PRAC 6665 Wk 9 Assignment 1: Clinical Hour and Patient Logs
Walden University PRAC 6665 Wk 9 Assignment 1: Clinical Hour and Patient Logs-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University PRAC 6665 Wk 9 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 Wk 9 Assignment 1: Clinical Hour and Patient Logs
Whether one passes or fails an academic assignment such as the Walden University PRAC 6665 Wk 9 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 Wk 9 Assignment 1: Clinical Hour and Patient Logs
The introduction for the Walden University PRAC 6665 Wk 9 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 Wk 9 Assignment 1: Clinical Hour and Patient Logs
After the introduction, move into the main part of the PRAC 6665 Wk 9 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 Wk 9 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 Wk 9 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 Wk 9 Assignment 1: Clinical Hour and Patient Logs
Major Depression
Name: B.T
Age: 33 years
Diagnosis: Major depression
S: B.T. is a 33-year-old client that came to the unit for her second follow-up visit after she was diagnosed with depression three months ago. The client diagnosis was reached after she presented with complaints that included depressed mood in most of the days for every day. She was also socially isolated as he lacked interest in things and pleasure. She reported that the depressed mood had made it difficult for her to engage in her occupational roles. The client also reported that her ability to make decisions was also significantly affected. His level of irritability was also high. She also reported suicidal ideations without plans or intent. As a result, she was diagnosed with major depression and initiated on treatment.
O: The client appeared appropriately dressed for the occasion. Her self-reporte
d mood was ‘improved.’ The client was oriented to self, others, time, and events. She denied illusions, delusions, and hallucinations. She denied suicidal thoughts, plans,or attempts. Her speech was normal in terms of rate and volume.
A: The symptoms of depression have improved. The client reports positive experiences with the adopted treatment.
P: The client was advised to continue with the current treatment. She was scheduled for a follow-up visit after four weeks.
Major Depression
Name: G.R
Age: 28 years
Diagnosis: Major depression
S: G.R is a 28-year-old client that came to the unit as a referral for psychiatric assessment. She came with complaints of feeling sad most of the days, feeling worthless and guilty most of the time. She also reported a decline in her appetite and being socially withdrawn. Her interest in pleasure also declined significantly. She also reported insomnia, easy irritability, and difficulties in concentrating and making decisions. The symptoms had affected significantly her ability to perform optimally in her academic and social roles. The symptoms could not be attributed to other causes such as medication use, medical conditions, or substance abuse. As a result, she was diagnosed with major depression and initiated on treatment in the facility.
O: The patient appeared poorly dressed 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 depressed.
A: The client is experiencing moderate symptoms of major depression. She needs treatment to manage her depressive symptoms.
P: The client was initiated on antidepressants for the depressive symptoms. She was scheduled for a follow-up visit after four weeks.
Insomnia
Name: O.T
Age: 38 years
Diagnosis: Insomnia
S: O.T is a 38-year-old male that came to the clinic for his sixth follow-up visit after being diagnosed with insomnia. He has been on psychotherapy treatment. He was diagnosed with insomnia after presenting to the unit with complaints of persistent lack of quality and quantity sleep. He reported that he remained awake throughout most of the nights and experienced awakening which was followed by difficulties in falling asleep. The lack of sleep had affected his productivity in the workplace since he often fell asleep during the afternoon hours. As a result, he came to the unit for assistance where he was diagnosed with insomnia and initiated on individual psychotherapy.
O: The patient appeared dressed appropriately for the occasion. He was oriented to self, others, time, and events. His speech was normal in terms of rate and volume. He denied illusions, delusions, and hallucinations. He also denied suicidal thoughts, plans, and attempts.
A: The psychotherapy treatment has been effective. There is considerable symptom improvement.
P: Psychotherapy sessions were terminated since the desired treatment outcomes had been achieved.The client was scheduled for a follow-up visit after two months.
Post-Traumatic Stress Disorder
Name: M.C
Age: 35 years
Diagnosis: Post-traumatic stress disorder
S: M.C is a 35-year-old female client that came to the unit for psychiatric assessment. She came with complaints of abnormal behaviors following her involvement in a road accident. The client raised complaints that included the persistent recurrence of the distressing memories about the accident. She also reported flashbacks and intense distress following her exposure to stimuli that resembled the accident. She also noted difficulties in getting quality and quantity sleep over the last three months. The symptoms had affected her ability to engage in her occupational and family roles. As a result, she came to the unit for assistance where she was diagnosed with post-traumatic stress disorder and initiated on treatment.
