Assignment: Assessing, Diagnosing, and Treating Adults With Mood Disorders
In this Assignment you will assess, diagnose, and devise a treatment plan for a patient in a case study who is presenting with a mood disorder.
To Prepare
- Review this week’s Learning Resources. Consider the insights they provide about assessing, diagnosing, and treating mood disorders.
- Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations.
- Review the video, Case Study: Petunia Park. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar.
- Consider what history would be necessary to collect from this patient.
- Consider what interview questions you would need to ask this patient.
- Consider patient diagnostics missing from the video:
Provider Review outside of interview:
Temp 98.2 Pulse 90 Respiration 18 B/P 138/88
Laboratory Data Available: Urine drug and alcohol screen negative. CBC within normal ranges, CMP within normal ranges. Lipid panel within normal ranges. Prolactin Level 8; TSH 6.3 (H)
The Assignment
Develop a Focused SOAP Note, 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 symptomatology 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 to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5 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.
- Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy.
- Reflection notes: Reflect on this case. Discuss what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), social determinates of health, health promotion, and disease prevention that takes into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).
Expert Solution Preview
Introduction:
Assessing, diagnosing, and treating mood disorders are crucial tasks for medical professionals. This Assignment requires medical college students to assess, diagnose, and devise a treatment plan for a patient with a mood disorder. In this case study, students will have to develop a Focused SOAP Note, including their differential diagnosis and critical-thinking process to formulate a primary diagnosis.
Answer:
To prepare for this Assignment, medical college students should review the Learning Resources, including insights about assessing, diagnosing, and treating mood disorders. They should also review the Focused SOAP Note template, the Focused SOAP Note Exemplar, and the video, Case Study: Petunia Park, which will serve as the basis for this assignment. Students should consider the history they need to collect from this patient, the interview questions they need to ask, and the patient diagnostics missing from the video.
In the Focused SOAP Note, medical college students should address the subjective, objective, assessment, plan, and reflection notes for the case study patient. They should provide details regarding the patient’s chief complaint and symptomatology to derive their differential diagnosis, including the duration and severity of their symptoms and how their symptoms are impacting their functioning in life. Medical college students should also discuss what observations they made during the psychiatric assessment and the patient’s mental status examination results.
For the assessment, medical college students should discuss the patient’s differential diagnoses, providing a minimum of three possible diagnoses with supporting evidence listed in order from highest to lowest priority. They should compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Medical college students should explain the critical-thinking process that led them to the primary diagnosis they selected, including pertinent positives and negatives for the specific patient case.
For the plan, medical college students should provide their plan for psychotherapy, treatment and management, alternative therapies, and follow-up parameters, including pharmacologic and nonpharmacologic treatments. They should also include a rationale for the treatment and management plan, as well as one health promotion activity and one patient education strategy.
Finally, for the reflection notes, medical college students should reflect on this case and discuss what they learned and what they might do differently. They should also include a discussion related to legal/ethical considerations, social determinates of health, health promotion, and disease prevention that takes into consideration patient factors, PMH, and other risk factors.