PRAC 6635 WEEK 6 Assignment : Clinical Hour and Patient Logs
Walden University PRAC 6635 WEEK 6 Assignment : Clinical Hour and Patient Logs-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University PRAC 6645 WEEK 8 Assignment 1 : Clinical Hour and Patient Logs assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for PRAC 6645 WEEK 8 Assignment 1 : Clinical Hour and Patient Logs
Whether one passes or fails an academic assignment such as the Walden University PRAC 6645 WEEK 8 Assignment 1 : Clinical Hour and Patient Logs depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for PRAC 6645 WEEK 8 Assignment 1 : Clinical Hour and Patient Logs
The introduction for the Walden University PRAC 6645 WEEK 8 Assignment 1 : Clinical Hour and Patient Logs is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for PRAC 6645 WEEK 8 Assignment 1 : Clinical Hour and Patient Logs
After the introduction, move into the main part of the PRAC 6645 WEEK 8 Assignment 1 : Clinical Hour and Patient Logs assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for PRAC 6645 WEEK 8 Assignment 1 : Clinical Hour and Patient Logs
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for PRAC 6645 WEEK 8 Assignment 1 : Clinical Hour and Patient Logs
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for PRAC 6635 WEEK 6 Assignment : Clinical Hour and Patient Logs
Clinical Logs
Major Depression
Age: 45 years
Diagnosis: Major depression
S: A.R is a 45-year-old male who has been undergoing treatment for depression in the psychiatry unit. Today was the client’s fourth visit. He was diagnosed with major depression four months ago and has been on psychotherapy and using pharmacological interventions for symptom management. The client was diagnosed with major depression due to a number of symptoms. They included having suicidal thoughts and attempting to commit suicide. The patient also experienced depressed mood most of the time throughout the day. He lacked the energy to engage in his social and occupational activities. His appetite had also reduced significantly leading to low food intake, fatigue and changes in body weight. The patient also reported having trouble in making decisions as well as concentrating even on simple tasks. His spouse brought him for psychiatric review where he was diagnosed with major depression. He has been using Zoloft 75 mg orally per day and has been attending group psychotherapy.
O: The client appeared appropriately dressed for the occasion. He was oriented to self, place, time and events. The mood was elevated. He was future oriented. His speech volume and rate was normal. His judgment was intact. He denied recent history of suicidal thoughts, plans or attempts. The client also denied illusions, hallucinations, and delusions. He was satisfied that the treatment has been effective in improving his distressing symptoms.
A: The patient is responding positively to the treatment. The increase of Zoloft dosage from 50 mg to 75 mg has been effective. The patient has tolerated the new medication regime.
P: The patient was advised to continue with the current medication regime. He was also informed to continue with the monthly group psychotherapy sessions. He will be reviewed in one months’ time to det
ermine his response to treatment.
Major Depression
Name: B.X
Age: 46 years
Diagnosis: Major Depression
S: B.X is a 46-year-old female who was referred to the psychiatric unit by her family physician. The physician felt that B.X could be experiencing a psychiatric disorder, increasing the need for her review in the unit. The client came with a number of complaints. One of them was persistently low moods throughout the day, most of the day. The client also felt hopeless in life and often guilty that she had not accomplished the things she wanted in her life. The client also reported experiencing persistent insomnia. The insomnia often led to her fatigue during the day in her workplace. The client also complained that her appetite had declined significantly. She had lost over 5 kg in weight over the last four months. The family of the client were worried that her health was deteriorating so fast that she needed medical attention. Most recently, the patient expressed intent to commit suicide. She had a well-developed plan that she intended to use in committing suicide. Based on the above complaints, the client was diagnosed with major depression.
O: The client is poorly dressed for the occasion. Her orientation to self and place is altered. The patient’s mood is depressed. The speech is reduced in terms of rate and volume. The judgment of the client is also altered. She reports suicidal thoughts and plans. She denied hallucinations, illusions and delusions.