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. His thought process was future-oriented.
A: The client is experiencing moderate symptoms of post-traumatic stress disorder. She needs assistance in managing the distressing symptoms of the disorder.
P: The client was initiated on antidepressant treatment. She was scheduled for a follow-up visit after four weeks to determine her response to treatment.
Post-Traumatic Stress Disorder
Name: G.L
Age: 33 years
Diagnosis: Post-traumatic stress disorder
S: G.L is a 33-year-old male client that came to the unit today for his fourth follow-up visit for post-traumatic stress disorder. He was diagnosedfive months ago with the disorder and has been undergoing treatment. According to his narrative, he started experiencing abnormal symptoms after being involved in a road accident. The symptoms included flashbacks and nightmares about the accident. He also reported avoidance behaviors, being easily irritated, insomnia, and difficulties in concentration. Therefore, the above symptoms led to his diagnosis of post-traumatic stress disorder and treatment initiation.
O: The client appeared well-groomed for the occasion. His orientation to self, others, environment, and events were intact. His self-reported mood was normal. His level of judgment was intact. He denied suicidal thoughts, plans or attempts, illusions, delusions, and hallucinations.
A: The client is responding positively to the treatment. He is also tolerating the medications well since he reports no side effects.
P: The client was advised to continue with the treatments and scheduled for a follow-up visit after one month
Generalized Anxiety Disorder
Name: L.D
Age: 30 years
Diagnosis: Generalized anxiety disorder
S: L.D is a 30-year-old female that came to the unit for psychiatric assessment. The client came with complaints of excessive, unexplained worry of unknown outcomes. The client noted that she frequently experiences excessive fear of failing in her occupational roles and being perceivedas a failure in society. She noted that symptoms that include fatigue, muscle tension, irritability, and restlessness accompany excessive fear. The frequent episodes of excessive fear and anxiety were affecting her social, occupational, and personal life. The symptoms could not be attributed to causes such as substance abuse, medication, or medical condition. As a result, she was diagnosed with generalized anxiety disorder and initiated on individual psychotherapy.
O: The patient appeared appropriately dressed for the occasion. She appeared tense during the assessment. Her orientation to self, others, time, and events were intact. She denied illusions, delusions, hallucinations, suicidal thoughts, attempts, or plans.
A: The client is experiencing moderate symptoms of generalized anxiety disorder. She should be assisted in developing effective coping strategies against the symptoms.
P: The client was initiated on group psychotherapy sessions. She was assisted in identifying and managing triggers of the distressing symptoms. She was scheduled for a follow-up visit after four weeks.
Substance Abuse Disorder
Name: M.M
Age: 50 years
Diagnosis: Substance abuse disorder
S: M.M. is a 50-year-old male that came to the unit for his seventh follow-up visit. He was diagnosed with substance abuse disorder eight months ago and has been on pharmacological treatment, psychotherapy, and Alcohol Anonymous group. The client was diagnosed with the disorder after he came initially with complaints of excessive alcohol intake. He noted that his alcohol intake was beyond the normal levels. He also reported incidences of trying to quit taking alcohol but was unsuccessful due to the intense cravings for the substance. He also noted an increase in the severity of the withdrawal symptoms in days when he did not take alcohol. Alcohol abuse had made him neglect his social, family, and professional responsibilities. The client was worried that his alcohol abuse habits were getting out of hand and would affect his family. As a result, he came to the unit seeking assistance where he was diagnosed with substance abuse disorder and initiated on treatment.
O: The client appeared appropriately dressed for the occasion. His orientation to self, others, time, and events were intact. He denied illusions, delusions, and hallucinations. He also denied suicidal thoughts, plans, or attempts. He did not demonstrate abnormal behaviors that include tics and tremors during the assessment.
A: The client has developed effective coping strategies for managing cravings for alcohol and withdrawal symptoms. He also tolerates well the prescribed treatments.
P: The client was advised to continue with participation in the Alcohol Anonymous group. Psychotherapy sessions were terminated since treatment outcomes had been achieved. He was advised to continue with the current medications. He was scheduled for a follow-up visit after four weeks.
Schizophrenia
Name: E.D
Age: 34 years
Diagnosis: Schizophrenia
S:E.D is a 34-year-old male that came to the unit for his follow-up visit after being diagnosed with schizophrenia two months ago. The client has been on treatment. The diagnosis was reached after being brought to the unit with complaints of speech incoherence and false self-identity. The client believed that he was Jesus Christ and he had been sent to save the world. The client also had diminished emotional expression. The symptoms had persisted for more than five months and worsened in severity over time. The symptoms could not be attributed to other causes, including medical conditions, medication use, or substance abuse. As a result, he was diagnosed with schizophrenia and initiated on treatment.
