PRAC 6665 WEEK 3 Assignment 1 : Clinical Hour and Patient Logs
Walden University PRAC 6665 WEEK 3 Assignment 1 : Clinical Hour and Patient Logs-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University PRAC 6665 WEEK 3 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 6665 WEEK 3 Assignment 1 : Clinical Hour and Patient Logs
Whether one passes or fails an academic assignment such as the Walden University PRAC 6665 WEEK 3 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 6665 WEEK 3 Assignment 1 : Clinical Hour and Patient Logs
The introduction for the Walden University PRAC 6665 WEEK 3 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 6665 WEEK 3 Assignment 1 : Clinical Hour and Patient Logs
After the introduction, move into the main part of the PRAC 6665 WEEK 3 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 6665 WEEK 3 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 6665 WEEK 3 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 6665 WEEK 3 Assignment 1 : Clinical Hour and Patient Logs
Clinical Logs
Schizophrenia
Age: 32 years
Diagnosis: Schizophrenia
S: C.H is a 32-year-old female that came to the unit for her third follow-up visit after being diagnosed with schizophrenia four months ago. The diagnosis was reached after presenting with complaints that included seeing imaginary things and hearing voices for more than five months. She also reported a significant decline in her functioning in areas that included interpersonal relations, work, and self-care due to the above symptoms. A further assessment demonstrated that the symptoms could not be attributed to causes such as medication use, substance abuse, and medical conditions. As a result, she was diagnosed with schizophrenia and initiated treatment.
O: The client appeared well-groomed for the occasion. She was oriented to space, tim
e, events, and self. C.H denied any recent experience of illusions, delusions, and hallucinations. She denied suicidal thoughts, attempts, and plans. The client’s thought content was future-oriented.
A: The client continues to demonstrate improvement in the symptoms of schizophrenia. She also tolerates the prescribed treatments.
P: The client was advised to continue with the prescribed medications and psychotherapy sessions. She was scheduled for the next follow-up visit after four weeks.
Post-Traumatic Stress Disorder
Name: A.Y
Age: 50 years
Diagnosis: Post-traumatic stress disorder
S: A.Y. is a 50-year-old male that came to the unit today for his third follow-up visit after being diagnosed with post-traumatic stress disorder four months ago. A.Y was diagnosed with the disorder after experiencing abnormal
symptoms following his involvement in a road accident. He reported distressing memories that related to the accident. He also reported flashbacks and nightmares about the accident. The above symptoms had made him engage in activities to divert his attention from any stimuli related to the incident. The stressful memories and avoidance of situations associated with the accident significantly affected his ability to perform optimally in his social and occupational roles. As a result, he was diagnosed with post-traumatic stress disorder and initiated on antidepressants and group psychotherapy sessions.
O: A.Y. appeared dressed appropriately for the occasion. His orientation to self, others, time, and events were intact. His thought process was future-oriented. His mood was euthymic. He denied any recent suicidal thoughts, plans, or attempts. He also denied illusions, delusions, and hallucinations.
A: The adopted treatments are effective in symptom management. A.Y. also reports minimal side effects associated with the prescribed antidepressants.
P: A.Y. was advised to continue with the currently prescribed medications. He was also advised to continue with the psychotherapy sessions. He was scheduled for a follow-up visit after four weeks.
Obsessive-Compulsive Disorder
Name: D.O
Age: 32 years
Diagnosis: Obsessive-compulsive disorder
S: D.O is a 32-year-old female who came to the clinic for psychiatric assessment after being referred by her physician. She came with complaints of experiencing intrusive, unwanted behaviors. She also reported that the behaviors were associated with high levels of distress and anxiety. She had unsuccessfully adopted diversion behaviors to manage them. There were also complaints of compulsive behaviors that included frequent checking things that consumed her time. She always felt the urge to keep checking things, as she believed they were not done to the expected standards. The obsessions and compulsive behaviors were adversely affecting her social and occupational functioning. She, however, asserted that the obsessive and compulsive behaviors were false. Further assessment of the client showed that the above symptoms could not be attributed to any other mental disorder such as depression and mania. As a result, she was diagnosed with obsessive-compulsive disorder and initiated on psychotherapy.
