Neurodevelopmental Disorders

Neurodevelopmental disorders begin in the developmental period of childhood and may continue through adulthood. They may range from the very specific to a general or global impairment and often co-occur (APA, 2022). They include specific learning and language disorders, attention deficit hyperactivity disorder (ADHD), autism spectrum disorders, and intellectual disabilities. Neurocognitive disorders, on the other hand, represent a decline in one or more areas of prior mental function that is significant enough to impact independent functioning. They may occur at any time in life and be caused by factors such brain injury; diseases such as Alzheimer’s, Parkinson’s, or Huntington’s; infection; or stroke, among others.

For this Assignment, you will assess a patient in a case study who presents with a neurocognitive or neurodevelopmental disorder.

 

TO PREPARE

  • Review this week’s Learning Resources and consider the insights they provide. Consider how neurocognitive impairments may have similar presentations to other psychological disorders.
  • Review the Comprehensive Psychiatric Evaluation template, which you will use to complete this Assignment.
  • By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.
  • Consider what history would be necessary to collect from this patient.
  • Consider what interview questions you would need to ask this patient.
  • Identify at least three possible differential diagnoses for the patient.

Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate a 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.).

 

00:00:00TRANSCRIPT OF VIDEO FILE: 

00:00:00______________________________________________________________________________ 

00:00:00BEGIN TRANSCRIPT: 

00:00:00[sil.] 

00:00:15OFF CAMERA So, you told your supervisor you were having difficulty with concentration, and then it was your supervisor who set up this appointment, right, is it? 

00:00:25HAROLD Yeah, I, I work at this large architectural engineering firm and it’s all great. Except, they’ve accelerated the deadlines now and it just puts a lot of pressure on. And I, I just can’t concentrate. I mean, everyone else is, doesn’t have a problem with it. But, but I just, I just can’t seem to be able to do the same job they’re doing. 

00:00:50OFF CAMERA Okay, tell me about your problem with concentration. 

00:00:55HAROLD Well, um, you know it’s just… Perfect example is, is they wanted me to design um, air ducts. 

00:01:05OFF CAMERA Right. 

00:01:05HAROLD Air ducts, simple. But I designed them through solid wall, a fire wall, and a supporting wall and I didn’t even realize what I was doing. 

00:01:15OFF CAMERA Uh-huh. 

00:01:15HAROLD You know, I mean, um, I’m making silly mistakes like that because, another time we had these windows, we already bought them, design, beautiful, they’re going to be in this entire building. 

00:01:30OFF CAMERA Right. 

00:01:30HAROLD Every floor. Well, I drew the window opening way too small. Now, I mean, if that would have gone ahead, it would have cost millions. I just, it’s, it’s just silly things like that. 

00:01:45OFF CAMERA Uh-huh, is this a new kind of problem for you? 

00:01:45HAROLD Well, I mean, I didn’t seem to have a problem when everything was relaxed, and the deadlines were normal. 

00:01:50OFF CAMERA Right. 

00:01:55HAROLD I could do the job. Everything was fine. But now we’re on these, these ridiculously tight deadlines and, and I just, can’t seem to do it. Everyone else can. It’s, there’s not a problem for them. And I end up like I’m not pulling my weight. 

00:02:10OFF CAMERA Uh-huh. 

00:02:10HAROLD And they think that and it’s true, I’m not. 

00:02:10OFF CAMERA Now did you have these, uh, similar kind of problems back in school? 

00:02:15HAROLD Well, yeah, I mean, in school everyone would go to the library to cram for big exams, so, I mean. 

00:02:20OFF CAMERA Right. 

00:02:20HAROLD That was a normal thing. And, yeah, I’d go but I’d end up looking out the window. Look it’s snowing, oh, it’s spring time. I’ll go for a walk. And, and if someone is whispering in a library well, I have to go to the other side. All my friends could study anywhere. 

00:02:35OFF CAMERA Uh-huh, but, what other kind of difficulties do you seem to have? 

00:02:40HAROLD Well, at the job we have, these uh, lectures, you know. 

00:02:45OFF CAMERA Right. 

00:02:45HAROLD We’d get together, it’s groups. This is the lectures by the chief of the department gets together with all the architects and engineers and he talks about the mission of the day. What we’re trying to work for, our goals. 

00:02:55OFF CAMERA Right. 

00:03:00HAROLD Do I listen? I’m thinking, maybe, my dog needs a bath. Or what am I going to have for lunch? Or, you know, anything other than what he’s saying. 

00:03:05OFF CAMERA Mm-hmm. 

00:03:10HAROLD And because of that, you know, it’s not a good idea. 

00:03:15OFF CAMERA So, so, is it difficult to sit and listen? 