O: The patient appeared dressed appropriately for the occasion. He appeared to be oriented to self, others, time, and events. He reported that delusions had subsided following the treatment. He denied illusions and hallucinations. He also denied suicidal thoughts, attempts, and plans.
A: There has been a moderate improvement in schizophrenia symptoms. The client tolerates the adopted treatment well.
P: The client was advised to continue with the current treatment. He was initiated in the group psychotherapy sessions to help him identify effective coping skills for schizophrenia symptoms. He was scheduled for a follow-up visit after four weeks.
Bipolar Disorder
Name: Z.M
Age: 30 years
Diagnosis: Bipolar disorder
S: Z.M. is a 30-year-old female that came to the unit for her third follow-up visit for bipolar disorder. She was diagnosed with the disorder four months ago and has been on antidepressants. The client recalled that the diagnosis was reached after she came with complaints that included alternating periods of persistently elevated and expansive mood that predisposed her to engage in goal-directed activities. The symptoms lasted for a week and alternated with those similar to depression. The symptoms included a flight of ideas, being more talkative than usual, being easily distracted, and insomnia. The client also engaged in risky behaviors that included alcohol abuse and unplanned financial spending. The symptoms could not be attributed to any other causes, including medication use, medical condition, or substance abuse. As a result, she was diagnosed with bipolar disorder and initiated on treatment.
O: The client was appropriately dressed for the occasion. She was oriented to self, others, time, and place. She denied illusions, delusions, and hallucinations. She also denied expansive, elevated moods over the recent month. She also denied a history of suicidal thoughts, plans, and attempts.
A: The adopted treatment is effective in symptom management.
P: The client was initiated on group psychotherapy treatment alongside the pharmacological intervention. She was scheduled for a follow-up visit after four weeks.
Attention Deficit Hyperactive Disorder (ADHD)
Name: T.A
Age: 10 years
Diagnosis: Attention Deficit Hyperactive Disorder
S: T.A. is a 10-year-old child that was brought to the unit for his follow-up visit for ADHD. The child was diagnosed with ADHD at the age of seven and has been undergoing treatment in the facility. The parent reported that T.A. was diagnosed with ADHD after he demonstrated abnormal behaviors. They included those related to inattention such as failing to pay attention to details, difficulties in completing activities, not listening when being spoken to, and troubles in organizing tasks. The child also demonstrated hyperactivity and impulsivity symptoms that included fidgeting, failing to engage in leisure activities quietly, difficulties in waiting for their turns, and intruding on others. The teacher also reported similar symptoms, leading to the diagnosis of ADHD. The child has been on treatment since then.
O: The child appeared appropriately dressed for the occasion. His orientation to self, others, time, and events were intact. The child denied any abnormal thought processes, including illusions, delusions, and hallucinations. He did not demonstrate abnormal behaviors such as fidgeting during the assessment. She denied suicidal thoughts, plans, or attempts.
A: The child continues to demonstrate a positive response to the treatment. ADHD symptoms have been effectively managed.
P: The child and parent were advised to continue with the treatment. They were scheduled for a follow-up visit after four months.
Sample Answer 2 for PRAC 6665 Wk 9 Assignment 1: Clinical Hour and Patient Logs
Enuresis Disorder
Name: T.K
Age: 14 years
Gender: Male
Diagnosis: Enuresis Disorder
S: T.K. is a 14-year-old male patient who showed up at the clinic for a psychiatric visit. The parents explain that their son has all his development stages and milestones intact. However, he frequently wets his bed at night. The patient has to put on pull-ups at night, which he hates so much. He usually feels embarrassed when he wakes up in the morning. Therefore, he has continually preferred playing alone.
O: The patient appears well-dressed and groomed. He is also alert and oriented, though wearing a mood is sad. He looks uncomfortable discussing the subject of sleep at night. His speech is fluent, and his thought process and memory are intact. Physical exams revealed no cause for bedwetting. He denies suicidal thoughts or thoughts of self-harm.
A: The patient’s symptoms point to nocturnal enuresis disorder. Hence, it needs proper management.
P: The patient needs to start CBT sessions to help identify the underlying factors and equip the patient with the best coping strategies.