O: The client appeared well-groomed for the occasion. She was oriented to self, others, events, and time. Her thought content and process were intact. She denied illusions, delusions, and hallucinations. She also denied suicidal thoughts, plans, and attempts.
A: The client is willing to participate in any treatment that would help her overcome the intrusive and distressing symptoms.
P: The client was initiated on group psychotherapy sessions. She was scheduled for a follow-up visit after four weeks.
Depression
Name: X.T
Age: 36 years
Diagnosis: Depression
S: X.T. is a 36-year-old female who came for his second follow-up visit. She was diagnosed with depression three months ago. The diagnosis was reached after the client complained of frequent emotional outbursts. She was also easily irritated alongside feeling hopeless and guilty. X.T also lacked interest in things and pleasure. The additional complaints raised included insomnia, lack of energy, and difficulties in making decisions. The symptoms could not be attributed to substance abuse, medication, or mental health problems. As a result, she was diagnosed with major depression and initiated on treatment.
O: The client appeared appropriately dressed for the occasion. She was oriented to place, self and time. Her speech was normal in terms of volume and rate. She denied any recent history of hallucinations, delusions, illusions, or suicidal thoughts and attempts. Her thought content was intact. The mood was normal.
A: The client appears to be responding well to pharmacological and psychological treatments, as evidenced by symptom improvements.
P: The client was advised to continue with the current dosage of Zoloft and the monthly sessions of psychotherapy. She was scheduled for the next follow-up visit after four weeks.
Major Depressive Episode
Name: R.D
Age: 45 years
Diagnosis: Major Depressive Epidose
S: R.D is a 45-year-old male that came to the unit for the second follow-up visit after being diagnosed with major depression two months ago. The diagnosis was reached after he experienced symptoms that included a depressed mood most days for every day. He also reported being socially isolated due to a lack of interest in things and pleasure. He found it difficult to engage in social and occupational activities due to his depressed mood. The client’s ability to make informed decisions was also affected. As a result, the client was diagnosed with major depression and initiated on psychotherapy and antidepressants.
O: The client appeared appropriately dressed for the occasion. His self-reported mood was ‘improved.’ The client was oriented to self, others, time, and events. He denied illusions, delusions, and hallucinations. He also denied suicidal thoughts, attempts, and suicidal plans.
A: The symptoms of depression have improved. The client tolerates the treatment.
P: The client was advised to continue with the current treatment. He was also advised to come for a follow-up visit after four weeks.
Insomnia
Name: E.D
Age: 35 years
Diagnosis: Insomnia
S: E.D is a 35-year-old male who came to the clinic for his seventh follow-up visit for insomnia. He was diagnosed with insomnia after presenting to the unit with complaints of difficulties falling asleep and maintaining sleep. He also reported increased episodes of night awakenings and finding it hard to sleep afterward. There were also complaints of reduced energy levels and a decline in overall performance and productivity. The sleep difficulties could not be attributed to any medical condition, medication, or substance abuse. As a result, E.D was diagnosed with insomnia and initiated on group psychotherapy sessions in the unit.
O: The client appeared appropriately dressed for the occasion. His orientation to self, place, time, and events were intact. The self-reported mood of the client was normal. The judgment of the client was intact. He denied any history of delusions, hallucinations, or illusions. He also denied any history of suicidal thoughts, attempts, and plans.
A: Group psychotherapy sessions have effectively improved the client’s quality and quantity of sleep.
P: Group psychotherapy sessions were terminated after consent was obtained from the client. The treatment objectives had been achieved.
Generalized Anxiety Disorder
Name: D.A
Age: 32 years
Diagnosis: Generalized anxiety disorder
S: D.A. is a 32-year-old female who came to the unit for her sixth follow-up visit for generalized anxiety disorder. She was diagnosed with the disorder after presenting with excessive fear and worried about the unknown. She reported experiencing intensive anxiety and fear of things for more than three months before the visit to the unit. She found it difficult to concentrate due to excessive fear. The additional assessment showed that the excessive fear and anxiety could not be attributed to any cause such as medical condition, medication, or substance use and abuse. As a result, she was diagnosed with generalized anxiety disorder and initiated on treatment.