00:03:20HAROLD Yeah, I mean, okay, we were suppose to be designing this other, on top of this penthouse, this, kind of, a patio, party area. 

00:03:30OFF CAMERA Right. 

00:03:30HAROLD And the gutters around it just to make sure everything was very comfortable for everyone. Well, I got up there and I’m designing and the gutters are here, and no, wait a minute, there’s Italian, tile floor. Doesn’t look like it’s tilted the correct way. So I started studying that and there were already two people assigned to study that. To fix that problem, not me. 

00:03:50OFF CAMERA Mm-hmm. 

00:03:55HAROLD I got in a lot of trouble for that one. 

00:03:55OFF CAMERA Do you have any problems organizing? 

00:04:00HAROLD At home or the office? 

00:04:00OFF CAMERA Uh, either. 

00:04:05HAROLD I’m a bit of a mess. I mean, and I’m messy. I will forget my shoes, my socks, my phone, my jacket, I, I can’t find them. I’m not that organized. And I have a calendar. One of my coworkers, actually bought me a calendar to motivate me. 

00:04:20OFF CAMERA Yeah. 

00:04:25HAROLD To get more organized. So, I started writing down all the important dates and events, but then do I ever look at that calendar? No, I don’t. So, it’s a complete waste of time. 

00:04:35OFF CAMERA What about problems paying bills? 

00:04:40HAROLD Bills, I mean, yeah they get paid. After two or three times of the threatening calls or letters. And then I have to pay the penalties. 

00:04:50OFF CAMERA Hmm, what about hyperactivity? 

00:04:50HAROLD You know, I mean, I’m, sometimes I’m a little more uncomfortable in a chair or you know. But I don’t think that’s that big a deal. I mean, I used to be a lot worse. I mean, uh, there was a time when I was in school, I would get marked down for citizenship because I never raised my hand and I talked out of class and, and I just, couldn’t seem to stay focused. But I’m a lot better now. 

00:05:20OFF CAMERA Mm-hmm, were you ever um, treated with medications or behavioral therapies for ADHD? 

00:05:25HAROLD No, no. My mother threatened that one time, but I was never evaluated. Never went, uh, I’m kind of amazed she never just dragged me into a doctor’s office, but she never did. 

00:05:40OFF CAMERA Do you drink any caffeinated drinks? 

00:05:45HAROLD Coffee, soda, you know, once in a while. But when I was a kid, my mother said no caffeine, no sugar, cause you’ll climb the walls. I was already doing it anyway and so she, I uh, once and a while I’ll have a little caffeine now and it kind of helps me focus a little but, sugar, I stay away from that. It’s just not a good idea. 

00:06:05END TRANSCRIPT 

 

 

 

 

 

Neurodevelopmental Disorders

Neurodevelopmental disorders begin in the developmental period of childhood and may continue through adulthood. They may range from the very specific to a general or global impairment and often co-occur (APA, 2022). They include specific learning and language disorders, attention deficit hyperactivity disorder (ADHD), autism spectrum disorders, and intellectual disabilities. Neurocognitive disorders, on the other hand, represent a decline in one or more areas of prior mental function that is significant enough to impact independent functioning. They may occur at any time in life and be caused by factors such brain injury; diseases such as Alzheimer’s, Parkinson’s, or Huntington’s; infection; or stroke, among others.

For this Assignment, you will assess a patient in a case study who presents with a neurocognitive or neurodevelopmental disorder.

 

TO PREPARE

  • Review this week’s Learning Resources and consider the insights they provide. Consider how neurocognitive impairments may have similar presentations to other psychological disorders.
  • Review the Comprehensive Psychiatric Evaluation template, which you will use to complete this Assignment.
  • By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.
  • Consider what history would be necessary to collect from this patient.
  • Consider what interview questions you would need to ask this patient.
  • Identify at least three possible differential diagnoses for the patient.

Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate a 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.).

 

00:00:00TRANSCRIPT OF VIDEO FILE: 

00:00:00______________________________________________________________________________ 

00:00:00BEGIN TRANSCRIPT: 

00:00:00[sil.] 

00:00:15OFF CAMERA So, you told your supervisor you were having difficulty with concentration, and then it was your supervisor who set up this appointment, right, is it? 

00:00:25HAROLD Yeah, I, I work at this large architectural engineering firm and it’s all great. Except, they’ve accelerated the deadlines now and it just puts a lot of pressure on. And I, I just can’t concentrate. I mean, everyone else is, doesn’t have a problem with it. But, but I just, I just can’t seem to be able to do the same job they’re doing. 

00:00:50OFF CAMERA Okay, tell me about your problem with concentration. 

