Complete and submit your Comprehensive Psychiatric Evaluation, including your di

Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis.
Incorporate the following into your responses in the template:
Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? Objective: What observations did you make during the psychiatric assessment?  Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).
CASESUDY: Name: Ms. Jess D
Gender: female
Age: 30 years old
T- 98.6 P- 86 R 20 120/70 Ht 5’2 Wt 126lbs
Background: Jess is brought for evaluation by her 2 roommates who are concerned with behaviors. She had some issues with depression after aunt died but worsened in the 12 days after she witnessed her brother killed via GSW in a gas station burglary. She is estranged from her parents and her brother was her only sibling. She is only sleeping 2 hours/24hrs; she will only eat canned foods. She smokes cannabis daily since she was 17 and goes out on weekdays couple times with her roommates and has couple drinks of beer. She was prescribed alprazolam 1mg twice daily as needed by her PCP for 15 days. She works in a bakery. Allergies: medical tape.
Symptom Media. (Producer). (2016). Training title 24 [Video]. https://video-alexanderstreet- com.ezp.waldenulibrary.org/watch/training-title-24
Case study video interview :BEGIN TRANSCRIPT: OFF CAMERA Your roommates, Rachel and Liz, shared some information with me. They said that you were fine, and that shortly after your aunt died, that you started acting in a different sort of strange way. Started having thoughts and hearing things that others couldn’t hear. JESS They think I’m living in a movie. Rachel and Liz. That’s who they think I am. I see a lot of movies. So maybe they’re right. Maybe I am a movie 00:00:45
OFF CAMERA I’m not sure I understand how you can be a movie. 00:00:45
JESS Because they listen to our apartment. 00:00:50
[Whispers] JESS They listen from next door. 00:00:50
OFF CAMERA Who listens? 00:00:55
JESS Russian men and whores. They drill all night long. That’s how they send their information back. Drilling. 00:01:05
OFF CAMERA Drilling. They send messages by drilling? 00:01:10
JESS Doesn’t surprise me. Most people don’t understand. 00:01:15
OFF CAMERA Your roommates said that your favorite aunt that died, she’s the one who raised you. 00:01:20
JESS Maybe she did. Maybe she didn’t. Who told you? Can you prove it? I can’t. 00:01:30
OFF CAMERA Liz and Rachel told me. 00:01:30
JESS Good for them. 00:01:35
OFF CAMERA And your roommates said you had some new neighbors that moved in. Are these the neighbors you’re talking about? 00:01:45
JESS They’re not neighbors. They’re Russians. They don’t answer their door. I tried to banging on their door and they didn’t answer. Figures. I mean they only speak English. They don’t speak English, they speak Russian in code. 00:02:00
OFF CAMERA You know, your roommate, Rachel, told me your new neighbors speak Spanish. They speak Spanish. 00:02:10
JESS They lie. But what do you expect? 00:02:15
OFF CAMERA What do they do? Your neighbors? 00:02:20
JESS I don’t want to talk about this any more. 00:02:25
OFF CAMERA You know, Jess, I imagine what you are experiencing right now feels very frightening. I hear from a lot of the people who, hear voices that maybe aren’t there, that it’s very frightening. And it’s upsetting. Are you experiencing anything like that? 00:02:40
JESS Yes. I hear them talking when no one else can. I mean not Rachel, not Liz. That’s why I went down to my car yesterday. Because if I’m very, very still, the Russians can’t code me. 00:02:55
OFF CAMERA What do you mean code you? 00:03:00
JESS You know. You act like you don’t know, but you know. 00:03:05
OFF CAMERA How long did you stay in your car? 00:03:10
JESS Six hours. I watched them move in and out. 00:03:15
OFF CAMERA So do you sometimes see things that your roommates don’t see?
JESS No. But I know things that they don’t know. 00:03:30
OFF CAMERA Jess, I realize it is difficult sometimes for people to tell me things but it really helps me with their background. Has anything happened recently? Anything traumatic? 00:03:40
JESS I think that secret government papers are traumatic. Like blueprints. I mean, they have blueprints of buildings. My apartment is a building. 00:03:55
OFF CAMERA What are the blueprints? 00:03:55
JESS They’re all over the walls. That’s what they want. 00:04:00
OFF CAMERA The neighbors? 00:04:00
JESS The Russians. They’re terrorists. You’ll find out too late. 00:04:10
JESS I can stop them from seeing them. I covered the walls, I marked up the walls. I just need more markers. 00:04:20
OFF CAMERA Jess, do you drink alcohol or take drugs? 00:04:25
JESS My body is my temple. No. 00:04:30
OFF CAMERA Have you been taking any prescription medications? 00:04:35
JESS Yes I did. I was. 00:04:40
OFF CAMERA So you stopped taking your medications? 00:04:45
JESS Yes I stopped taking my medications. The medications were part of the problem. But you know all about that, don’t you? 00:04:55
OFF CAMERA Jess, do you have any thoughts of hurting yourself, or hurting any other people? 00:05:00
JESS Rachel and Lizzy? I don’t think they’re in on it. Time will tell. END TRANSCRIPT Mental Status Examination:30 -year-old Caucasian female who looks
her stated age. She is cooperative but challenging at times during the assessment. She is neatly
groomed and appropriately dressed. She is restless, fidgety, holding onto a pillow, thumping on
it, and pulling her fingers during the assessment. Her speech is clear, even though she sometimes
whispers. Her thought process is illogical. She is guarded and suspicious. There is evidence of
looseness of association. Her affect is blunt, her arguments perplexing. She denies any auditory or visual hallucinations. She is paranoid with evidence of delusional thinking. She denies any
suicidal or homicidal ideation. Cognitively, she is alert and oriented. Her recent and remote
memory is fair. Her concentration and insight are poor.
SAMPLE UPLOADED: WK7Assgn2__PRAC_6635__1_.docx.pdf
COPY AND PASTE ON GOOGLE SEARCH AND DOWNLOAD TEXTBOOK : http://library.lol/main B508EB9143CF6197AD8493708ADDDEA3
CSadock, B. J., Sadock, V. A., and Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer. Chapter 7, Schizophrenia Spectrum and Other Psychotic Disorders
Chapter 29.2, Medication Induced-Movement Disorders Chapter 31.15, Early-Onset Schizophrenia