A: The client experiences symptoms of major depression. The client should be started on pharmacological intervention to improve her symptoms. She also needs close follow-up to determine the effectiveness of the medication.
P: The client was prescribed Zoloft 50 mg orally per day to manage symptoms of depression. She was scheduled for a follow-up visit after one month.
Bipolar Disorder
Name: C.A
Age: 33 years
Diagnosis: Bipolar Disorder
S: C.A is a 33-year-old male who was diagnosed three months ago with bipolar disorder. The patient has been on follow-up visit to determine his response to treatment. The patient is currently on psychotherapy and use of pharmacological interventions. The client was diagnosed with bipolar disorder three months ago due to a number of complaints. They included mood swings characterized by high and low moods. The patient reported that he experienced mixed feelings of elevated moods and depressed moods. The patient reported feeling hopeless, guilty or sad and losing interest in things when he was depressed. The depression alternated with explosion of moods characterized by high energy, euphoria, insomnia, and being easily irritable. The client also reported fatigue and difficulties in concentrating during depressive episodes of the disorder. Based on the above, the patient was diagnosed with bipolar disorder and has been on pharmacological treatment and psychotherapy.
O: The client appeared appropriately dressed for the occasion. The orientation of the client to place, self, time and events was intact. The mood of the client was normal with absence of euphoria. The speech was of normal rate and volume. The client denied recent history of suicidal thoughts, plans, and intent. The client also denied illusions, hallucinations, and delusions.
A: The client appears to be responding positively to the treatment. The client expressed optimism with the treatment interventions. The symptoms of bipolar disorder are now mild.
P: The client was advised to continue with the current dose of medications alongside attending psychotherapy sessions on a monthly basis.
Schizophrenia
Name: B.D
Age: 40 years
Diagnosis: Schizophrenia
S: B.D is a 40-year-old male who was brought to the unit as a referral by his physician. The patient came to the unit with a number of symptoms that led to his diagnosis with schizophrenia. One of the symptoms that the patient had was delusions. The client had altered sense of self and others. The patient also hallucinated as well as disorganized speech. The emotional expression of the client was also impaired. The above symptoms were reported to have affected the ability of the client to function in his social and occupational roles. The impaired functioning could not be attributed to any cause such as drug or substance abuse or any medical condition. The symptoms led to the patient being diagnosed with schizophrenia.
O: The patient appeared poorly groomed. His orientation to self, place, and events were altered. The client also demonstrated mutism during the assessment. The mood of the client was depressed. The client reported delusions and hallucinations. He denied history of suicidal thoughts, plans, or attempts.
A: The cognitive ability of the client appears altered. The patient requires assistance in the development of his sense of self and others. The aim of treatment should be on the management of symptoms.
P: The client was initiated on psychotherapy and prescribed pharmacological medications to manage symptoms. The patient was to be reviewed after four weeks to determine his response to treatment.
Insomnia
Name: D.A
Age: 23 years
Diagnosis: Insomnia
S: D.A is a 23-year-old female who was brought to the unit as a referral by her primary care physician. The primary care physician believed that D.A had a health problem that the psychiatric team could address. The history taken from the client showed that the client had a three-month history of sleeping problems. The client reported having trouble in falling asleep and maintaining sleep at night. She also reported that she always laid awake for long periods at night. She also noted that she finds it hard to get back to sleep whenever where wakes up at night. The client also noted that her energy levels had decline significantly over the past few days. The decline in energy was attributed to the lack of sleep that affected her ability to engage in her daily routines. Based on the above symptoms, the client was diagnosed with insomnia.
O: The patient was dressed appropriately for the occasion. Her orientation to self, place, time, and events were intact. The client appeared tired during the assessment due to lack of sleep. The speech was of normal rate and volume. The judgment was intact with the absence of delusions, hallucinations, and illusions. The client denied any history of suicidal thoughts, plans, or attempts.
A: The client appeared tired due to lack of sleep in the previous night. The patient therefore needed assistance on ways of achieving healthy sleep to maintain optimum health and functionality.