00:00:55HAROLD Well, um, you know it’s just… Perfect example is, is they wanted me to design um, air ducts. 

00:01:05OFF CAMERA Right. 

00:01:05HAROLD Air ducts, simple. But I designed them through solid wall, a fire wall, and a supporting wall and I didn’t even realize what I was doing. 

00:01:15OFF CAMERA Uh-huh. 

00:01:15HAROLD You know, I mean, um, I’m making silly mistakes like that because, another time we had these windows, we already bought them, design, beautiful, they’re going to be in this entire building. 

00:01:30OFF CAMERA Right. 

00:01:30HAROLD Every floor. Well, I drew the window opening way too small. Now, I mean, if that would have gone ahead, it would have cost millions. I just, it’s, it’s just silly things like that. 

00:01:45OFF CAMERA Uh-huh, is this a new kind of problem for you? 

00:01:45HAROLD Well, I mean, I didn’t seem to have a problem when everything was relaxed, and the deadlines were normal. 

00:01:50OFF CAMERA Right. 

00:01:55HAROLD I could do the job. Everything was fine. But now we’re on these, these ridiculously tight deadlines and, and I just, can’t seem to do it. Everyone else can. It’s, there’s not a problem for them. And I end up like I’m not pulling my weight. 

00:02:10OFF CAMERA Uh-huh. 

00:02:10HAROLD And they think that and it’s true, I’m not. 

00:02:10OFF CAMERA Now did you have these, uh, similar kind of problems back in school? 

00:02:15HAROLD Well, yeah, I mean, in school everyone would go to the library to cram for big exams, so, I mean. 

00:02:20OFF CAMERA Right. 

00:02:20HAROLD That was a normal thing. And, yeah, I’d go but I’d end up looking out the window. Look it’s snowing, oh, it’s spring time. I’ll go for a walk. And, and if someone is whispering in a library well, I have to go to the other side. All my friends could study anywhere. 

00:02:35OFF CAMERA Uh-huh, but, what other kind of difficulties do you seem to have? 

00:02:40HAROLD Well, at the job we have, these uh, lectures, you know. 

00:02:45OFF CAMERA Right. 

00:02:45HAROLD We’d get together, it’s groups. This is the lectures by the chief of the department gets together with all the architects and engineers and he talks about the mission of the day. What we’re trying to work for, our goals. 

00:02:55OFF CAMERA Right. 

00:03:00HAROLD Do I listen? I’m thinking, maybe, my dog needs a bath. Or what am I going to have for lunch? Or, you know, anything other than what he’s saying. 

00:03:05OFF CAMERA Mm-hmm. 

00:03:10HAROLD And because of that, you know, it’s not a good idea. 

00:03:15OFF CAMERA So, so, is it difficult to sit and listen? 

00:03:20HAROLD Yeah, I mean, okay, we were suppose to be designing this other, on top of this penthouse, this, kind of, a patio, party area. 

00:03:30OFF CAMERA Right. 

00:03:30HAROLD And the gutters around it just to make sure everything was very comfortable for everyone. Well, I got up there and I’m designing and the gutters are here, and no, wait a minute, there’s Italian, tile floor. Doesn’t look like it’s tilted the correct way. So I started studying that and there were already two people assigned to study that. To fix that problem, not me. 

00:03:50OFF CAMERA Mm-hmm. 

00:03:55HAROLD I got in a lot of trouble for that one. 

00:03:55OFF CAMERA Do you have any problems organizing? 

00:04:00HAROLD At home or the office? 

00:04:00OFF CAMERA Uh, either. 

00:04:05HAROLD I’m a bit of a mess. I mean, and I’m messy. I will forget my shoes, my socks, my phone, my jacket, I, I can’t find them. I’m not that organized. And I have a calendar. One of my coworkers, actually bought me a calendar to motivate me. 

00:04:20OFF CAMERA Yeah. 

00:04:25HAROLD To get more organized. So, I started writing down all the important dates and events, but then do I ever look at that calendar? No, I don’t. So, it’s a complete waste of time. 

00:04:35OFF CAMERA What about problems paying bills? 

00:04:40HAROLD Bills, I mean, yeah they get paid. After two or three times of the threatening calls or letters. And then I have to pay the penalties. 

00:04:50OFF CAMERA Hmm, what about hyperactivity? 

00:04:50HAROLD You know, I mean, I’m, sometimes I’m a little more uncomfortable in a chair or you know. But I don’t think that’s that big a deal. I mean, I used to be a lot worse. I mean, uh, there was a time when I was in school, I would get marked down for citizenship because I never raised my hand and I talked out of class and, and I just, couldn’t seem to stay focused. But I’m a lot better now. 

