PRAC 6645 WEEK 2 Assignment 1: Clinical Hour and Patient Logs
Walden University PRAC 6645 WEEK 2 Assignment 1: Clinical Hour and Patient Logs-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University PRAC 6645 WEEK 2 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 2 Assignment 1 : Clinical Hour and Patient Logs
Whether one passes or fails an academic assignment such as the Walden University PRAC 6645 WEEK 2 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 2 Assignment 1 : Clinical Hour and Patient Logs
The introduction for the Walden University PRAC 6645 WEEK 2 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 2 Assignment 1 : Clinical Hour and Patient Logs
After the introduction, move into the main part of the PRAC 6645 WEEK 2 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 2 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 2 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 2 Assignment 1: Clinical Hour and Patient Logs
Post-Traumatic Stress Disorder
Age: 34 years
Diagnosis: Post-traumatic stress disorder
S: D.S is a 34-year-old patient who came to the department today for his follow-up visit. He was diagnosed with post-traumatic stress disorder seven months ago, and has been on treatment. The symptoms of post-traumatic stress disorder occurred following his involvement in a sexual assault incident. According to the patient, he experienced the symptoms three months after the incidence. The complaints that led to the diagnosis were varied. They incurred recurrence in distressing memories of the encounter. The recurrence was involuntary and often distressing for the patient. The patient also reported nightmares and flashbacks about the incident, which were emotionally distressing. There was also the complaints of avoidance of any stimuli or conditions that reminded him about the incident. The above symptoms had affected severely the ability of the patient to function optimally in his social and occupational roles. The assessment had further revealed that the symptoms were not attributed to any other cause such as medication use, medical condition or substance abuse. He was diag
nosed with post-traumatic stress disorder and has been using antidepressants and attending group psychotherapy sessions.
O: The patient appeared well groomed for the visit. He was oriented to self, place, time and events. The mood was
normal with speech within the expected range in terms of rate and volume. He denied any recent experience of illusions, delusions, hallucinations, and suicidal thoughts, attempts, and plans.
A: The treatment objectives have been achieved for this client. He has developed the desired knowledge and skills for managing the distressing symptoms of post-traumatic stress disorder.
P: Psychotherapy sessions were terminated with consent from the patient. He was advised to continue using antidepressants. He was scheduled for next follow-up visit after two months.
Alzheimer’s disease
Name: C.H
Age: 73 years
Diagnosis: Alzheimer’s disease
S: C.H is a 73 year-old client that was brought to the clinic for psychiatric assessment due to his abnormal behaviors. The accompanying family members reported that C.H had been demonstrating weird behaviors over the past six months, which could not be considered to be due to medical problem. The complaints included his gradual decline in memory, as evidenced by him getting lost in his familiar environments. The patient had also forgotten the names of his family members and needed to be reminded frequently. The patient was also reported to be wandering at night, which predisposed him to harm. The family members were worried that his ability to perform basic financial calculations had deteriorated, as evidenced by errors in his calculations. The level of anxiety in the patient had risen significantly over the past few days. He was reported to be easily irrigated and agitated. The symptoms had affected his ability to engage in his activities of the daily living, as he relied on the family members. Based on the above complaints, the patient was diagnosed with Alzheimer’s disease and initiated on treatment.
O: The patient appeared poorly dressed for the occasion. He was anxious. He did not demonstrate any abnormal movements such as tremors. His orientation to time was altered. He lacked memory of recent events. His speech was of normal rate and volume. He denied delusions, illusions, hallucinations and suicidal thoughts, attempts, plans and intentions.
A: The client demonstrates the symptoms of initial stages of Alzheimer’s disease. The aim of treatment should be to slow the disease process and assist the client cope with the cognitive changes in functioning.
P: The client was initiated on pharmacological treatment and psychotherapy. The aim of the pharmacological treatment was to slow the progression of the condition. Psychotherapy was administered to help him manage anxiety due to changes in functioning.