P: The patient was initiated on individual psychotherapy session. She was provided health education on ways of achieving quality sleep and maintaining it. She was also educated on the dietary and physical activity routines that she needed to overcome insomnia. She was scheduled for a follow-up visit after two weeks to assess the effectiveness of the interventions.
Insomnia
Name: E.F
Age: 30 years
Diagnosis: Insomnia:
S: E.F is a 30-year-old male who came to the clinic for his second follow-up visit. The client was diagnosed with insomnia three months ago and has been on psychotherapy sessions. The patient was diagnosed with insomnia after he presented to the unit with a number of symptoms. One of them was difficulty in falling asleep and maintaining sleep. The client also reported frequent episodes of waking up while asleep and finding it hard to get sleep afterwards. The client also reported sleeping during the day due to the lack of enough sleep at night. The energy levels of the client during the day were significantly reduced. As a result, he was worried that his productivity was not to the expected level in his organization. Due to the above complaints, the patient was diagnosed with insomnia, and has been undergoing psychotherapy sessions in the unit.
O: The client appeared appropriately dressed for the occasion. His orientation to self, place, time and events were intact. The self-reported mood of the client was ‘significantly improved.’ The judgment of the client was intact. He denied any history of delusions, hallucinations, and illusions. He also denied any history of suicidal thoughts, attempts, and plans.
A: The symptoms of insomnia being experienced by the client have significantly improved. The psychotherapy sessions are effective in addressing the needs of the client. The coping abilities are as per the developed treatment goals.
P: The decision to continue with psychotherapy sessions was upheld. The treatment will be terminated in the next session should a further improvement in symptoms be noted.
Alzheimer’s disease
Name: F.Y
Age: 76 years
Diagnosis: Alzheimer’s disease
S: F.Y is a 76-year-old client who has been undergoing treatment in our unit due to Alzheimer’s disease. The client was diagnosed with Alzheimer’s disease six months ago and has been on follow-up care since then. The client was diagnosed with the disease due to a number of symptoms. One of the symptoms was memory impairment. The patient reported symptoms of memory impairment that included forgetting names of family members, things, and places. The patient also got lost in his familiar places. There was also a change in his personality where he began being aggressive and highly irritable. There was also the evidence of changes in the executive functions of the client. The client would also find it hard in selecting the words to use for his expression. There was also the evidence of increased anxiety being experienced by the client. The anxiety was also associated with mild depressive symptoms that included disinhibition, changes in sleep and appetite, and delusions. Based on the above symptoms, the client was diagnosed with Alzheimer’s disease and has been on treatment.
O: The client appeared appropriately dressed for the occasion. His orientation to self, time, space, and others were intact. The client’s memory of recent and past events was also moderate. The client reported mild symptoms of anxiety. His speech was normal in rate and volume. He denied recent history of hallucinations, delusions, and illusions. He also denied history of suicidal thoughts, plans or attempts.
A: There is moderate improvement in the cognitive functioning of the client. The family reports significant improvement in symptoms of Alzheimer’s disease.
P: The patient was advised to continue with the current medications. He was scheduled for a follow-up visit by the end of the month.
Attention Deficit Hyperactive Disorder
Name: F.A
Age: 9 years
Diagnosis: Attention Deficit Hyperactive Disorder
S: F.A is a 9-year-old male who has been undergoing treatment in the unit for ADHD. The client was diagnosed with ADHD one year ago and has been on treatment and regular follow-up in the clinic. Today, his parents brought F.A for the regular follow-up sessions. The client was diagnosed with ADHD due to a number of complaints. One of them was lack of attention alongside symptoms of impulsivity and hyperactivity for more than six months after being enrolled in school. The symptoms of impulsivity were reported to affect negatively the social and academic performance of the client. The client also demonstrated the above symptoms both in school and at home. The teacher had reported that the client day dreamed and seemed distant while in class. He also failed to complete his assignments on time. He was also reported not to engage actively in complex learning activities that required creativity and critical thinking. A further assessment of the client showed that the symptoms were not attributable to any cause, hence, the diagnosis with ADHD.