00:05:20OFF CAMERA Mm-hmm, were you ever um, treated with medications or behavioral therapies for ADHD? 

00:05:25HAROLD No, no. My mother threatened that one time, but I was never evaluated. Never went, uh, I’m kind of amazed she never just dragged me into a doctor’s office, but she never did. 

00:05:40OFF CAMERA Do you drink any caffeinated drinks? 

00:05:45HAROLD Coffee, soda, you know, once in a while. But when I was a kid, my mother said no caffeine, no sugar, cause you’ll climb the walls. I was already doing it anyway and so she, I uh, once and a while I’ll have a little caffeine now and it kind of helps me focus a little but, sugar, I stay away from that. It’s just not a good idea. 

00:06:05END TRANSCRIPT 

 

 

 

 

 

Игровой автомат 3 Lucky Rainbows

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Understanding the differences Between Partnership and Dating

Grown-up ties does have a wide range of obligations and difficulties. The most common troubles include balancing work and personal life, economical conflicts, parenting variations, and maintaining intimacy over time. Recognizing and addressing these concerns can aid people in developing satisfying connections that are beneficial to both parties.

Physical action can be a type of bonding, playfulness, or libido. It can be anything from sexuality to sexual intercourse. Other non-pornographic behaviors, like kissing or intranasal gender, are possible. One guy or two can engage in sexual behavior. The aroused person may experience psychological and biological alterations as a result of sexual behavior.

Although people sexual activity may acquire a variety of kinds, it is always regarded as a form of interaction. The arousal it produces can lead to enjoyment, achievement, and relationship with another person. Physical exercise can be seen as a harmful habits or a normal and accepted component of a relationship. In good relationships, physical action is a good practice that helps to the well- be of both partners.

Dating vs Relation

The distinction between a partnership and dating can be challenging to make. When two people regularly meet but do n’t have a formal commitment to one another, they are still dating. They https://dental.courseblue.com/child-live-webcams-review/ have n’t however entered the engaged phase, but they can decide whether to be unique or no.

In a relationship, couples spend more time together and are often seen at cultural situations and additional engagements. They have a closer relationship with one another and reveal more of who they really are. More often than not, they exchange information about their pasts or argue about how much they snore while they sleep.

A relationship is generally marked by exclusivity even though a couple does time each other in various ways. Couples properly opt to be monogamous, social non- faithful, or polyamorous. The essential component of a relationship is that it’s a significant, longer- term commitment that involves mutual respect and accountability.

People in interactions does struggle with a variety of problems, from physical to personal. Understanding these common issues can be helpful in determining the best course of action for a successful relationship, whether it is monetary volatility or poor communication.

Open communication and empathy are the keys to healthy ties. Respecting one another’s area and refraining from making spontaneous choices that could injure feelings or worsen the situation are essential. It’s also useful to become adaptable, recognizing that alter takes day and being prepared to adapt to new conditions. In addition, addressing harmful habits and behaviors early on is help reduce potential difficulties. For instance, if a lover is attached to drugs or alcohol, it’s crucial to seek professional help before the issue gets out of control. This will stop the relationship between the parties involved from deteriorating and deteriorating.

ASSESSING AND DIAGNOSING PATIENTS WITH SUBSTANCE-RELATED AND ADDICTIVE DISORDERS

TO PREPARE:

  • Review this week’s Learning Resources and consider the insights they provide.
  • Review the Comprehensive Psychiatric Evaluation template, which you will use to complete this Assignment.
  •  
  • By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.
  • Consider what history would be necessary to collect from this patient.
  • Consider what interview questions you would need to ask this patient.
  • Identify at least three possible differential diagnoses for the patient.

Training Title 151Name: Daniela Petrov Gender: femaleAge:47 years old T- 98.8 P- 84 R 20 B/P 132/90 Ht 5’8 Wt 128lbsBackground: Moved to Everett, Washington from Russia with her parents when she was 16 years old. Currently lives in Boise, Idaho. She has one younger 1 brother and 3 older sisters. Denied family mental health or substance use issues. No history of inpatient detox or rehab denied self-harm hx; Menses regular. uses condoms for birth control Has fibromyalgia. She works part-time cashier at Save A Lot Grocery Store. Dropped out of high school in 10th grade. Sleeps 5-6 hours on average, appetite good.Symptom Media. (Producer). (2018). Training title 151 [Video].https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/watch/training-title-151

TRANSCRIPT OF VIDEO FILE: 

00:00:00_____________________________________________________________________ 

00:00:00BEGIN TRANSCRIPT: 