Major Depression
Name: E.H
Age: 36 years
Diagnosis: Major depression
S: E.H is a 36-year-old client that has been undergoing treatment in the unit due to major depression. The client was diagnosed with the condition eight months ago and has been undergoing group psychotherapy sessions and using antidepressants. The client recalled that she was diagnosed with depression after she presented with some complaints to the department. They included feeling sad most of the days almost all the days, feeling worthless and guilty most of the times. She also reported changes in her appetite, as she did not want to eat any food. She also started becoming socially withdrawn. Her interest in pleasure also declined significantly. The energy levels of the client were also always low. The symptoms had affected significantly her ability to work as a banker. The symptoms could not be attributed to other causes such as medication use, medical conditions or substance abuse. She was therefore diagnosed with major depression and has been undergoing treatment in the facility.
O: The patient appeared dressed appropriately for the occasion. She was oriented to self, place, time and events. Her judgment was intact. She denied any suicidal thoughts, attempts or plans as well as illusions, delusions and hallucinations. Her mood was normal.
A: The client has responded well to the treatments. Her mood has improved. She has developed the desired coping skills for the effective management of her health problem.
P: Psychotherapy sessions were terminated with consent obtained from the client. She was advised to continue with antidepressant therapy. She was scheduled for follow-up visit after two months.
General Anxiety Disorder
Name: J.O
Age: 29 years
Diagnosis: General anxiety disorder
S: J.O is a new client that came to the unit for assessment, as she experienced abnormal levels of anxiety. The client reported that she has been experiencing intense anxiety and fear of failing to produce the expected results in her workplace. According to her, she experienced symptoms of excessive worry that was difficult for her to control. There was also the fear of impending doom should she fail to achieve the set targets in her institution. The feelings of excessive worry were accompanied with a wide range of complaints that included irritability, chest pains, and difficulty in breathing, sweating, and trembling. There was also the complaints that the quality of sleep that the client received in the past month has been poor, as she remained awake throughout the night. The client denied any use of medications, medical condition or substance abuse. As a result, she was diagnosed with general anxiety disorder and initiated on group psychotherapy session.
O: The patient appeared well dressed for the occasion. She was anxious during the assessment. She also constantly yawned due to the lack of enough sleep the previous night. She denied illusions, delusions, hallucinations, and suicidal thoughts, plans, and attempts.
A: The client is experiencing moderate symptoms of generalized anxiety disorder.
P: The client was initiated on group psychotherapy to help her develop effective skills for managing her anxiety.
Insomnia
Name: E.O
Age: 32 years
Diagnosis: Insomnia
S: E.O is a 32-year-old male who has been undergoing treatment in the facility due to insomnia. E.O was diagnosed with insomnia five months ago after he presented to the clinic with a number of complaints. They included the lack of quality and quantity sleep for the last four months prior to the hospital visit. He also complained that he found it difficult to maintain sleep once he fell asleep. There were also the complaints that the sleep disturbance had affected significantly his ability to concentrate in his academic activities. He was worried that his academic performance would have worsened if the condition was not managed. Further assessment of the client had revealed that the symptoms were not attributed to any factors such as medication use, medical condition or substance abuse. He was therefore diagnosed with insomnia and initiated on treatment.
O: The patient appeared well groomed for the occasion. His orientation to self, others, time and events were intact. His judgment was also intact, as he denied illusions, delusions and hallucinations. The client also denied suicidal thoughts, attempts and plans. The speech was of normal rate and volume. He reported enhanced satisfaction with treatment effectiveness, as he no longer experienced troubles in getting and maintaining sleep.
A: The treatment goals for the client have been achieved. There are no complaints of poor quality of sleep. The functioning of the client has also improved with the treatment.
P: Group psychotherapy was terminated with the consent from the client, as the treatment objectives had been achieved.