O: The client appeared appropriately dressed. His orientation to self, others, time and space was intact. His attention span was reduced. The client demonstrated flight of ideas. The teacher reported that his daydreaming had stopped with the interests of the client on learning activities improved significantly.
A: There is moderate improvement in the symptoms of ADHD.
P: The parents of the client were advised to continue with the medications and attend the monthly follow-up visits.
Post-Traumatic Stress Disorder
Name: G.A
Age: 49 years
Diagnosis: Post-traumatic stress disorder (PTSD)
S: G.A is a 49-year-old female who has been undergoing treatment in the unit due to PTSD. The client was diagnosed with PTSD two months ago following the loss of her elder daughter in a road accident. The client came to the unit with a number of complaints that aligned with those of PTSD. The symptoms include nightmares of the accident and avoidance of any circumstances that related to the events that led to the accident. The client also experienced flashbacks of the events alongside intensive distress when exposed to similar environments that led to the accident. There was the presence of negative belief about herself and others and diminished interest in things that she liked before the loss. The level of irritability was also reported to have increased after the accident. The additional symptoms that led to the diagnosis included insomnia, difficulties in concentration and engaging in reckless behaviors that included binge consumption of alcohol.
O: The patient appeared appropriately dressed for the occasion. She was oriented to self, space, time, and events. The client’s mood was mildly depressed. The speech was normal in rate and volume. The judgment was intact. The client denied illusions, hallucinations, and delusions. She also denied suicidal thoughts, plans, and attempts.
A: There have been moderate improvements in the symptoms of PTSD. The client also appears to tolerate the prescribed medications and psychotherapy.
P: The decision to continue with the current dosage of Zoloft was adopted. This was due to the moderate improvement in symptoms. The client was also advised to continue with the monthly group psychotherapy sessions to improve the effectiveness of the adopted treatments.
Alcohol Abuse Disorder
Name: T.Y
Age: 57 years
Diagnosis: Alcohol Abuse Disorder
S: T.Y is a 47-year old male that was diagnosed with alcohol abuse disorder three months ago. The patient came today for his regular checkups on a monthly basis. The client has been on pharmacological management of alcohol addiction and engagement in cognitive behavioral therapy and alcohol anonymous group. The client was diagnosed with substance abuse disorder because of a number of symptoms that he had at time of his admission. They included the hazardous use of alcohol. It also included the rise in social and inter-personal problems when he took alcohol. The client’s family also reported that the patient had neglected his social and occupational roles due to alcohol addiction. The patient also experienced withdrawal symptoms when he stopped taking alcohol. The other symptoms included binge consumption of alcohol, craving, and spending too much time in looking for and consuming alcohol.
O: The patient appears poorly dressed for the occasion. His hair was unkempt. The orientation of the patient to self, others, and time was intact. The mood appeared depressed. He experienced flight of ideas. He denied history of hallucinations, illusions, and delusions. He also denied suicidal thoughts or attempts.
A: The patient exhibits mild improvement in the symptoms when compared to those seen in the last visit. The patient also reports experiencing mild withdrawal symptoms.
P: The dosage of medication currently being used by the client was doubled to achieve moderate to optimum therapeutic effect. The patient was advised to continue with the psychotherapy sessions as well as participating in alcohol anonymous group. The client is to be reviewed after four weeks in the unit.
Sample Answer for PRAC 6635 WEEK 6 Assignment : Clinical Hour and Patient Logs
Autism Spectrum Disorder
Name: S.G.
Age: 15 years old
Gender: Male
Diagnosis: Autism Spectrum Disorder
S: An Asian 15-year-old boy patient with a medical history of autism, anxiety, and depression was brought to the clinic by his mother. He was hospitalized in the mental ward. The patient has been undergoing cognitive therapy for these concerns since elementary school. The patient’s parents describe wrath, antagonism, and social isolation. There was no documented history of mental illnesses in the family. During the consultation, the patient exhibited signs of social phobia, excessive concern, and behaviors similar to obsessive-compulsive disorder.