00:00:00DISCLAIMER 

00:00:00THE INFORMATION CONTAINED HEREIN IS OF A GENERAL NATURE AND CANNOT SUBSTITUTE FOR THE ADVICE OF A MEDICAL PROFESSIONAL. THE CONTENT PROVIDED MAY NOT APPLY TO YOU OR YOUR SYMPTOMS. YOU SHOULD NOT RELY ON THIS INFORMATION AS A SUBSTITUTE FOR. NOR DO THEY REPLACE, PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS OR TREATMENT. IF YOU HAVE ANY CONCERNS OR QUESTIONS ABOUT YOUR HEALTH OR THE CONTENT. YOU SHOULD ALWAYS CONSULT WITH A PHYSICIAN OR OTHER HEALTH CARE PROFESSIONAL. DO NOT DISREGARD. AVOID OR DELAY OBTAINING MEDICAL OR HEALTH RELATED ADVICE FROM YOUR HEALTH-CARE PROFESSIONAL. THE CONTENT SHOULD NOT BE USED IN PLACE OF A CALL OR VISIT TO A MEDICAL. HEALTH OR OTHER COMPETENT PROFESSIONAL. WHO SHOULD BE CONSULTED BEFORE ADOPTING ANY OF THE SUGGESTIONS IN THE CONTENT OR DRAWING INFERENCES FROM IT. 

00:00:05SYMPTOM MEDIA. LLC DISCLAIMS ALL RESPONSIBILITY FOR ANY LIABILITY LOSS OR RISK. PERSONAL OR OTHERWISE. WHICH IS INCURRED AS A CONSEQUENCE. DIRECTLY OR INDIRECTLY. OF THE USE AND APPLICATION OF ANY OF THE CONTENT CONTAINED HEREIN. 

00:00:10[sil.] 

00:00:15UNKNOWN I see in your chart that you asked your family physician to prescribe oxycodone for your elbow pain, and that your family physician is worried that some of other medications, drugs you may use may interact with the oxycodone? 

00:00:35UNKNOWN Oxycodone is that’s the same as OxyContin? 

00:00:40UNKNOWN Oh, yeah, yeah. Oxycodone is the generic name. 

00:00:45UNKNOWN Yeah, I did ask for OxyContin, but I don’t take any other medications or drugs. So I’m kind of opposed to putting anything unhealthy in my body. 

00:00:55UNKNOWN Okay. So what else have you tried? 

00:01:00UNKNOWN Nothing else works. 

00:01:00UNKNOWN Ibuprofen, acetaminophen? 

00:01:00UNKNOWN Not even close. 

00:01:05UNKNOWN No? 

00:01:05UNKNOWN Yeah. I mean, I’m allergic to codeine. 

00:01:05UNKNOWN Allergic? 

00:01:10UNKNOWN Yeah, like in Tylenol 3. A little while back, my friend was in a motorcycle accident and had some leftover, and I tried one of those, and I was way allergic. 

00:01:20UNKNOWN What was the allergic response you had? 

00:01:25UNKNOWN My face flushed like real bad, besides it didn’t work. 

00:01:30UNKNOWN Have you tried morphine? 

00:01:30UNKNOWN Well, that’s, that’s addictive, isn’t it? 

00:01:35UNKNOWN Yeah, well all the pain medications or most of them are addictive. Anti-inflammatory medications are not usually addictive. 

00:01:45UNKNOWN Yeah, I tried morphine and the codeine, didn’t work. Yeah. I get headaches too. So ideally I need something that works for both. You know, I’d rather not take two medications if I don’t have to, you know. Less medications the better, that’s what grandma always said. 

00:02:05UNKNOWN Grandma? Okay. 

00:02:05UNKNOWN Yeah. 

00:02:10UNKNOWN Did you… Have you ever tried Dilaudid? 

00:02:15UNKNOWN Yeah. Yeah. They gave that to me in the ER once, but just made me dizzy and constipated. Constipated for like a month. 

00:02:20UNKNOWN Oh, wow. 

00:02:25UNKNOWN Yeah. Yeah. I almost had to go back to the hospital for constipation. Can you imagine having to go to the hospital for constipation? 

00:02:30UNKNOWN Oh, my goodness. 

00:02:30UNKNOWN Yeah, that’s how bad it was. 

00:02:30UNKNOWN Have you tried Demerol? 

00:02:35UNKNOWN Yeah, it kind of worked for my headache. It comes in a shot, right? 

00:02:45UNKNOWN Yeah. An injection. 

00:02:45UNKNOWN Yeah, yeah, they gave that to me at the hospital. But that’s the thing, you know, you can only get it at the hospital, so it’s not like it’s going to work for me every day. And it didn’t do anything for my elbow. So, uh… OxyContin, it’s the only thing that works for both. The only thing that works for both. 

00:03:00UNKNOWN You do seem set on the oxycodone? 

