PRAC 6645 WEEK 3 Assignment 1: Clinical Hour and Patient Log
Walden University PRAC 6645 WEEK 3 Assignment 1: Clinical Hour and Patient Log-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University PRAC 6645 WEEK 3 Assignment 1: Clinical Hour and Patient Log 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 3 Assignment 1: Clinical Hour and Patient Log
Whether one passes or fails an academic assignment such as the Walden University PRAC 6645 WEEK 3 Assignment 1: Clinical Hour and Patient Log 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 3 Assignment 1: Clinical Hour and Patient Log
The introduction for the Walden University PRAC 6645 WEEK 3 Assignment 1: Clinical Hour and Patient Log 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 3 Assignment 1: Clinical Hour and Patient Log
After the introduction, move into the main part of the PRAC 6645 WEEK 3 Assignment 1: Clinical Hour and Patient Log 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 3 Assignment 1: Clinical Hour and Patient Log
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 3 Assignment 1: Clinical Hour and Patient Log
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.
Stuck? Let Us Help You
Completing assignments can sometimes be overwhelming, especially with the multitude of academic and personal responsibilities you may have. If you find yourself stuck or unsure at any point in the process, don’t hesitate to reach out for professional assistance. Our assignment writing services are designed to help you achieve your academic goals with ease.
Our team of experienced writers is well-versed in academic writing and familiar with the specific requirements of the PRAC 6645 WEEK 3 Assignment 1: Clinical Hour and Patient Log assignment. We can provide you with personalized support, ensuring your assignment is well-researched, properly formatted, and thoroughly edited. Get a feel of the quality we guarantee – ORDER NOW.
Sample Answer for PRAC 6645 WEEK 3 Assignment 1: Clinical Hour and Patient Log
Clinical Logs
Major Depression
Name: D.R
Age: 33 years
Diagnosis: Major depression
S: D.R is a client who came to the psychiatric department today for her follow-up visit after being diagnosed with major depression three months ago. The patient has been on antidepressants and group psychotherapy. The client had been diagnosed with major depression due to the symptoms that she presented with to the unit. The symptoms included persistent feelings of guilt and worthlessness. The client felt sad in most days almost throughout the day. She felt that her mood was depressed in most of the times almost every day. She also complained of lack of energy to engage in her activities of the daily living and professional work. D.R had also reported a significant withdrawal from others, as she preferred spending her time indoors. There was also the complaint of decline in her appetite. She also noted that her energy levels were consistently low, as she felt fatigued in engaging in an activity. She had however denied suicidal thoughts, plans
, or attempts. D.R was diagnosed with major depression and has been undergoing treatment in the unit.
O: The client was dressed appropriately for the occasion. Her orientation to self, others, time and events were intact. Her self-reported mood was ‘better than the other months.’ Her speech was normal in terms of rate and volume. She denied illusions, delusions, and hallucinations. She also denied suicidal thoughts, attempts, and plans.
A: The client is responding well to the treatment. The symptoms of major depression have improved significantly.
P: The client was advised to continue with the current treatments, as they were effective in improving the symptoms of major depression. The client was scheduled for a follow-up visit after four weeks.
Major Depression
Name: M.A
Age: 52 years
Diagnosis: Major depression
S: M.A is a 52-year-old male client who has been undergoing treatment in the facility for major depression. He came today for his eighth follow-up visit. He was diagnosed with major depression nine months ago and has been on psychotherapy and antidepressant treatments. The client recalled that he was diagnosed with major depression after he presented with symptoms of severe mood depression to the unit. The symptoms included persistent sadness for more than four months. He also felt severe guilt that he had not achieved his dreams at his current age. He also noted that his quality and quantity of sleep had declined considerably, as he could remain awake in most nights throughout the night. His appetite had also increased considerably. The client also noted that he was preoccupied with thoughts of committing suicide. He however did not have any plans of committing it. The symptoms had affected his ability to work productively in his workplace as a truck driver. The symptoms were not due to substance abuse, medical condition or medication. As a result, he was diagnosed with major depression and has been undergoing treatment in the facility.