Alcohol Use Disorder
Name: H.K
Age: 37years
Gender: Male
Diagnosis: Alcohol use disorder
S: H.K. is a 37-year-old male patient who visited the healthcare facility for a psychiatric follow-up. He had been diagnosed with alcohol use disorder some months before, and therefore, he has been undergoing psychotherapy and pharmacological treatments. The diagnosis came after he started engaging in binge alcohol intake. The patient reports finding it more challenging to abstain from alcohol use. As a consequence, his occupational and social functioning have been affected.
O: The patient is appropriately dressed and groomed. He is also alert and oriented. The patient looks bothered by his inability to control his alcohol use behavior. He has a coherent thought process and intact memory. He denies hallucinations, delusions, or illusions. He has a standard speech.
A: The patient still struggles with alcohol use. Nevertheless, alcohol use disorder is still the diagnosis.
P: The patient must adhere to the psychotherapy plan to help with the symptoms.
Binge Eating Disorder
Name: L.M
Age: 20 years
Gender: Female
Diagnosis: Binge Eating Disorder
S: L.M. is a 20-year-old female patient who visited the facility, indicating that she needs psychiatric help. She has a history of binge eating, which she has so far failed to overcome. She has been experiencing this problem for some time now, indicating that the condition has been ignored. She feels embarrassed after eating large meals and fears that she might become obese.
O: The patient is well-dressed and groomed, alert and oriented. She has a steady speech. She is in a sad mood. The patient has a coherent thought process and intact memory. She denies suicidal thoughts or ideation.
A: The patient’s condition is indicative of a binge eating disorder.
P: The patient should start CBT sessions to help deal with the distorted thought patterns.
Bipolar disorder
Name: P.H.
Age: 42 years
Gender: Female
Diagnosis: Bipolar disorder
- P.H. is a forty-five-year-old female patient who came to the facility seeking psychiatric help. The patient reports mood swings, which have worried her for some time. She also reports moments of high energy and low energy, as well as other symptoms such as fatigue, hopelessness, sadness, and joy. In addition, she reports problems with sleep, impulsive behaviors, racing thoughts, and concentration difficulties.
O: The patient is well-groomed and neat. She is also alert and oriented. Her mood is sad, and she looks bothered by the symptoms. She is also having problems with concentration. She has a speech that is pressured and talks a lot. She has an incoherent thought process while short and long-term memory is intact. She denies having suicidal thoughts or ideation.
A: According to the DSM-V criteria, the symptoms indicate she has bipolar disorder.
P: The patient needs to start weekly psychotherapy (CBT sessions). This will help her with the cognitive distortions and also develop coping strategies.
Intermittent explosive disorder (IED)
Name: J.D
Age: 36 years
Gender: Female
Diagnosis: Intermittent explosive disorder (IED)
S: J.D. is a 36-year-old female patient who came to the facility complaining of losing her temper so many times for her liking. She also reports being moody most of the time, particularly at the same time every year. The patient complains of getting bored easily, having sleeping problems, and finding it difficult to keep friends.
O: The patient is well-groomed and dressed. She is also alert and oriented. The patient exhibits pressured speech, and she easily gets agitated and irritable. She looks sad. The patient is positive for delusions. She denies suicidal thoughts or attempts. However, she alludes to the possibility of self-harm and harm to others.
A: From the DSM-V criteria, the patient’s symptoms point to intermittent explosive disorder.
P: The patient needs to commence cognitive behavioral therapy sessions to help her deal with the symptoms and the thought patterns.
Narcissistic Personality Disorder
Name: Z.M.
Age: 37 years
Gender: Male
Diagnosis: Narcissistic Personality Disorder
S: Z.M. is a 37-year-old male patient who came to the clinic the facility following an observation by his workmates that he need a psychiatric evaluation. He claims that he is so handsome and that every female at the workplace is attracted to him. 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.
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 should start cognitive behavioral therapy sessions to help her with thought patterns.
Attention Deficit Hypersensitivity Disorder (ADHD)
Name: J.P
Age: 13 years
Gender: Male
Diagnosis: ADHD
S: J.P. is a 13-year-old male patient brought to the facility by his mother. The mother points out that her son makes careless mistakes and has continually become forgetful. Sometimes, he must be reminded to complete his school assignments. Reports from school indicate he has a declining performance, continued social isolation, and daydreaming.
O: The patient is well-dressed and groomed. He is alert and oriented. He exhibits a sad mood, struggles to concentrate, has a short attention span, and constantly fidgets. He has a coherent thought process and intact memory. He denies suicidal thoughts or ideations.
A: The patient’s symptoms are indicative of ADHD
P: The patient needs to start weekly family therapy sessions to help with the symptoms.