00:03:00UNKNOWN Because it works. 

00:03:05UNKNOWN What else have you tried other than medications? 

00:03:10UNKNOWN Other than medications? 

00:03:10UNKNOWN Yeah. 

00:03:10UNKNOWN Yoga. 

00:03:10UNKNOWN Okay. 

00:03:15UNKNOWN Yeah. Tried that. Other kinds of meditation. I mean, that’s the thing with meditation is, it works while you’re doing it, but then as soon as you stop, zilch. You know, biofeedback. 

00:03:30UNKNOWN Good. 

00:03:30UNKNOWN One doc tried that, same thing. You know works while you’re doing it, but then when you stop doesn’t help at all. What else? Like warm, hot compresses, candles, long walks on the beach, massages. 

00:03:50UNKNOWN Wow. 

00:03:50UNKNOWN And my boyfriend is really good at massages actually. He’s studied with this guru in India. 

00:03:55UNKNOWN Oh, wow. 

00:03:55UNKNOWN Yeah, swear to God. 

00:04:00UNKNOWN You have tried a lot of solutions. Let me ask you more about your medication history. 

00:04:05UNKNOWN I mean, I only take stuff for my headache and my elbow. 

00:04:10UNKNOWN Okay. 

00:04:10UNKNOWN Yeah. I don’t… Like I said, you know, I don’t like putting unhealthy things in my body. Vitamins, I take vitamins. 

00:04:20UNKNOWN Yeah? Okay. 

00:04:20UNKNOWN Like fish oils, some supplements, but nothing corporate, nothing pharmaceutical. You know, I don’t… I don’t want to put that in me. You know, I mean, even coming here today, you know, asking for this, it goes against my values. 

00:04:35UNKNOWN I see. Okay. 

00:04:35UNKNOWN But I got to function. 

00:04:40UNKNOWN Do you drink alcohol? 

00:04:40UNKNOWN On, I don’t know, like special occasions, you know, like weddings, funerals, birthdays. I got a ton of friends, so, you know, whenever we have a birthday we’re going to drink. Let me think, like holidays, New Years, and Christmases. There’s Christmas and then we also celebrate Russian Orthodox Christmas on January 7th. 

00:05:10UNKNOWN So how often on the average? 

00:05:15UNKNOWN Oh, I don’t know. When you add it all up, once, maybe twice a week, I guess. 

00:05:20UNKNOWN And will you drink enough to get intoxicated? 

00:05:20UNKNOWN Depends on who I’m drinking with. As Zane, that’s my boyfriend, he drinks a lot, so I drink a little more when I’m with him. 

00:05:35UNKNOWN Any legal problems from the drinking? 

00:05:35UNKNOWN Once. So dumb. Yeah, just one little charge for drinking. I was like the tiniest little bit over the limit. So, yeah, I got that and I had to take that course, that like stupid, boring course. But I learned my lesson. You know, if you’re a little bit over the limit, stick to the back roads. 

00:06:00UNKNOWN So you will still drive? 

00:06:00UNKNOWN Well, yeah, but I’m super careful. 

00:06:00UNKNOWN You think after you’ve been drinking, that’s an okay idea to drive? 

00:06:05UNKNOWN It’s better than letting Zano drive. 

00:06:10UNKNOWN Zano? 

00:06:10UNKNOWN Zane, Zano, same person. Yeah. I mean, he doesn’t even have his license anymore. Not that it stops him. 

00:06:20UNKNOWN Oh. What about marijuana? 

00:06:20UNKNOWN Do I use it? 

00:06:25UNKNOWN Yeah. 

00:06:25UNKNOWN Marijuana medically helps with my headaches, so, yeah, I use it. Yeah. It’s my right. Yeah, it’s your right. It’s everybody’s right. 

00:06:40UNKNOWN And how often? 

00:06:40UNKNOWN Not often. Two, four times a week, sometimes none. It’s expensive. So, you know, and then, you know, when you do get some, suddenly everybody is your best friend and you got to share, you know how it is. 

00:07:00UNKNOWN Do you ever grow marijuana? 

00:07:00UNKNOWN I used to. But then we moved and it’s not legal in this backward state. And where we live it’s pretty public, it’s not really private. 

00:07:10UNKNOWN Do you ever have any side effects from using marijuana like memory problems? 

00:07:15UNKNOWN I was born with memory problems, Doc, I don’t think it’s from the marijuana. 

00:07:20UNKNOWN Any legal trouble with the marijuana? 

00:07:25UNKNOWN Once. I mean, I’m super careful. But Zano, he went away for a year for selling like the tiniest little bit to an undercover cop, which is total entrapment, which is how I lost custody of Camper. 

00:07:40UNKNOWN Camper? 