O: The client appeared well groomed for the occasion. He was well oriented to self, others, time and events. His judgment was intact. His self-reported mood was, ‘I am healed, I no longer experience any symptoms of depression.’ The client denied illusions, delusions, and hallucinations. He also denied suicidal thoughts, plans, and intent.
A: The client has demonstrated sustained improvement in the symptoms of depression. His participation in the group psychotherapy sessions has been remarkable.
P: The participation of the client in the group psychotherapy sessions was terminated since the treatment objectives had been achieved. He was advised to continue with the antidepressants treatment. He was scheduled for a follow-up visit after four weeks.
Schizophrenia
Name: Z.R
Age: 38 years
Diagnosis: Schizophrenia
S: Z.R is a 38-year-old female that has been undergoing treatment in the unit due to schizophrenia. She was diagnosed with the disorder three months ago and has been on pharmacological and psychotherapy treatments. Today she came to the unit for her regular follow-up visits. Z.R recalled that she was diagnosed with schizophrenia after she started experiencing abnormal symptoms. Her spouse had brought her for the psychiatric visit. The symptoms included seeing imaginary things, hearing voices, and having a disorganized speech. The client also had started experiencing lack of emotional expression, as she could not understand the needs and feelings of others. The client also reported that the symptoms had affected severely her level of functioning in areas that included interpersonal relations, work, and self-care. The symptoms had persisted for more than five months. The family could not attribute the symptoms to other causes such as medication use, medical conditions, or substance abuse. As a result, she was diagnosed with schizophrenia and initiated on treatment.
O: The client appeared well groomed for the occasion. She was oriented to space, time, events, and self. She denied any recent experience of illusions, delusions, and hallucinations. She also denied any abnormality in speech content, volume and rate. She denied suicidal thoughts, attempts, and plans.
A: The client is responding well to the treatment. The symptoms of schizophrenia have improved significantly.
P: The client was advised to continue with the current treatments. She was scheduled for a follow-up visit after one month.
Anorexia Nervosa
Name: N.O
Age: 20 years
Diagnosis: Anorexia nervosa
S: N.O is a 20-year-old female client that came to the unit today for psychiatric assessment for what she felt that it was not a medical condition. The client complained of a wide range of symptoms that led to her diagnosis with anorexia nervosa. The symptoms included restriction of dietary intake relative to her body requirement. She was worried that the restrictive intake of food had led to a significant loss of body weight when compared to the expected weight of her age and sex. The client also reported intense fears towards gaining weight or becoming fat. As a result, her body weight and shape disturbed her significantly and consistently ensured that she did not add any weight. She was however not aware of the adverse effects of low body weight on her health. The restriction in dietary intake had lasted more than four months. The client reported that she engaged in other behaviors such as purging to ensure that she did not gain weight. Based on the above, the client was diagnosed with anorexia nervosa and initiated on treatment.
O: The client was well dressed for the clinical visit. She was however, underweight when compared to the developmental milestones for her age and gender. The client denied illusions, delusions, and hallucinations. Her judgment was intact. She denied suicidal thoughts, attempts, and intent.
A: The client is experiencing severe symptoms of anorexia nervosa.
P: The client was initiated on psychotherapy sessions to develop effective knowledge and skills for managing her eating disorder. She was scheduled for a follow-up visit after four weeks.
Obsessive Compulsive Disorder
Name: N.C
Age: 31 years
Diagnosis: Obsessive-compulsive disorder
S: N.C is a 31-year-old female who came to the clinic for assessment for psychiatric review. N.C reported that she often experiences intrusive, unwanted behaviors. The behaviors are associated with considerable anxiety and distress. The unwanted, intrusive behaviors and thoughts were beyond her control. This was despite her using diversion strategies to overcome them. The client also reported compulsive behaviors that included frequent hand washing that are time consuming in nature. She always feared that her hands are contaminated and required to be washed to prevent infections. N.C was worried that her obsessions and compulsive behaviors were causing her considerable distress as well as impairment in social and occupation functioning. Further assessment of the client showed that the above symptoms could not be attributed to any other mental disorder such as depression and mania. It was also not attributed to medication, substance abuse, or medical condition. It was identified during the assessment that the client recognized that the obsessive-compulsive beliefs were untrue and needed to be addressed for his improved social and occupational functioning. The above symptoms led to the development of a diagnosis of obsessive-compulsive disorder.
