Comprehensive Psychiatric Evaluation

Diagnosis result

Four approaches were deployed in the diagnosis procedure: physical examination, laboratory tests, psychiatric evaluation, and DSM-5. In physical examination, a physical exam was administered through a variety of questions on the patient’s physical health (Fritz et al., 2017). In some instances, depression is associated with an underlying physical health problem. In the lab, blood samples were taken, and a complete blood test was carried out to test the functioning of thyroids (Fritz et al., 2017). In psychiatric evaluation, several mental health questions were administered to the client to determine her symptoms, behavior patterns, and feelings. As the American Psychiatric Association proposed, the Diagnostic and Statistical Manual of Mental Disorders is deployed by medical practitioners.

The diagnosis tests indicated signs of depression. The patient reported unusual restlessness. She was also worried about possible events that could occur. The client exhibited increased energy and elevated self-esteem. Other behavioral habits determined after the diagnosis were high levels of nervousness. The client also faced difficulties in paying attention and concentrating. The blood tests indicated hypothyroidism. This could be perceived as a consequence of an underactive thyroid gland (Staudt et al., 2019). The test outcome is popular among many people with depression.

Differential Diagnosis

Bipolar disorder is one of the most prevalent mental complications in the United States and across the world. It is characterized by the occurrence of fluctuation in energy and mood. According to previous research studies, bipolar disorder is genetic. Many young people worldwide suffer the detrimental impacts of bipolar disorder, such as cognitive impairment (Grande et al., 2016). Many patients diagnosed with bipolar disorder exhibit other underlying comorbidities, which include physical injuries or psychiatric complications (Grande et al., 2016). Bipolar disorder is associated with increasing cases of suicide among young people. About 20% of people diagnosed with bipolar disorder commit or attempt suicide (Mondimore, 2014).

The other mental health complication with a significant impact on cognitive function is a generalized anxiety disorder. This mental health complication is associated with symptoms such as unnecessary worry linked to anticipated events (Lader, 2015). Many individuals with generalized anxiety disorder report a variety of symptoms, including fatigue, sleeping difficulties, irritability, and challenges in concentration (Lader, 2015). Some patients also experience tremors. Mental health professionals have an obligation to advise the patients on the possible triggers of the general anxiety disorder and recommend how the symptoms can be efficiently managed.

The most common approach taken in the treatment of generalized anxiety disorder is the use of cognitive-behavioral therapy. Patients suffering from breathing difficulties are offered therapist programs that enable them to relax through deep breathing, especially during hyperventilation (Kaczkurkin&Foa, 2015).

Major Depressive Disorder comprises another mental complication that impacts cognitive functioning. Common symptoms reported by patients with major depressive disorder include loss of interest, sleeping complexities, impaired cognitive functioning, and decreased appetite. Women are twice as vulnerable to major depressive disorder compared to their male counterparts (Otte et al., 2016). Treatment aims to reduce irritability among clients and increase levels of concentration.

The most common approach taken in the treatment of patients diagnosed with major depressive disorder is the integration of psychotherapy antidepressants. Mental health professionals have an obligation to determine whether one method is sufficient or whether the integration of the two would be more effective depending on the patient’s characteristics and diagnosis results. In many instances, antidepressants are the most frequently used. In this case study, an ideal approach to treatment is the use of cognitive-based therapy. A variety of studies indicate a high rate of success for techniques such as behavioral intervention in problem-solving and activating behavior among patients with Major Depressive Disorder (Young, Rygh, Weinberger, & Beck, 2014).

Reflection

After responding to the examination questions from the mental health professional, the patient reported instances of sexual assault and sexual abuse. The client has been a victim of sexual abuse and sexual assault from a family member as well as from one stranger they had met on social media platforms. The client has indulged in the use of drugs such as marijuana. Over the past three days, the client reported a lack of sleep. Since the client’s boyfriend ended their relationship, the client has suffered depression for a duration of approximately eight months. The client has had a long history of feelings of depression since the age of eighteen. Failure of the client to adhere to prescribed medication poses a challenge in administering treatment to the patient in the case study.

The main objective is to treat manic episodes and depression and stabilize the client’s mood. Medication will be administered as the first form of treatment. The client will also be put under regular cognitive-based therapy to boost her cognitive functioning. The cognitive therapy strategy will help to serve where the patient becomes non-compliant with prescribed medication.mental health professionals must equip the client with the knowledge to enable them to detect changes in mood and behavior transition in efforts to increase the quality of life ((Young &Fristad, 2015).

References

Fritz, K., Russell, A. M., Allwang, C., Kuiper, S., Lampe, L., & Malhi, G. S. (2017). Is a delay in the diagnosis of bipolar disorder inevitable? Bipolar disorders, 19(5), 396-400.

Staudt Hansen, P., Frahm Laursen, M., Grøntved, S., Puggard Vogt Straszek, S., Licht, R. W., & Nielsen, R. E. (2019). Increasing mortality gap for patients diagnosed with bipolar disorder—A nationwide study with 20 years of follow?up. Bipolar disorders, 21(3), 270- 275.

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Comprehensive Psychiatric Evaluation

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