Major Depression
Name: Z.S
Age: 38 years
Diagnosis: Major Depression
S: Z.S is a 38-year-old female that came today to the unit for her regular checkup. Z.S was diagnosed with major depression three months ago and has been on antidepressants and psychotherapy treatments. She was diagnosed with depression because of a number of reasons. One of the symptoms was the persistent feeling of worthlessness. Her persistent feelings of worthlessness had mad her contemplate committing suicide. The client also reported that she preferred spending her time indoors and alone. She locked herself in her room most of the times to help her avoid contact with people in her environment. The client also reported a decrease in her appetite, which led to weight loss and lack of energy in most of the days. There was also the complaint of lack of concentration and difficulty in making decisions. The client also complained that she experienced insomnia for the last three weeks prior to the hospital visit. The above symptoms were noted to have affected adversely the ability of the client to perform optimally in her social and occupational roles. As a result, she was diagnosed with major depression and initiated on treatment.
O: The client was appropriately dressed for the occasion. She reported that her mood had improved significantly following the changes in her treatment in the last visit. 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 client was advised to continue using the current prescription and attend psychotherapy sessions for sustained improvement in the symptoms of depression.
Binge Eating
Name: M.E
Age: 22 years
Diagnosis: Binge Eating Disorder
S: M.E is a 22-year old college student who has been undergoing treatment in the unit for binge eating disorder. The client was diagnosed with the disorder six months ago and has been on individual psychotherapy treatment. She was diagnosed with binge eating disorder based on a number of complaints that she provided today during our interaction. The complaints included uncontrolled eating that was beyond the normal intake by other students of her age. She also complained that the excessive eating was beyond her control. In some cases, she was embarrassed of her eating habits such that she had to hide from her friends during meal times. Further history taking from the client showed that she did not engage in any compensatory behaviors such as vomiting. The eating habits had affected adversely the social and mental health of the client. As a result, she had come seeking assistance in the unit where she was initiated on individual psychotherapy sessions.
O: The client appeared well groomed for the occasion. Her body weight was within the normal range for her age. She was oriented to self, others, time and place. She did not demonstrate any signs of anxiety or depression. She denied negative perception of her self-image, illusions, delusions, and hallucinations.
A: The client has responded well to the treatment. She reported that she now has control over her binge eating habits. She no longer eats large amounts of food than normal. She is also confident of her new coping skills.
P: The treatment outcomes for this client have been achieved. Therefore, the treatment was terminated. She was however linked with the social support group for individuals with eating disorders in the community to ensure that the coping skills were sustainable.
Schizophrenia
Name: C.H
Age: 44 years
Diagnosis: Schizophrenia
S: C.H is a 44-year old client that came to the unit for psychiatric review. The client’s family felt that he was experiencing abnormal symptoms that were highly likely to be attributed to a mental health problem. The symptoms that the client experienced were varied. They included false identity of self. He believed that he was an alien and could rule over the world in issues related to technological innovations. The client also demonstrated behaviors that were inappropriate for his age. The emotional expression was flat. The family had noted that C.H was easily irritated and experienced significant difficulties in making decisions or concentrating in the things that he was doing. A further assessment during the interaction with the client and his family showed that the symptoms that the client experienced could not be attributed to any cause such as medication use, substance abuse and medical condition. As a result, he was diagnosed with schizophrenia and initiated on treatment.
O: The patient appeared poorly groomed. His orientation to space, time and others was altered. The judgment of the client was also altered. He demonstrated flight of ideas. The patient was delusional. He denied illusions and hallucinations. He also denied suicidal thoughts, attempts and plans.
A: The client experiences moderate symptoms of schizophrenia. His cognitive functioning is impaired.
P: The client was initiated on pharmacotherapy and cognitive behavioral therapy to help him develop effective skills for managing the symptoms of schizophrenia. He was scheduled for a follow-up visit after four weeks.