00:07:45UNKNOWN My son. 

00:07:45UNKNOWN Oh. 

00:07:45UNKNOWN Yeah. He’s staying with my ex-husband’s parents right now. They take good care of him. 

00:07:50UNKNOWN How long have you been divorced? 

00:07:55UNKNOWN Oh, no, I never married that guy. 

00:07:55UNKNOWN Oh. 

00:07:55UNKNOWN No way I would marry that jerk. No, no, I don’t know. It’s been like four years since I’ve even seen him. Something like that, four years. 

00:08:05UNKNOWN What happened? 

00:08:10UNKNOWN Lucas, my ex, he freaked out because he caught me doing just a few lines of coke, but like everybody was doing it back then. So I… Anyway, his mom found the mirror, and the razors, and Lucas said I had to quit. But… For whatever I lied, and when he caught me, I know it was bad to lie about that, but I don’t know it’s in the past. You know, like, water under the bridge. You live, you learn, you move on. 

00:08:50UNKNOWN Right. Do you use cocaine now? 

00:08:50UNKNOWN No, hardly ever. I don’t know, it’s been like a month maybe, or two months or something since I have. 

00:09:00UNKNOWN Any legal problems from using cocaine or…? 

00:09:05UNKNOWN No. No, I mean, we hardly ever do it. So, yeah. 

00:09:10UNKNOWN Have you thought about stopping altogether? 

00:09:15UNKNOWN I mean, I hardly ever do it. Like, hardly even counts. I don’t know, when I do it, it’s just to relieve tension or, you know, it’s this thing Zano and I do to bring each other closer together, you know, but, like I could quit anytime I wanted, easy. 

00:09:35UNKNOWN Does your boyfriend have children? 

00:09:35UNKNOWN Yeah, yeah, he’s got two kids. Yeah. Yeah, but we don’t see them much. You know, his other with his ex. 

00:09:45UNKNOWN Oh? 

00:09:50UNKNOWN She’s like a real snobby type. You know the type? And it is a freaking tragedy because I see his two kids just going down that same path. You know, they’re just two little snobs. It’s a real shame. She… We’re not allowed to see them anymore though, so I guess, you know, like what’s the difference? She went to court and said we were unsuitable. Not suitable. You know, says it all real nice in court, and then not so nice over the phone, if you know what I mean? She’s a real bitch. 

00:10:25UNKNOWN Any other drugs? Ecstasy? LSD? 

00:10:30UNKNOWN All right. This is going to make me sound like I’m some 1970s hippy, druggo person. But I’ve tried ecstasy twice, just twice, and LSD once, last year. That was a bad trip. I am not doing that again. 

00:10:55UNKNOWN Anything else? 

00:10:55UNKNOWN Like what? 

00:10:55UNKNOWN Stimulants? 

00:11:00UNKNOWN Like power drinks if I need to stay up? 

00:11:05UNKNOWN Sure. 

00:11:05UNKNOWN Caffeine, I drink a lot of coffee. I don’t know if cigarettes, do they count as stimulants? 

00:11:10UNKNOWN Yeah. 

00:11:15UNKNOWN Yeah, I’m trying to cut back. Two packs a day. 

00:11:15UNKNOWN Ritalin, Dexedrine? 

00:11:20UNKNOWN Oh, like stimulants? 

00:11:20UNKNOWN Right. 

00:11:25UNKNOWN Oh, yeah. Not a lot. Like hardly ever. I mean, like if Zano and I are down for whatever reason, or sluggish like, from smoking pot, or just like if I need to get back up again. Yeah, like Adderall, just 20 helps. 

00:11:40UNKNOWN Do you ever take prescription medications that are not prescribed for you? 

00:11:45UNKNOWN Well, are you kidding me? Why would I do that? I told you I don’t like medications in the first place. 

00:11:55UNKNOWN Klonopin, Ativan, Xanax? 

00:11:55UNKNOWN Oh, those? 

00:11:55UNKNOWN Yeah. 

00:12:00UNKNOWN Yeah, I mean if, if my anxiety is acting up, if my meditation isn’t working? Yeah, a couple of Xana bars, you know, but not a lot. 

00:12:15UNKNOWN How often would you estimate that is? 

00:12:15UNKNOWN I don’t know. Two? I don’t know. I need like a freaking calendar to keep up with all your questions, Doc, God. 

00:12:30UNKNOWN So in the past, who prescribed the oxycodone for you? 

00:12:35UNKNOWN No one yet. Zano, he takes them because he’s got shoulder and back problems, and I tried one and, oh, man, it really works. To be honest it works fantastic. 

00:12:50[sil.] 

00:12:55END TRANSCRIPT 

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.).