O: The client appeared well groomed for the occasion. The orientation of the client to self, others, events, and time were intact. Thought content and process were intact. She denied illusions, delusions and hallucinations. She also denied suicidal thoughts, plans and attempts. Her speech was of normal rate and volume.
A: The client is ready to engage in treatment interventions that will enable her to overcome her obsessive and intrusive behaviors.
P: The client was initiated on group psychotherapy sessions. The client was to be followed up for response of treatment after one month.
Post-Traumatic Stress Disorder
Name: S.W
Age: 49 years
Diagnosis: Post-traumatic stress disorder
S: S.W is a 49-year-old female nurse that came to the unit for her regular follow-up visits after she was diagnosed with post-traumatic stress disorder. The client was diagnosed with the disorder seven months ago and has been on antidepressant and psychotherapy treatments. She was diagnosed with the disorder following her experience with a road accident that led to death of all the passengers, with her being the only survivor. The client reported a number of symptoms that led to her being diagnosed with post-traumatic stress disorder. They included the persistent recurrence of the distressing memories about the traumatic event. She also reported experiencing distressing dreams that related to the accident. There was also the report of flashbacks and intense distress following the exposure of the patient to the stimuli that related to the event. The client also demonstrated avoidance behaviors of the stimuli that related to the traumatic event. The symptoms had a negative effect on the ability of the client engage in her occupational and family roles. As a result, she was diagnosed with post-traumatic stress disorder and has been on treatment in the unit.
O: The client was dressed appropriately for the occasion. She was oriented to self, others, time and events. Her judgment was intact. She denied illusions, delusions, and hallucinations. She also denied suicidal thoughts, attempts, and plans. She also denied avoidance behaviors and distressing emotional experiences associated with the accident.
A: There have been consistent improvement in the symptoms of post-traumatic stress disorder.
P: The participation of the client in group psychotherapy sessions was terminated with her consent since the treatment objectives had been achieved. She was advised to continue with antidepressant treatment. She was scheduled for a follow-up visit after one month.
Generalized Anxiety Disorder
Name: O.T
Age: 25 years
Diagnosis: Generalized anxiety disorder
S: O.T is a 25-year-old client that came to the psychiatric unit for assessment today for health problem. The client reported symptoms that related to those of generalized anxiety disorder. The symptoms included excessive worry and anxiety of unknown outcomes for more than five months. She was worried that her employer was likely to terminate her employment due to her inability in achieving some of the monthly targets. The client reported that her inability to control the excessive worry and anxiety. There were a number of accompanying symptoms for the excessive worry and anxiety. They included tremors, palpitations, chest pains, restlessness, and difficulty in concentrating in tasks. The client denied any history of medication use, medical condition or substance abuse. As a result, she was diagnosed with generalized anxiety disorder and initiated on treatment.
O: The client appeared well dressed for the occasion. She was anxious throughout the assessment. She denied illusions, delusions, and hallucinations. She also denied suicidal thoughts, plans, and attempts. Her speech was normal in terms of rate and volume.
A: The client is experiencing symptoms of generalized anxiety disorder that are beyond her control.
P: The client was initiated on group psychotherapy sessions to equip her with competencies needed to overcome excessive fear and anxiety. She was scheduled for a follow-up visit after one month to determine her response to treatment.