Generalized Anxiety Disorder (GAD)
Name: L.A
Age: 17 years
Gender: Female
Diagnosis: GAD
S: L. A is a 17-year-old female patient who visited the facility for a psychiatric evaluation. The patient has a history of GAD. Her parents indicate that she has been having suicidal thoughts for the last few weeks after using psychotropic medications. She has also been crying a lot. They report that the prescribed medications have not been as effective as they thought.
O: The patient is appropriately dressed and groomed. She is also alert and oriented. However, she looks anxious and disturbed. She has a coherent thought process and intact memory. Her speech is also clear. She denies delusions or hallucinations. The patient is positive for suicidal ideation.
A: The patient’s symptoms point to GAD.
P: The patient should start weekly CBT sessions to help the patient identify and challenge the irrational beliefs and thoughts contributing to the symptoms.
Major Depression
Name: F.E
Age: 51 years
Gender: Male
Diagnosis: Major Depression
S: F.E. is a 51-year-old male patient who came to the facility following a referral by their family physician. The patient indicates that he is hopeless and sees no reason to continue living. He states that he perceives himself as a failure as he is not in a position to provide the best for his family. The patient exhibits a depressed mood and has trouble with sleep. He has also displayed other symptoms, such as lack of energy, reduced appetite, inability to concentrate, and complications in decision-making.
O: The patient is appropriately dressed and groomed. He is also alert and oriented. He talks in low tones and volume. He looks depressed and gloomy. He denies hallucinations, delusions, and illusions. His thought content is future-oriented. He reports suicidal thoughts but no action.
A: According to the DSM-V criteria, the patient has a major depressive disorder.
P: The patient should commence weekly CBT sessions.
Body dysmorphic disorder
Name: B.G
Age: 17years
Gender: Male
Diagnosis Body dysmorphic disorder
S: B.G is a 17-year-old male patient who was brought to the facility in the company of their father after an attempted suicide. The patient’s suicidal action has been caused by his obsessive preoccupation with his facial appearance. The patient perceives his face as ugly and thinks a skin graft should help him solve the problem. The patient has a history of acne, and he has been having sleep difficulties caused by a preoccupation with how he looks. He is usually restless in public and crowded places.
O: The patient is well-dressed and groomed. He is alert and oriented. However, he seems bothered by his looks. His skin is of normal elasticity, color, and texture. His speech is clear, but he speaks in an extremely low tone. He finds it difficult to maintain eye contact. He reiterates that he should be offered a skin grafting. He is positive for suicidal ideation and attempts.
A: The patient’s symptoms are indicative of BDD
P: the patient needs to start CBT to help with the distorted thought patterns.
Post-partum Depression
Name: T.A
Age: 31 years
Gender: Female
Diagnosis: Post-Partum Depression
T.A. is a 31-year-old female patient who came to the facility after the her gynecologist referred her to see if she could get a psychiatric assessment. The patient indicates experiencing problems with adjusting as a new mother who recently gave birth. She reports that the baby cries a lot, hence irritating her. The baby’s cries disturb her sleep at night. She feels inadequate since she cannot stop the baby from crying, which bothers her. She has a significantly reduced appetite, and she feels so overwhelmed.
O: The patient is well-dressed and groomed. She is also alert and oriented. She is in a sad mood, looks tired, and is very sleepy. Her speech is fluent. She also has difficulties concentrating. The patient’s short-term and long-term memory is intact. She denies suicidal thoughts or thoughts of harming the baby.
A: The patient has displayed depressive symptoms after giving birth. Therefore, the diagnosis is post-partum depression.
P: The patient should start weekly sessions of CBT sessions to help with depressive symptoms.
Oppositional Defiant Disorder
Name: K.M
Age: 10-years
Gender: male
Diagnosis: Oppositional Defiant Disorder
S: K.M. is a 10-year-old male patient who was accompanied to the facility by his mother. She reports that her son has shown unbecoming behavior; hence, he should be helped. He has continually become disobedient and disrespectful. He is also too aggressive and hates corrections. He doesn’t want to take turns and prefers getting into arguments. He also throws tantrums whenever he is corrected.
O: The patient is well-dressed and groomed. He is also alert and oriented. He is cooperative but questions almost everything. He is also confrontational and argumentative. The patient finds it hard to concentrate and maintain eye contact. His memory is also intact. He denies suicidal thoughts or ideations.
A: The patient’s symptoms are indicative of opposition defiance disorder
P: The patient needs to start family therapy sessions to help with the symptoms.