 

ART/ARTH/BUS 334: THE BUSINESS OF ART

ART/ARTH/BUS 334: THE BUSINESS OF ART
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DUE 4/13

Please see attachments

 

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·         Review this week’s Learning Resources and consider the insights they provide about assessing and diagnosing psychotic disorders. Consider whether experiences of psychosis-related symptoms are always indicative of a diagnosis of schizophrenia. Think about alternative diagnoses for psychosis-related symptoms.

·         Download the Comprehensive Psychiatric Evaluation Template, which you will use to complete this Assignment. Also review the Comprehensive Psychiatric Evaluation Exemplar to see an example of a completed evaluation document. 

·         By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.

·         Consider what history would be necessary to collect from this patient.

·         Consider what interview questions you would need to ask this patient.

·         Identify at least three possible differential diagnoses for the patient. 

 

 

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.).

 

 

 

 

 

https://video-alexanderstreet-com.eu1.proxy.openathens.net/watch/training-title-24

 

 

CASE HISTORY REPORT

Training Title 24  Name: Ms. Jess Davies  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://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/wa  tch/training-title-24

 

 

TRANSCRIPT FOR VIDEO 

 

00:00:00TRANSCRIPT OF VIDEO FILE: 

00:00:00______________________________________________________________________________ 

00:00:00BEGIN TRANSCRIPT: 

00:00:00[sil.] 

00:00:15OFF 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. 

00:00:35JESS 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 

00:00:45OFF CAMERA I’m not sure I understand how you can be a movie. 

00:00:45JESS Because they listen to our apartment. 

00:00:50[Whispers] 

00:00:50JESS They listen from next door. 

00:00:50OFF CAMERA Who listens? 

00:00:55JESS Russian men and whores. They drill all night long. That’s how they send their information back. Drilling. 

00:01:05OFF CAMERA Drilling. They send messages by drilling? 

00:01:10JESS Doesn’t surprise me. Most people don’t understand. 

00:01:15OFF CAMERA Your roommates said that your favorite aunt that died, she’s the one who raised you. 

00:01:20JESS Maybe she did. Maybe she didn’t. Who told you? Can you prove it? I can’t. 

00:01:30OFF CAMERA Liz and Rachel told me. 

00:01:30JESS Good for them. 

00:01:35OFF CAMERA And your roommates said you had some new neighbors that moved in. Are these the neighbors you’re talking about? 

00:01:45JESS 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. 

00:02:00OFF CAMERA You know, your roommate, Rachel, told me your new neighbors speak Spanish. They speak Spanish. 

00:02:10JESS They lie. But what do you expect? 

00:02:15OFF CAMERA What do they do? Your neighbors? 

00:02:20JESS I don’t want to talk about this any more. 

00:02:25OFF 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? 

00:02:40JESS 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. 

00:02:55OFF CAMERA What do you mean code you? 

00:03:00JESS You know. You act like you don’t know, but you know. 

00:03:05OFF CAMERA How long did you stay in your car? 

00:03:10JESS Six hours. I watched them move in and out. 

00:03:15OFF CAMERA So do you sometimes see things that your roommates don’t see? 

00:03:20JESS No. But I know things that they don’t know. 

00:03:30OFF 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? 

00:03:40JESS I think that secret government papers are traumatic. Like blueprints. I mean, they have blueprints of buildings. My apartment is a building. 

00:03:55OFF CAMERA What are the blueprints? 

00:03:55JESS They’re all over the walls. That’s what they want. 

00:04:00OFF CAMERA The neighbors? 

00:04:00JESS The Russians. They’re terrorists. You’ll find out too late. 

00:04:10OFF CAMERA Has anyone else seen these blueprints Jess? 

00:04:10JESS I can stop them from seeing them. I covered the walls, I marked up the walls. I just need more markers. 

00:04:20OFF CAMERA Jess, do you drink alcohol or take drugs? 

00:04:25JESS My body is my temple. No. 

00:04:30OFF CAMERA Have you been taking any prescription medications? 

00:04:35JESS Yes I did. I was. 

00:04:40OFF CAMERA So you stopped taking your medications? 

00:04:45JESS Yes I stopped taking my medications. The medications were part of the problem. But you know all about that, don’t you? 

00:04:55OFF CAMERA Jess, do you have any thoughts of hurting yourself, or hurting any other people? 

00:05:00JESS Rachel and Lizzy? I don’t think they’re in on it. Time will tell. 

00:05:10[sil.] 

00:05:10END TRANSCRIPT 

 

 

 

Citation for video 

 

 Training Title 24. . (2016).[Video/DVD] Symptom Media. Retrieved from https://video.alexanderstreet.com/watch/training-title-24