PRAC 6635 WEEK 9 Assignment : Clinical Hour and Patient Logs
Walden University PRAC 6635 WEEK 9 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 6645 WEEK 8 Assignment 1 : Clinical Hour and Patient Logs
Clinical Logs
Alzheimer’s Disease
Name: B.S
Age: 70 years
Diagnosis: Alzheimer’s disease
S: B.S is a 70-year-old client who has been on treatment in the unit for Alzheimer’s disease. The patient was diagnosed with the disease a year ago and has been coming to the unit for regular checkups. The client was diagnosed with Alzheimer’s disease due to some symptoms that aligned with those of the disorder. The symptoms included a significant decline in his memory. The client reported that he started experiencing gradual loss of memory, as he could not remember the names of his family members and his familiar places. The client also reported getting lost in his home town, which increased his risk of ham. There was also the complaints by the family members that B.S was easily agitated and irritated by others and events. There was the history of loss of short-term and intermediate memory. The symptoms were reported to be worsening on a daily basis, leading to the client being brought to the setting for further assessment. He was diagnosed with Alzheimer’s disease and has been on treatment.
O: The patient appeared well groomed for the occasion. His orientation to self, time, others, and events were intact. The self-reported mood of the client was ‘normal.’ The client’s experience of long-term and short-term memory was negative. The client denied any suicidal thoughts, illusions, hallucinations, and delusions. The reports of insomnia were also reported to have declined significantly.
A: The client has continued to show positive improvement in the symptoms of Alzheimer’s disease. The treatment has been effective in improving his cognitive abilities.
P: The decision to continue with the current treatment modalities was adopted. This was attributed to the improvement in symptoms following the treatment.
General Anxiety Disorder
Name: D.D
Age: 28 years
Diagnosis: Generalized anxiety disorder
S: D.D is a 28-year-old male who came to the unit as a referral by his physician for assessment. The physician felt that D.D was exhibiting symptoms that he felt that required the management by the psychiatrist. The client came
with a number of complaints. The symptoms included experiencing excessive worry that was beyond his control. The client reported that he felt excessive worry of failing to achieve his life dreams. He also feared impending doom. The client also reported that the feelings of worry were associated with symptoms that included easy fatigability, irritability, restlessness, and difficulties in concentrating. The patient also reported that he has been experiencing hardships in sleeping and engaging in his assigned social and occupational roles. Further assessment of the client ruled out any drug or substance abuse or medical condition that could have been attributed to the symptoms. The above symptoms aligned with those of generalized anxiety disorder, hence, the diagnosis.
O: The client was well dressed for the occasion. His orientation to self, place, time, others, and events were intact. The self-reported mood of the client was ‘I excessively worried about myself.’ The client appeared tired due to lack of enough sleep in the previous night. The client denied history of suicidal thoughts, plans, or attempts. He also denied history of hallucinations, illusions, and delusions.
A: The client is experiencing moderate symptoms of generalized anxiety disorder. He should be assisted to overcome his fears and live a positive and healthy life.
P: The client was started on group psychotherapy. He was also educated on behaviors that he needed to achieve quality and quantity sleep. He was scheduled for a follow-up visit after four weeks.
Insomnia
Name: F.F
Age: 26 years
Diagnosis: Insomnia
S: F.F is a 26-year-old female who was referred to the psychiatric unit by her physician. The client felt that the symptoms that the client experienced required review by the psychiatric team rather than the medical team. F.F came with a number of complaints that led to her diagnosis with insomnia. The complaints included the lack of enough sleep for the past seven months. the client reported that she has been finding it extremely hard for her to fall asleep. She also finds it hard to maintain sleep once asleep. There were also the complaints of awakening at night and finding it hard to get back to sleep. The client also noted that the quality and quantity of sleep was not improving despite her use of over the counter medications to improve sleep. The lack of adequate and quality sleep was affecting the performance and productivity of the client. She reported that it has been difficult for her to remain attentive during the day due to daydreaming. She also reported challenges of making sound decisions and being easily irritated. The above complaints led to her being diagnosed with insomnia.
O: The client appeared well dressed for the occasion. She appeared tired from the lack of sleep the previous night. The mood of the client was flat. The client denied illusions, hallucinations, and delusions. She also denied suicidal thoughts, attempts, and plans.
A: The client appears to be suffering from the lack of enough and quality sleep. She needs to be assisted to develop effective skills for improving her sleeping habits.
P: The client was initiated on individual psychotherapy. She was also educated on habits that she needed to adopt to improve her quality and quantity of sleep.