O: The patient presents in excellent health and wears acceptable clothing for his age. He is aware of geographical, social, and temporal aspects. He has perfect understanding. The patient speaks and behaves in a way that is consistent with expectations. Considering his age, he exhibits a noteworthy degree of maturity. He keeps his manner the same all the time. He claimed to have been a little agitated psychomotor. He was in a euthymic mood as well. He has a sufficient memory for both short- and long-term retention. He has clear cognitive talents and shows tremendous attention. He exhibits typical thought patterns and perspectives. The patient exhibits fear, obsessive-compulsive disorder symptoms, and excessive worry.
A: The patient exhibits signs that are typical of autism spectrum disorder.
P: For this patient, applied behavior analysis was recommended as an intervention to support the development of desired behaviors and discourage undesired activities to encourage the acquisition of various abilities.
Schizophrenia
Name: G.F.
Age: 18 years old
Gender: Female
Diagnosis: Schizophrenia
S: To continue her therapy, an 18-year-old female patient with schizophrenia is looking for a follow-up appointment at the clinic. Since receiving the diagnosis five months ago, the patient has received medication and psychotherapy as part of her treatment. She and her mother visited the facility today for routine follow-up checkups. After exhibiting symptoms, including disordered speech, auditory hallucinations, and visual hallucinations, the patient was diagnosed with schizophrenia.
O: The patient was adequately attired. She gave time, space, events, and oneself a lot of weight. She denied having had any recent experiences with hallucinations, delusions, or illusions. Denies intended suicide or attempted suicide before. Her concept was original. She showed no abnormal habits, including tics or avoiding eye contact.
A: Based on the diagnostic findings, it seems that the client’s schizophrenia symptoms have stabilized.
P: It was recommended that the patient participate in cognitive behavioral therapy sessions that addressed real-world issues such as relationships, goals, difficulties, and coping mechanisms.
Bipolar Disorder
Name: V.L.
Age: 31 years old
Gender: Male
Diagnosis: Bipolar Disorder
S: The patient, a male Caucasian patient 31 years old, first reports long-lasting bouts of high mood. Based on the frequent bouts of heightened mood, bipolar disorder, especially the manic subtype, was diagnosed in the patient. Delusions, euphoria, elevated enthusiasm, increased activity, and intentional action were the symptoms the patient exhibited. The patient had signs of depression, including weariness, a bad mood, and a diminished interest in routine tasks. The patient had excessive sleep, poor focus and decision-making, reduced appetite, and irritation during these periods.
O: The patient was adequately attired. He had a profound awareness of his thoughts and emotions and a discerning sense of his environment’s temporal and spatial dimensions. He exhibited perceptive insight. A cognitive disability afflicts him. The patient unequivocally denies any evidence suggesting suicide ideation. However, he affirms the validity of self-destructive behaviors. Refuses to acknowledge the possibility of causing harm to others.
A: The patient exhibits mania and depression symptoms, which are consistent with bipolar disorder.
P: Potential treatment options include family-focused therapy, cognitive behavioral therapy, and interpersonal and social rhythm therapy. To optimize therapeutic success, patients should complete both medication therapy and psychotherapy.
General Anxiety Disorder
Name: E.C.
Age: 33 years old
Gender: Female
Diagnosis: GAD
S: The 33-year-old female presented to the clinic with symptoms of anxiety, low self-esteem, and negative habitual thinking patterns. In addition, the patient has headaches, palpitations, tiredness, stiffness in the shoulders and neck, racing thoughts, panic attacks, bowel abnormalities, melancholy, nightmares, loneliness, dizziness, insomnia, and feelings of inadequacy. The patient reports that her nightmare frequency has grown to four times per week, and other symptoms occur virtually every day.
