Day: September 29, 2020

Examine Case 2 (A young woman with depression): You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical, as well as mental factors that might impact the clients diagnosis and treatment.
At each Decision Point stop to complete the following:
    Decision #1: Differential Diagnosis
o    Which Decision did you select?
o    Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
o    What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
o    Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?
    Decision #2: Treatment Plan for Psychotherapy
o    Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
o    What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
o    Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different?
    Decision #3: Treatment Plan for Psychopharmacology
o    Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
o    What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
o    Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
o    Include a clear and comprehensive purpose statement.
o    Must include 2 or more credible, up to date (within 5 yrs), scholarly outside sources, in addition to 2-3 course resources.
Also include how ethical considerations might impact your treatment plan and communication with clients and their family.
Case 2:
Laureate Education (Producer). (2017d). A young woman with depression [Multimedia file]. Baltimore, MD: Author.
Course resourses:
American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Gabbard, G. O. (2014). Gabbards treatment of psychiatric disorders (5th ed.). Washington, DC: American Psychiatric Publications.
    Chapter 13, Acute and Maintenance Treatment of Bipolar and Related Disorders
Marsee, K., & Gross, A. F. (2013). Bipolar disorder or something else? Current Psychiatry, 12(2), 4349. Retrieved from http://www.mdedge.com/currentpsychiatry/article/66320/bipolar-disorder/bipolar-disorder-or-something-else
Miller, L. J., Ghadiali, N. Y., Larusso, E. M., Wahlen, K. J., Avni-Barron, O., Mittal, L., & Greene, J. A. (2015). Bipolar disorder in women. Health Care for Women International, 36(4), 475498. doi:10.1080/07399332.2014.962138
Schouws, S. M., Comijs, H. C., Dols, A., Beekman, A. F., & Stek, M. L. (2016). Five-year follow-up of cognitive impairment in older adults with bipolar disorder. Bipolar Disorders, 18(2), 148154.  doi:10.1111/bdi.12374
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadocks synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.
    Chapter 8, Mood Disorders (pp. 347386)
Stahl, S. M. (2014). Prescribers Guide: Stahls Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press.

Assigned anxiety disorder: Body Dysmorphic Disorder
    Explain the difference between an adjustment disorder and anxiety disorder. Provide examples to illustrate your rationale.
    Explain the diagnostic criteria for your assigned anxiety disorder. (Body Dysmorphic Disorder}
    Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned anxiety disorder.
    Support your rationale with references to the Learning Resources or other academic resource. (at least 3 current, credible sources)
Learning resources:
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
    Anxiety Disorders
    Trauma- and Stressor-Related Disorders
Gabbard, G. O. (2014). Gabbards treatment of psychiatric disorders (5th ed.). Washington, DC: American Psychiatric Publications.
    Chapter 16, Panic Disorder
    Chapter 18, Social Anxiety Disorder (Social Phobia)
    Chapter 19, Generalized Anxiety Disorder
    Chapter 20, Specific Phobia
Hayes, J. P., Logue, M. W., Reagan, A., Salat, D., Wolf, E. J., Sadeh, N., & … Miller, M. W. (2017). COMT Val158Met polymorphism moderates the association between PTSD symptom severity and hippocampal volume. Journal of Psychiatry & Neuroscience: JPN, 42(2), 95102. doi:10.1503/jpn.150339

Maples-Keller, J. L., Price, M., Rauch, S., Gerardi, M., & Rothbaum, B. O. (2017). Investigating relationships between PTSD symptom clusters within virtual reality exposure therapy for OEF/OIF veterans. Behavior Therapy, 48(2), 147155. doi:10.1016/j.beth.2016.02.011
Quinn, B. L., & Peters, A. (2017). Strategies to reduce nursing student test anxiety: A literature review. Journal of Nursing Education, 56(3), 145151. doi:10.3928/01484834-20170222-05
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadocks synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.
    Chapter 9, Anxiety Disorders (pp. 387417)
    Chapter 11, Trauma- and Stressor-Related Disorders (pp. 437451)
Stahl, S. M. (2017). Prescribers Guide: Stahls Essential Psychopharmacology (6th ed.). New York, NY: Cambridge University Press.

To prepare for this Assignment:
    Select an adult or older adult client with a bipolar disorder that you have seen in your practicum.
In 3 pages, write a treatment plan for your client. In which you do the following:
    Describe the HPI and clinical impression for the client.
    Recommend psychopharmacologic treatments and describe specific and therapeutic end points for your psychopharmacologic agent. (This should relate to HPI and clinical impression and discuss the specific medication, not the class).
    Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.
    Identify medical management needs, including primary care needs, specific to this client.
    Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.
    Recommend a plan for follow-up intensity and frequency and collaboration with other providers.
    Include a clear and comprehensive purpose statement.
    Integrate 2 or more credible outside sources, in addition to 2-3 course resources.
Course resources:
American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Marsee, K., & Gross, A. F. (2013). Bipolar disorder or something else? Current Psychiatry, 12(2), 4349. Retrieved from http://www.mdedge.com/currentpsychiatry/article/66320/bipolar-disorder/bipolar-disorder-or-something-else
Miller, L. J., Ghadiali, N. Y., Larusso, E. M., Wahlen, K. J., Avni-Barron, O., Mittal, L., & Greene, J. A. (2015). Bipolar disorder in women. Health Care for Women International, 36(4), 475498. doi:10.1080/07399332.2014.962138
Schouws, S. M., Comijs, H. C., Dols, A., Beekman, A. F., & Stek, M. L. (2016). Five-year follow-up of cognitive impairment in older adults with bipolar disorder. Bipolar Disorders, 18(2), 148154.  doi:10.1111/bdi.12374
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadocks synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.
    Chapter 8, Mood Disorders (pp. 347386)
Gabbard, G. O. (2014). Gabbards treatment of psychiatric disorders (5th ed.). Washington, DC: American Psychiatric Publications.
    Chapter 13, Acute and Maintenance Treatment of Bipolar and Related Disorders
Stahl, S. M. (2017). Prescribers Guide: Stahls Essential Psychopharmacology (6th ed.). New York, NY: Cambridge University Press.
To access information on specific medications, click on The Prescribers Guide, 6th Ed. tab on the Stahl Online website and select the appropriate medication.