Resources and consider the insights they provide about impulse-control and conduct disorders.
• Select a patient for whom you conducted psychotherapy for an impulse control or conduct disorder during the last 6 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.
• Include at least five scholarly resources to support your assessment and diagnostic reasoning. Psychotherapy With Multiple Modalities Essay
RUBIC
Excellent
Discuss Subjective data:
• Chief complaint
• History of present illness (HPI)
• Medications
• Psychotherapy or previous psychiatric diagnosis
• Pertinent histories and/or ROS
9 (9%) – 10 (10%) Psychotherapy With Multiple Modalities Essay
The psychiatric evaluation accurately and concisely presents the patient’s subjective complaint, history of present illness, medications, psychotherapy or previous psychiatric diagnosis, and pertinent histories and/or review of systems that would inform a differential diagnosis.
Discuss Objective data:
• Physical exam documentation of systems pertinent to the chief complaint, HPI, and history
• Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses Psychotherapy With Multiple Modalities Essay
9 (9%) – 10 (10%)
The psychiatric evaluation accurately and concisely documents the patient’s physical exam for pertinent systems. Pertinent diagnostic tests and their results are documented, as applicable
Discuss results of Assessment:
• Results of the mental status examination
• 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. Psychotherapy With Multiple Modalities Essay
18 (18%) – 20 (20%)
The video accurately documents the results of the mental status exam.
Psychiatric evaluation presents at least three differentials in order of priority for a differential diagnosis of the patient, and a rationale for their selection. Response justifies the primary diagnosis and how it aligns with DSM-5 criteria.
Discuss treatment Plan:
• A treatment plan for the patient that addresses psychotherapy and rationales including a plan for follow-up parameters and referrals Psychotherapy With Multiple Modalities Essay
18 (18%) – 20 (20%)
The psychiatric evaluation clearly and concisely outlines an evidence-based treatment plan for the patient that addresses treatment modality, psychotherapy choice with framework principles, and rationale.
Discussion includes a clear and concise follow-up plan and parameters.
The discussion includes a clear and concise referral plan.
Reflections on this case.
Points Range: 5 (5%) – 5 (5%)
Reflections are thorough, thoughtful, and demonstrate critical thinking. Psychotherapy With Multiple Modalities Essay

Reflections contain all 3 elements from the assignment directions including a discussion demonstrating critical thinking of the case related to the HealthyPeople 2030 social health determinates. Clearly and concisely relates discussion to the psychiatric and mental health field.

Comprehensive Psychiatric Evaluation documentation
18 (18%) – 20 (20%)
The response clearly, accurately, and thoroughly follows the Comprehensive Psychiatric Evaluation format to document the selected patient case. Psychotherapy With Multiple Modalities Essay

Resources

Document: Comprehensive Psychiatric Evaluation Note Template (Word document)

Document: Comprehensive Psychiatric Evaluation Note Exemplar (Word document)

Required Media (click to expand/reduce)

Classroom Productions. (Producer). (2016). Impulse and conduct disorders [Video]. Walden University.

Professor Hartung. (2020). Multisystemic therapy (MST) for at-risk youth and juveniles informational webinar [Video]. YouTube. https://www.youtube.com/watch?v=yHbTEWCDlpE

IDENTIFIED PATIENT Psychotherapy With Multiple Modalities Essay

SG IS A 19-YEAR-OLD-FEMALE WHO LIVES WITH HER MOTHER, STEPFATHER, THREE BIOLOGICAL SIBLINGS AND 3 STEPCHILDREN. SG HAS BEEN IMPULSIVE BY ORDERING MANY ITEMS, GIFTS FOR FRIENDS USING HER MOTHER’S CREDIT CARD. HER MOTHER CUT HER OFF FROM USING THE CREDIT CARD. MOTHER REFERRED HER FOR TREATMENT. MOTHER REPORTS SG HAS HAD PROBLEMS WITH IMPULSIVITY SINCE A YOUNG CHILD. SG’S FATHER DIED WHEN SHE WAS 13.

SG HAS AN 8-MONTH-OLD BABY GIRL. THE PATIENT WENT TO SEE THE FATHER OF THE BABY RECENTLY AND HE BEAT HER UP. MOTHER REPORTS SG WAS GOING OUT WITH DIFFERENT MEN AND THEN GOT PREGNANT. ADDITIONALLY, SG HAD BREAST IMPLANTS PRIOR TO GETTING PREGNANT. ONCE SHE WAS PREGNENT THEY CAUSED PROBLEMS AND THEY HAD TO BE REMOVED.
MOTHER REPORTS SG TRIED TO JUMP OUT OF A MOVING CAR ONCE. SG WAS ON PSYCHOTROPICS AT ONE TIME BUT DID NOT REMEMBER WHAT. SHE WAS NONCOMPLIANT. NO MEDICAL ISSUES WERE REPORTED.
SG’S OTHER AND THE BOYFRIEND’S MOTHER ARE HELPING CARE FOR THE BABY. Psychotherapy With Multiple Modalities Essay