NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Exemplar
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.
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 patients 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 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.).
Patient info
Training Title 114
Name: Ally Patel
Gender: female
Age: 48 years old
Background: Only child, raised by parents in San Francisco, CA. Has PhD in biology and masters degree in high school education (812). Her supervisor has asked the school EAP. Counselor to intervene with concerns regarding potential substance use in effort to facilitate getting her help and be able to retain her.
Symptom Media. (Producer). (2018). Training title 114-2 [Video]. https://video-alexanderstreet-
Transcript
Ally (ph) Really, come on. I’m missing first period. And now you want me to be late for my second class. Can we do this during my third period break?
UNKNOWN I I’m sorry, Ally(ph) but principal Michaels requested that you and I take some time this morning and talk. I I know we worked together before right now, I’m going to have to put on my professional app.
Ally (ph) That’s ridiculous. Why?
UNKNOWN Well, maybe you can tell me why.
Ally (ph) I have a class waiting for me.
UNKNOWN Well, you been frequently late for your classes. In fact, let’s say uh 22 days so far this year?
Ally (ph) It has not been 22 days.
UNKNOWN Yes, it has, something not right here at school or something not right at home.
Ally (ph) My personal life is fine. And personal.
UNKNOWN I know you haven’t changed addresses so it can’t be the traffic.
Ally (ph) Jesus. The History Department had a party last night a Darrel’s(ph). Why don’t you bring him in here and question him?
UNKNOWN So are you saying the Darrel’s(ph) party is the reason that you were late? That was last night? I don’t understand.
Ally (ph) Okay. Alcohol was served. We had a bit much to drink. Not just me. We’re adults here. And I mean, the the school host of social hour on campus every month.
UNKNOWN So what are you saying? Are you saying that you were drunk?
Ally (ph) I drank, but no.
UNKNOWN Were you intoxicated enough that you passed out?
UNKNOWN I woke up and Darrel’s(ph) cash responding. And, and fuck him for not waking me. He came to school on time but let’s be there lying on the couch.
UNKNOWN Have you passed out other times?
Ally (ph) We have all passed out at times. I’m sure I’ve seen you drunk at those parties.
UNKNOWN Are you still feeling intoxicated this morning?
Ally (ph) No, Course not.
UNKNOWN Have you ever been drunk? While you were here teaching?
Ally (ph) No.
UNKNOWN I’m asking that because we’ve had complaints.
Ally (ph) Complaints from who?
UNKNOWN Students, parents.
Ally (ph) Well, bring him in. Let them tell that to my face because it’s totally not true.
UNKNOWN They’ve complained that at different times you came into class and then you ordered the kids to read from their textbook or you ordered the kids to copy notes from the board while you were sleeping with your head on the desk.
Ally (ph) You have to be kidding me.
UNKNOWN Several students and several parents have complained.
Ally (ph) Exactly who, Alexis? Do you know how many problems she’s created for the teachers at the school.
UNKNOWN But you were drinking last night. And it sounds like you drank enough that you passed out and had to sleep on Darrel’s(ph) couch?
Ally (ph) Yes. I mean, I did.
UNKNOWN So, is there something going on in your personal life?
Ally (ph) No.
UNKNOWN How’s Ryan?
Ally (ph) Ryan? First time I’ve known you to travel slow here. We split up before the school year started. Last summer.
UNKNOWN What happened?
Ally (ph) I’m really, really uncomfortable sharing anything about my relationships with you.
UNKNOWN Okay, that’s fair. That is your personal life.
Ally (ph) Is there any reason I just can’t walk out of this office right now?
UNKNOWN Well, I don’t know the specifics of what the Board of Education would decide if you don’t cooperate, but I’m guessing at something pretty serious.
Ally (ph) This is unbelievable.
UNKNOWN Wait, wait. Wait a minute. The administration asked me to speak with you. The school wants to work with you if you’ll cooperate. And as someone who really likes you. I am warning to understand. I’m hoping to help you. So just, okay, thank you. Good. Now, what’s going on?
Ally (ph) I don’t know.
UNKNOWN Okay. How much did you drink last night?
Ally (ph) Too much.
UNKNOWN How often do you drink too much?
Ally (ph) I don’t know.
UNKNOWN How much would you estimate that you drink in a typical week?
Ally (ph) Every night.
UNKNOWN Do you drink with friends, family, by yourself?
Ally (ph) Alone. Once in a while I’ll go to a bar with my friends or drink at school functions. Where I might add they do supply alcohol liberally.
UNKNOWN Yes.
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