O: The client appeared appropriately dressed for the occasion. She was oriented to place, time, and self. The speech rate and volume were normal. The self-reported mood was normal. The client denied any history of hallucinations, delusions, or illusions. The memory of the client was intact.
A: The client has developed effective coping against excessive worry and anxiety. She has demonstrated continuous improvement in performance and management of precipitating factors.
P: The client’s participation in the group psychotherapy sessions was terminated. The treatment objectives had been achieved.
Panic Disorder
Name: Y.Y
Age: 20 years
Diagnosis: Panic Disorder
S: Y.Y is a 20-year old student that came to the unit for a monthly visit after being diagnosed with panic disorder five months ago. Y.Y. has been on group psychotherapy sessions. Y.Y was diagnosed with panic disorder after she presented with complaints that included unexpected panic attacks. The accompanying symptoms included intense fear of unknown attacks in the future, palpitations, sweating, shaking, feeling choked, chest pains, and avoidance of stimuli or conditions associated with the panic attacks. A further assessment established that the attacks were not attributable to causes such as substance abuse, medical condition, or medication use. As a result, she was diagnosed with panic disorder and initiated on treatment.
O: The client appeared appropriately dressed for the occasion. She was oriented to self, place, and time. Her judgment was intact. The mood was normal. The speech had a normal rate, speed, and volume. The client demonstrated the development of adequate coping skills with panic attacks. She denied any recent history of hallucinations, illusions, or delusions.
A: The client has developed effective coping skills against panic attacks. Episodes of panic attacks have also reduced significantly.
P: Cognitive behavioral therapy is effective in symptom management. The client was advised to continue with the treatment and scheduled a follow-up visit after four weeks.
Substance Use Disorder
Name: B.B
Age: 38 years
Diagnosis: Substance use disorder
S: B.B is a 38-year-old client who came to the unit for his fourth follow-up visit after being diagnosed with alcohol use disorder three months ago. He has been on pharmacological treatment and group psychotherapy. The diagnosis was reached after B.B came to the unit with complaints of persistent consumption of larger amounts of alcohol for one year. He also reported being unsuccessful in stopping binge alcohol consumption due to withdrawal symptoms. B.B was worried that he had been engaging in activities, including selling his property to get money for alcohol. As a result, the socioeconomic status of his family had declined significantly. Alcohol addiction had caused a significant decline in his social and occupational productivity. Therefore, 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. His participation in group psychotherapy 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. He was scheduled for a follow-up visit after four weeks.
Bipolar Disorder
Name: R.E
Age: 38 years
Diagnosis: Bipolar Disorder
S: R.E is a 28-year-old client that came to the unit for her follow-up after she was diagnosed with bipolar disorder three months ago. The diagnosis was reached after she came to the unit with complaints of elevated and depressed mood episodes. Symptoms including participating in goal-oriented activities and delusions were experienced during periods of elevated mood. The symptoms alternated with depression, such as insomnia, lack of energy, feelings of guilt, and difficulties in concentrating and making decisions. The alternation of symptoms lasted for a month. The client was worried that the symptoms had significantly affected her ability to engage in her daily routines. Further assessment ruled out drug use, medical problem, or substance and alcohol abuse as the cause of the problem. As a result, she was diagnosed with bipolar disorder and initiated on treatment.
O: The client appeared appropriately dressed for the occasion. She was oriented to self, place, time, and events. Her judgment was intact. She denied any recent experience of delusions, hallucinations, illusions, suicidal thoughts, plans, and attempts.
A: The adopted treatments are effective, as evidenced by improvement in symptoms. The client tolerates the treatment well.
P: The client was advised to continue with the treatments. She was booked for a follow-up visit after four weeks.
