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Comprehensive Psychiatric Evaluation and Patient Case Presentation Essay Paper

Comprehensive Psychiatric Evaluation and Patient Case Presentation Essay PaperComprehensive Psychiatric Evaluation and Patient Case Presentation Essay PaperAssignmentChief complaint: Patient stated, “The voices were bothering me.”H.A. is a 37 y/o African American male who came to the ED due to severe depression, commanding auditory hallucinations, suicidal ideations, noncompliance with medications for the past month, difficulty sleeping at night, severe anxiety and mood swing. During the interview patient stated, “I feel depressed, anxious, I can’t sleep at night, I haven’t been taking my medications for a month, I hear voices telling me to jump off a bridge, I have thoughts of wanting to hurt myself.” Patient positive for cocaine per topology reports. Every other lab normal. Has psychiatry history of schizoaffective disorder bipolar type, medical history of obesity and no surgical history reported. Denies family history of mental illness. Patient single, with no children and living with a friend now. Currently unemployed and receives monthly SSI benefits. Occasionally smokes and drinks alcohol. Denies any past legal history. Denies owning any firearms.ORDER A PLAGIARISM-FREE PAPER HEREMENTAL STATUS EXAMINATION:Appearance: appropriate for age stated, minimal eye contact noted, hygiene needs improvement, and fair cooperation during interview.Psychomotor Activity: No agitation, no tremor.Attention and Concentration: PoorOrientation: Alert and oriented x 3.Speech: Fast rate and mildly loud volume, pressured speech noted, and disorganized.Affect: FlatMood: Depressed, anxious, guarded, hypomanic and labile.Comprehensive Psychiatric Evaluation and Patient Case Presentation Essay PaperThought process: Disorganized with tangential thinking noted and flight of ideas.Thought Content: Reports commanding auditory hallucinations and noted to be responding to internal stimuli. Denies visual hallucinations, denies paranoia and delusions. Positive for suicidal ideations. Denies homicidal ideations.Intellectual Functioning: AverageMotivation for Treatments: FairInclude chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; and current psychiatric diagnosis, including differentials that were ruled out.Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value. Address the following:Subjective: What details did the patient provide regarding their personal and medical history? What are their symptoms of concern? How long have they been experiencing them, and what is the severity? How are their symptoms impacting their functioning?Objective: What observations did you make during the interview and review of systems?Assessment: What were your differential diagnoses? Provide a minimum of three (3) possible diagnoses. List them from highest to lowest priority. What was your primary diagnosis, and why?1) Schizoaffective disorder bipolar type, (2) Cocaine Abuse. Base on the scenario add 1 more diagnosis.Reflection notes: What would you do differently in a similar patient evaluation? IF YOU HAVE ANY QUESTION LET ME KNOW. THANKS!!!Comprehensive Psychiatric Evaluation and Patient Case Presentation Essay PaperWeek (enter week #): (Enter assignment title) Student NameCollege of Nursing-PMHNP, Walden UniversityNRNP 6635: Psychopathology and Diagnostic ReasoningFaculty NameAssignment Due Date NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation TemplateCC (chief complaint):HPI:Past Psychiatric History:General Statement:Caregivers (if applicable):Hospitalizations:Medication trials:Psychotherapy or Previous Psychiatric Diagnosis:Substance Current Use and History:Family Psychiatric/Substance Use History:Psychosocial History:Medical History: Current Medications:Allergies:Reproductive Hx:ROS:GENERAL:HEENT:SKIN:CARDIOVASCULAR:RESPIRATORY:GASTROINTESTINAL:GENITOURINARY:NEUROLOGICAL:MUSCULOSKELETAL:HEMATOLOGIC:LYMPHATICS:ENDOCRINOLOGIC:Physical exam: if applicableDiagnostic results:AssessmentMental Status Examination:Differential Diagnoses:Reflections:ReferencesComprehensive Psychiatric Evaluation and Patient Case Presentation Essay Paper

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