Bipolar Disorder
Name: A.M
Age: 40 years
Diagnosis: Bipolar Disorder
S: A.M is a 33-year-old male who has been undergoing treatment in the facility due to bipolar disorder. A.M was diagnosed with bipolar disorder two months ago and has been on pharmacological treatment and psychotherapy. A.M was diagnosed with bipolar disorder after he presented with symptoms that aligned with those of bipolar disorder as stated in DSMV. They included an expansive mood that was characterized by the patient feeling that he was in control of everything. A.M also reported that he was easy irritable and agitated. His ability to concentrate in doing tasks and making critical decisions was also altered. The symptoms were presented in most of the days and almost every day. The patient reported additional symptoms during this period. The symptoms included lack of sleep, increased talkativeness, and being easily distracted. The patient also engaged significantly in goal directed activities and impulsive behaviors. The client was worried that the episodes of the above symptoms had a negative effect on his social and occupational functioning. As a result, he was diagnosed with bipolar disorder and has been on treatment with the aim of stabilizing his mood.
O: A.M was dressed appropriately for the visit to the hospital. He was oriented to self, time, space and others. He reported improvement in his mood due to the adopted treatment interventions. The client noted improvements in his concentration and decision making abilities. His judgment was intact. The speech was of normal rate and volume. He denied illusions, delusions, and hallucinations. He also denied suicidal thoughts, attempts and plans.
A: The treatment appears to be effective, as evidenced by the moderate improvement in symptoms.
P: The client was advised to continue with the current treatment modalities. The client was scheduled for a follow-up care after a month.
Sample Answer 2 for PRAC 6645 WEEK 2 Assignment 1: Clinical Hour and Patient Logs
Borderline Personality Disorder
Name: Z.C
Age: 30 years
Diagnosis: Borderline Personality Disorder
S: Z.C is a 30-year-old female that has been undergoing treatment in the unit for borderline personality disorder. The client was diagnosed with the disorder two months ago following complaints that aligned with those of borderline personality disorder. The complaints included instability in her relationships, being concerned with her self-image and excessive fear of abandonment. The client also reported engagement in self-destructive behaviors to get the attention of her boyfriend. The above symptoms were beyond the control of the client. As a result, she was concerned since it was affecting her health and wellbeing. 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 denied suicidal plans, attempts and thoughts.
A: The treatment is effective in improving symptom management.
P: The client was advised to continue with the current treatment attend the psychotherapy sessions as scheduled. She was scheduled for a follow-up visit after one month.
Alcohol Use Disorder
Name: B.D
Age: 36 years
Gender: Male
Diagnosis: Alcohol Use Disorder
S: B.D. is a 36-year-old male patient who came to the facility to seek help. He reports a history of chronic alcohol consumption. The patient reports negative impacts such as deteriorating health, work difficulties, and relationship issues. He has continually become alcohol dependence and quit drinking.
O: The patient is unkempt and disheveled with signs of poor self-care. He is alert and oriented. His speech is slurred, and he exhibits impaired coordination. His memory is intact with a coherent though process. However, thought content is preoccupied with drinking thoughts. He denies suicidal thoughts or ideations.
A: According to the DSM-V criteria, the patient’s symptoms indicate alcohol use disorder.
P: The patient needs to start CBT individual therapy sessions to help address the underlying issues leading to the problem.
Binge Eating Disorder
Name: L.S
Age: 16 years
Gender: Female
Diagnosis: Binge Eating Disorder
S: L.S. is a 16-year-old female patient who visited the facility, indicating that she has been advised by friends to seek help. She reports engaging in in periods of binge eating where he eats large quantities of food and even has an urge to eat more even if she is full. She experiences guilt and shame, which makes her uncomfortable.
O: The patient is well-dressed and appropriately groomed. She is also alert and oriented. She appears overweight. The patient’s mood is depressed and anxious. She has a normal speech. Her thought process is coherent but focused on concerns regarding her body size and shape. She has an intact memory. She denies any thoughts of self-harm.
A: The patient’s symptoms are indicative of binge eating disorder
P: The patient should start weekly CBT sessions to help with maladaptive thoughts.
Intermittent explosive disorder (IED)
Name: M.M
Age: 37 years old
Gender: Female
Diagnosis: Intermittent explosive disorder (IED)
S: M.M is a 37-year-old female patient who came to the facility with history frequent loss of temper. She claims to be moody most of the time, especially the time of the year every year. She exhibits other symptoms such as weight gain and trouble with sleep. In addition, she complains of boredom and low concentration levels. She also finds it hard to keep friends.