Sample Answer 2 for PRAC 6665 WEEK 3 Assignment 1 : Clinical Hour and Patient Logs
- Selective Mutism Disorder
Name: T.E
Age: 25 years
Gender: Female
Diagnosis:
S: T.E. is a 25-year-old female patient who presents to the clinic with symptoms consistent with selective mutism disorder. The patient reports finding it difficult to interact with certain people. The patient claims to be full of fear and uncomfortable when pushed to speak in a public gathering, thus making her develop avoidance behaviors and social withdrawal. The patient is concerned and worried about her problem since it has cut her connections and greatly affected her daily life activities.
O: The patient is properly dressed and well-groomed. The patient is anxious and restless and does not keep direct eye contact with her interviewer during the assessment session. Her speech is brief, and she prefers nonverbal communication. The patient is well-oriented to time, place, and people. The patient has no hallucination experiences or perceptual disturbances related to selective mutism.
A: From the observed symptoms, the patient has selective mutism disorder.
P: The patient was started on family therapy to help her fight and overcome the fear and public speaking avoidance behavior.
- Unspecified Disruptive, Impulse-Control, and Conduct Disorder
Name: Z.N
Age: 9 years
Gender: Male
Diagnosis: Unspecified Disruptive, Impulse-Control, and Conduct Disorder
S: The 9-year-old male patient was brought to the clinic with his mother for increasingly disruptive behavior at school and home. She reports that the patient is easily angered, irritable, and resistant to any changes made to his routine. She also indicates her son likes to argue with his siblings over petty issues. The mother reports that the patient disrespects his teachers at school, and he likes to disrupt other pupils. He fails to complete his homework and even refuses to go to school on some days.
O: The patient is active, alert, and responsive to almost all requests with remarkable articulation. He, however, sometimes fidgets with instruments. His tone, coordination, reflexes, and strength are appropriate. Displays a short concentration span and is stubborn at times. Displays potential harm to others. Denies self-injurious activities.
A: Based on the DSM-V diagnostic criteria, the patient’s symptoms point to conduct disorder, oppositional defiant disorder, and intermittent explosive disorder but do not meet the threshold for any of these diagnoses. Unspecified Disruptive, Impulse-Control, and Conduct Disorder was thus considered the primary diagnosis.
P: The patient was offered a starting dose of 10mg orally every morning and titrate the dose at intervals of 10mg/day, depending on the treatment outcome, with a maximum dose of 60mg/day.
- Enuresis
Name: W.H
Age: 12years
Gender: Male
Diagnosis: Enuresis
- Dependent Personality Disorder
Name: P.A
Age: 10
Gender: Male
Diagnosis: Dependent Personality Disorder
S: P.A. is a male patient aged ten years who was brought to the clinic by his father. The father expressed fear as his son excessively relies on his parents and friends for decision-making. The patient always seeks assurance and feels incapable of managing daily duties independently. The patient points out that he is always anxious and uncomfortable with being alone and in situations that require him to make an autonomous decision. He also confirmed that he does not like doing any task alone, including his school homework
O: The patient is well-dressed and groomed. He is also alert and oriented. He fidgets a lot and gives brief and hesitant responses. He is scared of rejection, criticism, and abandonment. He is uncomfortable in the same room with adults or authority figures.
A: The patient has a dependent personality disorder from the observed symptoms.
P: The patient was started on individual therapy to help him manage his fears and get exposure therapy.
- Post-Traumatic Stress Disorder
Name: T.R
Age: 30
Gender: Female
Diagnosis: Post-Traumatic Stress Disorders:
S: T.R. is a 30-year-old patient who visited the psychiatric clinic for a mental assessment. She has a bad experience of losing her fiancée in a road accident. She reports that their memories together keep coming back, and they only leave her sad and anxious. She reports feeling overwhelmed and traumatized. Her plea is to see him back to life.
O: The patient is full of anxiety and looks tense and sad. She is appropriately dressed. Her thoughts are interrupted by her memories of her fiancée. She also has nightmares related to the accident. The patient’s trauma is negatively affecting her both at work and socially.
A: According to the DSM-V criteria, the symptoms of the patient are Post-Traumatic Stress Disorders.