O: The female patient is well-clothed for her age. She shows concentration and a correct understanding of her surroundings, including people, place, and time. Her conduct is usual. She cooperated and communicated well throughout the interview. She has a moderate functional disability. Denies the existence of hallucinations or delusions.
A: According to the DSM-V diagnostic criteria, the patient’s symptoms are compatible with Major Depressive Disorder.
P: Medication was prescribed in addition to psychotherapy treatments, including mindfulness training and cognitive-behavioral therapy.
Insomnia
Name: D.K.
Age: 39 years old
Gender: Female
Diagnosis: Insomnia
S: A 39-year-old Caucasian female was sent to the clinic by her physician. The patient’s sleeplessness has deteriorated despite the initial diagnosis of severe depressive disorder, leading the doctor to refer her for additional psychiatric examination. She has been experiencing constant sadness. She also mentioned having difficulty falling asleep. The decrease in her appetite caused a significant daily drop in his energy levels. In addition, she admitted to having passive suicidal thoughts.
O: The patient was dressed appropriately for the clinic. Her speaking tempo was slowed, but the volume remained constant. She reported feeling depressed. The client denied any instances of illusions, delusions, or hallucinations. She maintained direct gaze contact throughout the examination. She had a forward-thinking mentality. She frankly shared her experience with suicide ideation without any specific plan or effort.
A: Given the patient’s continued antidepressant therapy, our primary emphasis is on managing her sleeplessness.
P: The patient should consider combining cognitive-behavioral therapy with her medication. Cognitive Behavioral Therapy for Insomnia is a complete treatment that addresses problems with both getting asleep and staying asleep.
Anorexia Nervosa
Name: Y.U.
Age: 24 years old
Gender: Female
Diagnosis: Anorexia Nervosa
S: The patient is a 23-year-old Asian girl who presented to the clinic with amenorrhea and significant weight loss in recent months. Furthermore, she claims to have persistent exhaustion and sleeplessness problems. She sometimes has constipation and stomach pain. She is unable to eat despite being hungry. She displays discomfort about her weight. There are no recorded medicine or food sensitivities.
O: All significant physiological markers are within normal ranges except for a body mass index of 16.7. The physical examination reveals signs such as thin hair, no menstruation, dry skin, swollen arms, and a blue tinge to the fingers. The abdominal examination indicates constipation and sensitivity. The patient exhibits indications of hunger and debility. The psychological assessment indicates a significant amount of pain.
A: The patient’s medical documents show a diagnosis of anorexia nervosa.
P: Consider managed weight gain and talk therapy as potential treatments.
Enuresis Disorder
Name: F.V.
Age: 7 years old
Gender: Male
Diagnosis: Enuresis Disorder
S: A 7-year-old Asian child has outstanding physical health and no significant social concerns. The patient goes through conventional developmental stages, except nocturnal enuresis. According to the patient’s mother, the patient continues to wear pull-ups at night. The patient denies having any instances of urinary incontinence throughout the day. He denies having any bowel accidents during the day or night. The patient’s primary objective is to attend sleepover parties with his buddies. Nonetheless, he feels embarrassed since his friends may decline his invitation due to his nocturnal enuresis. While at home, he plays with his toys but shows signs of sadness.
O: A complete genital examination was carried out to discover the underlying cause of the patient’s nocturnal enuresis. The doctor palpated the renal and suprapubic areas to determine the presence of an enlarged bladder or kidney. The feces were scientifically analyzed to determine his texture and the presence of blood. A thorough neurological evaluation was conducted, which included a visual inspection and physical assessment of the lumbosacral spine. The findings did not provide a conclusive cause for the patient’s hyperhidrosis.
A: The patient’s examination aimed to identify the underlying reason for his nightly bedwetting.
P: The Three Step Program was implemented and consisted of three main components. Initially, parents were given assurance, and the child was motivated. Additionally, bladder retention and behavior training were used. Finally, parents were actively involved in the treatment process, assisting the child in applying the gained methods and resolving family conflicts.