Insomnia
Name: G.F
Age: 32 years
Diagnosis: Insomnia
S: G.F is a 32-year-old male who has been undergoing treatment in the unit due to insomnia. The client was diagnosed with insomnia three months ago and has been on psychotherapy. The client was diagnosed with the disorder following a number of complaints that aligned with those of insomnia. The complaints included the severe lack of sleep for four months. The client reported that his quality and quantity of sleep had declined significantly. He often found himself awake most of the nights almost on a daily basis. The client also reported that he could fall asleep during the day in his workplace due to lack of sleep. The client also reported that the persistent, severe lack of sleep had affected his ability to concentrate and was easily irritable. The client denied any use of medications, medical condition, or substance abuse that could have been contributing to the lack of sleep. Therefore, he was diagnosed with insomnia and initiated on treatment.
O: The client appeared appropriately dressed for the occasion. He was oriented to self, place, time and events. The mood of the client was improved from the last visit. His insomnia was reported to have also improved. The client denied illusions, hallucinations, and delusions.
A: The client appears to be responding well to treatment. His symptoms of insomnia have significantly improved.
P: The decision that the client to continue with psychotherapy sessions was made due to his response to treatment. The client will be assessed in four weeks’ time.
Major Depression
Name: H.A
Age: 43 years
Diagnosis: Major depression
S: H.A is a 43-year-old male who came to the clinic as a referral by his physician. The physician referred him for psychiatric review for symptoms that he felt that aligned with those of major depression. The client raised a number of complaints during the assessment. One of the complaints was the persistent feeling of sadness in most days throughout the day. The client reported that his mood was always depressed. He did not like participating in social activities, as he was socially withdrawn. He also started being absent from his workplace because he found it not interesting anymore. The client also reported that he no longer has appetite for food. The changes in appetite have led to a drastic loss of weight. The client also noted that he suffers from insomnia, which has affected his ability to perform optimally in his social and occupational roles. Due to the above symptoms, the client was diagnosed with major depression and initiated on treatment.
O: The client appeared poorly dressed for the occasion. He was underweight for his age. The orientation of the client to self, place, time, and events were intact. The self-reported mood of the client was ‘depressed.’ The client denied illusions, hallucinations, and delusions. He also denied suicidal thoughts, attempts, and plans. He was future oriented.
A: The client demonstrates symptoms of mild depression. He should be assisted in improving his mood, social and occupational functioning.
P: The patient was initiated on antidepressants and psychotherapy. He was to be reviewed after four weeks.
Major Depression
Name: Z.Y
Age: 34 years
Diagnosis: Major depression
S: Z.Y is a 34-year-old female that came today to the unit for her regular checkup. The client was diagnosed with major depression and has been on antidepressants and psychotherapy treatments. The client was diagnosed with the disorder following a number of complaints she presented with to the unit. One of the symptoms was the persistent feeling of hopelessness. She felt that she had no value in life and wanted to commit suicide. The client also reported being socially withdrawn. She locked herself in her room most of the times to help her avoid contact with people in her environment. The client also reported an increase in her appetite. The increased appetite led to weight gain due to high food intake. The client also had trouble in concentrating. She was easily irritable. The quality and quantity of sleep also declined, as she complained of insomnia for the past seven months prior to treatment. The above symptoms were noted to have affected adversely the ability of the client to perform optimally in her social and occupational roles. Therefore, she was diagnosed with major depression and initiated on treatment.
O: The client was appropriately dressed for the occasion. Her self-reported mood was ‘I am now better.’ The orientation to self, place, time, and events were intact. She denied any illusions, delusions, ad hallucinations. The client also denied any recent experience of suicidal thoughts, plans, and attempts.
A: The client has responded well to the treatment. There is moderate improvement in the symptoms of depression.
P: The decision to continue with the current treatment was made because of the moderate improvement in symptoms. The client will come for her checkup after 4 weeks.
Post-Traumatic Stress Disorder
Name: K.I
Age: 38 years
Diagnosis: Post-traumatic stress disorder
S: K.I is a 38-year-old male who came to the unit for his regular follow-up visits. He was diagnosed with post-traumatic stress disorder three months ago and has been on antidepressants and group psychotherapy. The client was diagnosed with the disorder following the development of some symptoms associated with a traumatic event that he experienced. The symptoms that the client experienced included distressing flashbacks about the trauma and nightmares. The client also engaged in avoidance of any stimuli that was associated with the trauma. There was also the evidence of increased irritability, difficulty in concentration and anger in the client. The client was worried that his ability to make informed decisions in the workplace was affected since he found it difficult to concentrate on details. The distressing symptoms of the traumatic experience had affected significantly his ability to engage in his social and occupational activities.
O: The client was dressed appropriately for the occasion. His orientation to self, others, events, and environment were intact. The client reported that his mood had stabilized following the use of antidepressants and group psychotherapy interventions. The judgment of the client was intact, as he denied illusions, delusions and hallucinations. The client further denied any recent experiences of suicidal thoughts, plans, or attempts.
