Neuro developmental 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.
DAY 7 OF WEEK 10:
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.).
SOLUTION:
Assignment: Assessing and Diagnosing Patients with Neurocognitive and Neurodevelopmental Disorders
Subjective:
CC (Chief complaint): When a patient arrives at the clinic, they express frustration over their inability to concentrate. “I simply can’t focus.” After all, no one else seems to care. But it seems like I can’t keep up with them when it comes to doing what they do.
HPI: A guy of Caucasian ethnicity in his 60s is there for a mental health evaluation. The supervisor sets up the psychiatric interview after consulting with the patient, who had difficulty focusing and attention span. There is concern on the part of the patient that he has been underperforming in his engineering firm employment. A lot of the patient’s little errors have the potential to negatively impact the organization’s efficiency. The patient continues to ignore personal obligations, such as bill payment, even after several reminders. Despite experiencing difficulties with concentration and memory, the patient does not seek further therapy.
Past Psychiatric History:
- General Statement:Delays in memory and concentration are challenges for the patient. In addition to other diagnoses, including BPH, hypertension, and hypertriglyceridemia, the patient’s MOCA is 28/30.
- Caregivers:None, if applicable • Medication Trials: Neither hospitalizations nor drug trials have been reported. • Previous Psychiatric Diagnosis or Psychotherapy: No history of mental illness.
Current Substance Use and History:The individual avers that they have ever engaged in substance abuse.However, the patient enjoys alcohol and cigars on weekends.
Family History of Psychiatry and Substance Abuse: There is zero indication of a history of mental illness or drug misuse in the family.
Psychosocial History:With a bachelor’s degree in engineering under his belt, the patient is now employed by a reputable engineering firm. The patient is unmarried, has no children, lives alone, and has casual dating relationships. has a younger sister and denies having any legal issues…………………KINDLY CLICK THE PURCHASE ICON BELOW TO ACCESS THE ENTIRE SOLUTION FOR $15