Major Depressive Disorder
Name: G.Z.
Age: 21 years old
Gender: Female
Diagnosis: MDD
S: An elder sister took a 21-year-old Caucasian girl to a psychiatric clinic for a mental checkup. She had a medical history of depression throughout her early teens, and she utilized antidepressant medication as a kind of treatment. Nonetheless, when she started college, she stopped taking her medication due to concerns about potential scrutiny from her peers. Nevertheless, she denies the existence of nightmares. During the mental assessment, the patient demonstrated symptoms such as sleepiness, decreased appetite, weeping, poor focus, low motivation, social anxiety, and fatigue.
O: When the patient enters the examination room, she seems well-groomed and dressed adequately for her age. Her intense eye contact and efficient communication throughout the interview demonstrated her exceptional ability to cooperate in responding to questions. She exhibits a high level of situational awareness, including understanding her surroundings, the people around her, and the present time frame. She shows practical communication skills by maintaining a constant tone and intensity. Her understanding is ongoing. Her long-term and short-term memory are intact.
A: The patient meets the DSM-V’s criteria for Major Depressive Disorder (MDD).
P: The patient was informed that cognitive behavioral therapy, interpersonal therapy, and supportive therapy, in addition to pharmaceutical treatment, were the most effective kinds of psychotherapy for controlling major depressive disorder and generalized anxiety disorder.
Separation Anxiety Disorder (SAD)
Name: R.F.
Age: 12 years old
Gender: Male
Diagnosis: separation anxiety disorder
S: A 12-year-old boy and his mother visited the psychiatric unit for a mental health evaluation. The patient’s mother states that he has constantly shown anxiety and excessive concern about minor issues, such as her possible death or failing to pick him up from school. There is no apparent trigger for the patient’s widespread anxiousness. The patient’s mother shows preference toward his younger sibling. He regularly demonstrates rebellious conduct, such as throwing items at home and school, endangering his safety. He suffers from sleeplessness owing to repeated nightmares at night.
O: The patient is in good general health and retains his sense of self, place, and time. The patient contributes by correctly answering questions and constantly maintaining visual engagement. The patient has a positive attitude and stands up straight. The patient effectively delivers the information with clarity and eloquence. While seeing his mother, he exhibits depressive behavior and has long-term difficulties. He has heightened awareness, explicit remembering, and appropriate cognitive ability.
A: The patient has symptoms that match the diagnostic criteria for separation anxiety disorder.
P: Start the patient on cognitive behavioral therapy. The primary purpose of cognitive-behavioral therapy is to assist parents and children in developing the skills necessary to transform dysfunctional thinking and behavior.
Alcohol Use Disorder
Name: T.B.
Age: 41 years
Gender: Male
Diagnosis: Alcohol use disorder
S: A 41-year-old Hispanic man came to the clinic for a usual follow-up consultation. After being diagnosed with alcohol consumption disorder, the patient had both psychotherapy and pharmaceutical therapies over five months. The patient reported getting a diagnosis of the condition after experiencing a variety of symptoms consistent with alcohol consumption. The client acknowledged a three-year history of excessive alcohol drinking. Despite his efforts at sobriety, he battled to manage his excessive drinking. He voiced anxiety about his inability to curb excessive alcohol usage.
O: The patient is appropriately clothed. He maintained a self-aware, socially conscious attitude toward himself, people, and diverse events. He did not exhibit any aberrant behaviors, such as tics. The client’s mind content remained unaffected. He denied any recent experiences with illusions, delusions, or hallucinations. He denied any mention of suicide ideas, attempts, plans, or intentions. The patient’s speech exhibited the usual tone, pace, content, and volume characteristics.
A: Alcohol use disorder symptoms have been steadily improving. He meets the DSM-V criteria, which supports this diagnosis.
P: The patient was advised that joining an anonymous alcohol support group would make sobering up easier, and he agreed. It was recommended that the client continue with her treatment. He had a follow-up appointment scheduled for four weeks later.