O: she is well-dressed and groomed. She is also oriented and alert. The patient is irritable and angry. She has an intact memory. She has a pressured speech. She has a coherent thought process. She is delusional and exhibits a threat of harm to herself and others.
A: Regarding the DSM-V criteria, the patient has intermittent explosive disorder.
P: The patient should start individual CBT sessions to help with the symptoms.
Major Depressive Disorder
Name: R.N
Age: 16 years old
Gender: Female
Diagnosis: MDD
S: R.N. is a 16-year-old female patient who came to the facility for an evaluation. She indicates that she had been diagnosed with depression and she used antidepressants to manage them. However, she stopped using the medication for fear of being judged. She exhibits other symptoms such as sleeping difficulties, reduced appetite, crying spells, reduced concentration levels, and reduced interest in activities.
O: The patient is well-dressed and groomed. She is alert and oriented. She speaks fluently, in a normal tone and volume. Her insight is congruent. Her thought process is age-appropriate, with unremarkable judgment. Her memory is intact. She, however, displays a sad mood and seems to be distracted most of the time. She reports a feeling of worthlessness but denies suicidal ideation.
A: Based on the DSM-V criteria the patient has MDD
P: The patient should start group therapy sessions to help with the symptoms.
Obsessive Compulsive Disorder
Name: M.T
Age: 37-years
Gender: Male
Diagnosis: Obsessive compulsive disorder
M.T is a 37-year-old male patient who came to the facility for a psychiatric visit. He indicates that he has been having distressing and intrusive thoughts related to contamination. He dreads germs and contamination making him frequently wash his hands. He reports that such action reduces his anxiety and fear of germs. Such symptoms and behavior have negatively impacted his daily life.
O: The patient is well-dressed and appropriately groomed. He is alert and oriented. He looks restless. He has a normal speech. He also has a coherent thought process and memory. However, his thoughts are preoccupied with contamination and germs. He is easily distracted. He denies delusions or hallucinations.
A: Based on the DSM-V criteria, the patient’s symptoms show obsessive compulsive disorder.
P: The patient needs to start weekly CBT sessions for better coping skills.
Enuresis Disorder
Name: S.N
Age: 9 years old
Gender: Male
Diagnosis: Enuresis Disorder
S: S.N. is a 9-year-old boy who was brought in by her mother to seek help. She indicates that her son has development a habit of bedwetting. She indicates that when the patient went camping, they shared a bed with a friend who noticed that the patient wet the bed at night. Ever since they have been making him and calling him names, he has lost interest in routine activities and doesn’t even want to go to school.
O: The patient is generally healthy, with no signs of any delays in the developmental stages. He is also alert and oriented. He looks anxious and sad. He has a coherent thought process and intact memory. He denies suicidal action
A: The patient wets the bed at night; hence, he has enuresis disorder.
P: The patient should start family therapy sessions to help with the maladaptive thought patterns.
Acute Stress Disorder
Name: D.D
Age: 31-years
Gender: female
Diagnosis: Acute Stress Disorder
D.D is a 31-year old female patient who came to the clinic for a visit. He reports experiencing work pressure and a recent incident of witnessing an accident scene. She reports intense fear, nightmares, flashbacks, and intrusive memories related to the accident. She also reports feeling on the edge for some time now.
O: The patient is well-dressed and groomed. She is also alert and oriented. She finds it difficult to concentrate and she is easily distracted. She exhibits and anxious mood. Her thought process is preoccupied with memories and thoughts of the accident. She denies suicidal thoughts or ideations.
A: The patient’s symptoms are indicative of acute stress disorder.
P: The patient should start trauma-focused CBT to help address the symptoms.