Generalized Anxiety Disorder
Name: E.M
Age: 33 years
Diagnosis: Generalized anxiety disorder
S: E.M is a 33-year-old client that came to the psychiatric unit for her follow-up assessment today. E.M was diagnosed with generalized anxiety disorder four months ago and has been on group psychotherapy treatment in the facility. The client was diagnosed with the disorder after she reported symptoms that related to those of generalized anxiety disorder. The symptoms included excessive worry and anxiety of unknown outcomes for six months. She was worried of the fact that her husband was likely to leave her because of her self-perception of not meeting his expectations. She also reported excessive fear about the possibility of failing her examinations, as she was a master’s student in a local university. The client complained that she was unable to control her excessive fear and anxiety. There were a number of accompanying symptoms for the excessive worry and anxiety. They included tremors, chest pains, sweating, restlessness, and muscle pains. The client denied any history of medication use, medical condition or substance abuse. As a result, she was diagnosed with generalized anxiety disorder and has been on group psychotherapy treatment.
O: The client appeared well dressed for the occasion. She denied illusions, delusions, and hallucinations. She also denied suicidal thoughts, plans, and attempts. Her speech was normal in terms of rate and volume. She reported that her anxiety and excessive worry were now under control.
A: The client demonstrates sustained improvement in her symptoms.
P: The client’s participation in the group psychotherapy was terminated since the treatment objectives had been achieved. She was scheduled for a follow-up visit after two months to determine her progress.
Substance Use Disorder
Name: K.M
Age: 40 years
Diagnosis: Substance use disorder
S: K.M is a 0-year-old client who came to the unit for his second follow-up visit. The client was diagnosed with alcohol use disorder three months ago and has been on pharmacological treatment, group psychotherapy and participating in Alcohol Anonymous group. The client was diagnosed with the disorder presented with complaints that included the persistent intake of larger amounts of alcohol for a long period. The client also reported of intent to stop binge alcohol consumption, which has been unsuccessful. He noted that withdrawal symptoms often made it difficult for him to stop alcohol abuse. There was also the complaint that the client engaged in activities that enabled him to obtain alcohol. This included selling his properties to get money for purchasing alcohol. Alcohol addiction was noted to have caused a significant decline in the social and occupational productivity of the client. The other symptoms that the client had included unsatisfied craving for alcohol and use of alcohol despite the interpersonal and social problems associated with alcohol. As a result, he was diagnosed with substance use disorder and initiated on treatment.
O: The client was well groomed for the occasion. His orientation to self, others, time and events were intact. The client reported that his participation in the group psychotherapy and alcohol anonymous group was effective in reducing his alcohol cravings. He denied illusions, delusions, and hallucinations. He also denied suicidal thoughts, attempts and plans.
A: The client is responding well to the adopted treatments.
P: The client was advised to continue with the current treatment approaches and participation in Alcohol Anonymous group.
Bipolar Disorder
Name: A.R
Age: 46 years
Diagnosis: Bipolar Disorder
S: A.R is a 46-year-old female who came to the unit for his fourth follow-up visit. She was diagnosed with bipolar disorder and has been on pharmacological treatment. She had come to the unit with complaints that included increased experience of inflated self-esteem. She also reported grandiosity. Her inflated self-esteem was characterized by the decrease in the need for sleep. There was also the report by spouse that the client had started experiencing increased talkativeness, racing thoughts, difficulties in concentrating, and being easily distracted. The client’s engagement in goal-directed activities has increased significantly. The client also reported mild symptoms of depressive bipolar disorder. The symptoms included depressed mood, loss of interest, weight gain, easy fatigability, and feelings of worthlessness. As a result, she was diagnosed with bipolar disorder with severe mania and mild depressive episodes.
O: The client appeared well groomed for the occasion. She reported improvements in her mood. The client was aware of self, time, others and events. She denied illusions, delusions, and hallucinations. She also denied suicidal attempts, plans, or ideas.
A: The client is demonstrating positive improvement in her symptoms of bipolar disorder.
P: She was advised to continue with the current treatment. The client was scheduled for a follow-up visit after one month.
Sample Answer 2 for PRAC 6645 WEEK 3 Assignment 1: Clinical Hour and Patient Log
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.