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Psychiatric Evaluations and Psychiatric Case
Question: Create a Psychiatric evaluation for a 39-year-old client with Anorexia Nervosa
Demographic Data - Includes identifying information including initials, age, gender, ethnicity.Primary source of information and reliability as well as reason for referral and patient understanding of referral are clear.
Subjective Data - CC is clear, concise and verbatim from pt. HPI is thorough yet concise and provides a chronological account of symptoms and contextual factors that are sufficiently descriptive (oldcarts) to validate Dx per DSM-5 criteria. All pertinent negatives are included. A longitudinal course of illness is clear. Current psychiatric medications and response are included.
Objective Data - MSE contains all elements as outlined in addendum..Is in narrative form and effectively and vividly describes the patient's presentation. Concrete examples of all assessment results are included ie. "able to correctly interpret 2/3 simple proverbs" to validate documentation of "abstract thought intact".
Attachment:- Psychiatric Evaluations and Psychiatric Case Presentations.rar
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