Bipolar Disorder
Name: W.C
Age: 15 years old
Gender: Female
Diagnosis: Bipolar Disorder
S: W.C. is a 15-year-old female patient who came to the facility accompanied by her father. The father indicates that their daughter has been having mood fluctuations. However she has been missing her doses due to forgetfulness. She also reports that in most cases, she doesn’t feel like taking the medication since they do little to make her better. Her mood fluctuations have intensified in the past week
O: The patient walked in well-groomed in age-appropriate clothes. The patient maintained eye contact during the interview with appropriate facial expressions. Her thought process is coherent and logical. She denies delusion, hallucinations, and suicidal ideation. She confirms being forgetful, but her long-term memory is intact.
A: The patient’s symptoms are indicative of bipolar disorder
P: The patient should start group therapy sessions to help with the symptoms.
General Anxiety Disorder (GAD)
Name: O.M
Age: 52 years old
Gender: Female
Diagnosis: General Anxiety Disorder (GAD)
S: O.M. is a 52-year-old female patient who visited the clinic for a psychiatric assessment. She presents with signs of anxiety, accompanied by headache, decreased appetite, and diarrhea 2 to 3 times every week. She reports anxiety about her retirement, which she feels she is not prepared for, and about her husband, who wants a divorce.
O: She is well-dressed and appropriately groomed. She is alert and well-oriented in person, place, and time. She actively participate in the interview. She looks anxious and sad. She displays a constricted effect with good insight and judgment. Her memory is intact, with an unremarkable thought process. Mild impairment was observed in her functional status.
A: Based on the DSM-V diagnostic criteria, the patient has generalized anxiety disorder
P: The patient should start weekly individual CBT sessions to help deal with the symptoms.
Intellectual Development Disorder
Name: C.V
Age: 10-years
Gender: female
Diagnosis: Intellectual development disorder
S: C.V. is a 10-year-old female patient who was brought to the facility by her parents. They indicate that their daughter has exhibited developmental delays and adaptive functioning challenges. She has exhibited various delays in motor skills and language. She also finds it hard to carry out self-care activities.
O: The patient is well-dressed and groomed. She is also alert and oriented. She has a positive and stable mood. She has a concrete speech lacking complexity. She also exhibits limited insight. She exhibits limited ability to express thoughts and ideas verbally. She denies delusions or hallucinations
A: The patient’s symptoms are indicative of intellectual development disorder.
P: The patient needs to start family therapy sessions to help address behavioral challenges.
Delusional disorder
Name: F.A
Age: 36 years
Gender: Female
Diagnosis: Delusional disorder
F.A. is a 36-year-old female patient who came to the facility accompanied by her younger brother. He indicates that the patient has been showing disturbing symptoms. She has been reporting seeing non-existent people, places, and events. She recently claimed that some people have been spying on them and want to harm them. Her brother denies seeing such people.
O: She is well dressed. She is also alert and oriented. She looks anxious and demonstrates signs of hypervigilance. She is anxious and fearful. Her memory is intact. She also has a clear speech. Her thought content is preoccupied with delusional beliefs people who want to harm her. She denies suicidal thoughts.
A: According to DSM-V criteria, the patient has delusional disorder.
P: The patient should commence weekly CBT sessions to help with the symptoms.
Separation Anxiety Disorder (SAD)
Name: T.B
Age: 9 years old
Gender: Male
Diagnosis: separation anxiety disorder
S: T.B. is 9-year-old boy who was brought to the facility by his parents for a checkup. They report that he has expressed worry and anxiety all the time about silly things, such as what will happen if the parents fail to pick him up from school. He tends to be stubborn most of the time, throwing objects around the house and easily getting irritated. He finds it difficult to sleep at night due to frequent nightmares. When at school, he consistently asks for permission to go home, complaining of stomach aches or headaches.
O: He is well-groomed and oriented. He is also oriented in person, place, and time. He looks sad and displays clingy behavior. He has a clear speech. Well-organized thought process. He exhibits intact memory with an appropriate thought process. Denies potential harm to self or others.
A: Based on the DSM-V criteria, the patient has a separation anxiety disorder
P: The patient should commence weekly sessions of family therapy to help deal with the symptoms.