A: The client is responding well to the treatment. His level of social and occupational functioning has improved significantly.
P: The client was advised to continue with the current medications and participate in the group psychotherapy sessions. He was to be reviewed for further response to treatment after four weeks.
Borderline Personality Disorder
Name: D.S
Age: 24 years
Diagnosis: Borderline personality disorder
S: D.S is a 24-year-old female that came to the unit for treatment for her uncontrolled behaviors. The client reported a number of symptoms that led to her diagnosis with borderline personality disorder. The symptoms included a pervasive pattern of instability in her relationships. She also reported to be over disturbed by her self-image. The client also reported experiencing excessive fear of being abandoned by her boyfriend. As a result, she often uses behaviors such as self-harm to ensure that the boyfriend does not leave her. The client also reported instances of impulsivity where she engaged in substance abuse and excessive spending of her finances. In some cases, she reported to experience suicidal behaviors and severe feelings of being empty. Based on the above symptoms, the client was diagnosed with borderline personality disorder and initiated on treatment.
O: The client appeared appropriately dressed for the occasion. The client self-expressed mood was that I am anxious. The orientation of the client to self, place, time and events were intact. The judgment was intact as evidenced by the absence of illusions, delusions, and hallucinations. The client reported a recent incident of suicidal attempt as a way of coercing her boyfriend to remain loyal to her. She denied current suicidal plans and thoughts.
A: The client has distorted self-identity. She should be assisted to develop effective coping mechanisms with impulsivity and distorted self-identity.
P: The client was initiated on individual psychotherapy session. She is to be reviewed for response to treatment after four weeks.
Schizoaffective Disorder
Name: G.S
Age: 30 years
Diagnosis: Schizoaffective disorder
S: G.S is a 30-year-old female who came for her follow-up visit today. G.S was diagnosed with schizoaffective disorder and has been on treatment. She was diagnosed with the disorder after she presented with a number of symptoms. The symptoms included an altered perception of self. She considered herself an army personnel and could order her family members. The client also experienced symptoms of major depression, which alternated with mania. The symptoms of major depression included loss of appetite, feeling sad always, socially isolated, and having suicidal thoughts. The symptoms altered with impulsivity where the client felt the need to engage in multiple activities and achieve goals within a short period. The client also reported that the above symptoms affected her ability to function optimally in her social and occupational roles. Further assessment showed that the symptoms were not attributed to substance abuse, medication or a medical condition. The client was therefore diagnosed with schizoaffective disorder and initiated on antipsychotics.
O: The client appeared well groomed for the occasion. The client had normal orientation to self, others, time, and space. The judgment of the client was intact. She denied recent experiences of illusions, delusions, and hallucinations. The client also denied recent experiences of suicidal ideations, thoughts, and plans. The thought content of the client was future oriented.
A: The client appears to be responding well to the treatment. There has been moderate improvement in the symptoms of psychosis. The client expresses increased interest to complete the treatment regime.
P: The client was advised to continue with the current treatment. This was attributed to the moderate improvement in her symptoms of schizoaffective disorder.
Schizophrenia
Name: H.F
Age: 40 years
Diagnosis: Schizophrenia
S: H.F is a 40-year-old male who has been undergoing treatment in the unit for schizophrenia. The patient was diagnosed with the disorder three months ago and has been on pharmacological treatment. The patient was diagnosed with it after he presented with a number of symptoms that related to those of schizophrenia. The symptoms included disturbance in cognition, behavior and responsiveness. The patient presented with false identity of self. He believed that he was a nurse, yet he was a driver in a local manufacturing company. The patient also had abnormal speech that was characterized by repetition of words. There was also the evidence of tremors and tics. The patient also had some symptoms of depression such as lack of energy, being socially withdrawn and suicidal thoughts. The above symptoms had affected significantly the ability of the patient to engage in his social and occupational roles. Based on the symptoms, he was diagnosed with schizophrenia.
O: The patient appeared appropriately dressed for the occasion. His orientation to self, place, time, and events were intact. The patient demonstrated mild anxiety. The speech was of normal rate and volume. The client denied illusions, delusions, and hallucinations. The patient also denied suicidal thoughts, plans, and intentions.
A: There has been moderate improvement in the symptoms of schizophrenia. The disordered cognition and behaviors have also been managed effectively.
P: The decision to continue with the treatment was made. The patient was advised to come for a follow-up visit after four weeks. A decision on whether the dosage of the medication will be reduced or increased will be made based on his response to treatment.
Sample Answer 2 for PRAC 6645 WEEK 8 Assignment 1 : 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.