P: The patient was started on trauma-focused counselling to help address her trauma and boost her coping skills.
- Narcissistic Personality Disorder
Name: Z.M.
Age: 40 years
Gender: Male
Diagnosis: Narcissistic Personality Disorder
S: Z.M. is a 40-year-old male patient who came to the facility following a psychiatric evaluation. He claims that he is the best and outstanding in his area, and nobody can match his skills. He reports a longstanding pattern of grandiosity and lack of empathy, which has led to strained relationships with his workmates. The patient talks a lot about his huge investments and is forthcoming once. The patient describes feeling frustrated by his inability to maintain fulfilling connections with others despite his outward success.
O: The patient is well-groomed and addressed. He is also alert and oriented. He has a clear speech with no pressure. He exhibits distorted concentration levels. The patient has a distorted thought process but intact memory. The patient denies having hallucinations but is positive for delusions. He also denies suicidal thoughts.
A: According to the DSM-V criteria, the symptoms show narcissistic personality disorder.
P: The patient was commenced on start fluoxetine (Prozac) 20 mg once daily in the morning.
- Substance Use Disorder
Name: D.R
Age: 20 years
Gender: Male
Diagnosis: Substance Use Disorder/PTSD
S: D.R. is a 20-year-old male who presents for evaluation and treatment of substance use concerns. The patient reports to have been taking marijuana for the last three years. He reports experiencing escalating difficulties related to his drug abuse, including impaired functioning in school, strained relationships with family and friends, and recurrent legal problems. He confirms having self-esteem, low self-worth, hopelessness, depression, helplessness, and poor insight
O: The patient appears unkempt and exhibits signs of intoxication, including slurred speech and impaired coordination. He admits to recent use of alcohol and marijuana and acknowledges a history of experimentation with other substances, such as heroin. His thought process is intact, and he answers questions in a quite shaky speech. He confirms feeling worthless, helplessness, hopelessness, and low self-esteem. He, however, denies hallucination or suicidal ideation.
A: As evidenced by his recurrent use of substances, the patient meets the criteria for Substance Use Disorder based on the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
P: Initiated SC injection (Sublocade) monthly for heroin addiction. For the management of PTSD symptoms, the patient was started on sertraline (Zoloft) 25mg/day, which may be increased by 25 mg weekly to a maximum dose of 200mg/day, depending on the treatment
- Major Depressive Disorder (MDD)
Name: O.B
Age: 15 years
Gender: Female
Diagnosis: MDD
S: K.P. is a 15-year-old female who presents with her mother for evaluation of depressive symptoms. The patient reports feeling persistently sad, fatigued, and hopeless over the past six months. She has lost interest in activities she previously enjoyed, such as playing soccer and hanging out with friends. The patient mentions difficulty concentrating in school, leading to a decline in her grades. She has experienced changes in appetite, leading to weight loss, and reports trouble sleeping, with frequent awakenings during the night.
O: The patient looks neat and well-groomed. She appears withdrawn and tearful during the session. Her affect is flat, and she avoids eye contact during the assessment. Her mother corroborates the patient’s symptoms and expresses concern about her daughter’s well-being. No significant abnormalities were noted during her physical examination. The patient’s vital signs are within normal limits. She also denies having suicidal thoughts.
A: The patient qualifies for MDD diagnosis according to DSM-V diagnostic guidelines in line with the reported signs and symptoms.
P: The patient was started on fluoxetine (Prozac) at a low dose of 10 mg once daily, which can be increased to 20 mg daily based on the patient’s response and tolerability. Started on a family therapy to support the patient’s treatment and improve family dynamics.
- Postpartum Depression
Name: G.K
Age: 30 years
Gender: Female
Diagnosis: Postpartum Depression
S: G.K. is a 30-year-old female who presents for evaluation eight weeks postpartum. She reports feeling overwhelmingly sad, fatigued, and anxious since the birth of her baby. The patient describes a lack of interest or pleasure in activities she used to enjoy, including spending time with her baby. She expresses feelings of guilt and inadequacy as a mother and mentions having difficulty bonding with her baby. The patient also reports disturbed sleep, poor appetite, and difficulty concentrating. She denies any thoughts of self-harm or harming her baby.
- The patient is well-dressed and healthy. She also looks alert and oriented to place, time, and people. She is cooperative during the assessment but speaks slowly and softly. She looks sad, fatigued, and tearful. The patient’s short-term and long-term memory is intact. She denies suicidal thoughts or thoughts of harming the baby.
A: The patient is displaying depressive symptoms after childbirth. Therefore, the diagnosis is postpartum depression.
P: The patient was started on CBT session to address negative thought patterns and beliefs related to motherhood and self-worth. She was referred to participate in support groups for new mothers experiencing PPD to provide social support and reduce feelings of isolation.
- Generalized Anxiety Disorder
Name: E.T
Age: 12 years
Gender: Female
Diagnosis: Generalized Anxiety Disorder
S: is a 12-year-old girl who presents with her mother for evaluation of ongoing anxiety symptoms. She reports worrying so much about her school performance, friendships, and family. The patient describes feeling restless and irritable, with difficulty concentrating in class and completing her homework. She mentions physical symptoms such as headaches, stomachaches, and muscle tension, which often worsen before tests or social events. The patient also reports difficulty falling asleep and frequently waking up in the middle of the night.
O: The patient appeared well-groomed and neat. She is well-oriented to place, time, and self. The patient appears anxious and avoids direct eye contact during the session. She is softly spoken and fidgets frequently. Her affect is constricted, and she shows signs of physical tension. Her short and long-term memories are appropriate for her age. Her concentration span is short. Denies self-injurious activities.
A: Based on the patient’s symptoms and mental status examination findings, the patient qualifies for the diagnosis of generalized anxiety disorder.
P: The patient was offered 20 mg of Paroxetine orally once a day integrated family therapy to support the patient’s treatment, improve family communication, and address any contributing family issues.
- Obsessive-Compulsive Disorder (OCD)
Name: V.B
Age: 32 years
Gender: Female
Diagnosis: Obsessive-Compulsive Disorder
S: V.B. is a 32-year-old female who came to the clinic for a mental evaluation after experiencing persistent, intrusive thoughts about contamination and fears of harming loved ones. These obsessions cause significant anxiety and distress. She reports that, in order to alleviate this anxiety, she engages in activities such as excessive tightening taps and checking locks and appliances multiple times. She complains that those compulsions take up several hours of her day, hence interfering with her ability to work effectively and maintain relationships with family and friends. The patient expresses frustration and shame over her inability to control these thoughts and behaviors.
O: The patient appears anxious and distressed during the session. She is neatly dressed but fidgets frequently and avoids direct eye contact when discussing her symptoms. Her speech is coherent but marked by frequent pauses as she describes her compulsions. She is not positive for hallucinations or suicidal ideations.
A: Based on DSM-V diagnostic criteria, the patient has Obsessive-Compulsive Disorder.
- The patient was started on Exposure and Response Prevention (ERP) to help her confront and reduce her obsessions and compulsions.
- Separation Anxiety Disorder (SAD)
Name: L.R
Age: 8 years
Gender: Male
Diagnosis: separation anxiety disorder
S: L.R. is a 10-year-old boy who presents to the clinic for a checkup with his mother. The mother reports that the patient has been experiencing excessive fear and anxiety when anticipating or experiencing separation from his family. He exhibits significant distress, including crying, tantrums, and physical complaints (e.g., stomachaches and headaches) when having to go to school or stay with a relative. The patient expresses fear about something bad happening to him when they are not with him.
- The patient appears anxious and clingy to his mother during the session. He frequently looks at her for reassurance and answers questions in a soft voice. He exhibits signs of distress when discussing situations involving separation. The physical examination is unremarkable, and the patient’s vital signs are within normal limits. There are no significant developmental concerns.
A: the observed symptoms point to SAD.
P: Family support education and play therapy was started to help the patient express his feelings and fears in a safe and therapeutic setting.