Reference no: EM133681275

Assignment:

CC: "Chronic stress and worry."

HPI: A twelve-year-old kid and his mother visited the clinic with persistent tension and worry. He worries about several things, including his family's safety. He also laments being apart from his mother and younger brother. His mother says he has odd dreams. He often experiences dreams characterized by disorientation and an inability to find his mother or younger sibling. These nightmares disturb him and contribute to his overall anxiety.

Additionally, he acknowledges experiencing fluctuations in his mood. He often exhibits melancholy and feelings of neglect as he believes his mother favors his newborn sibling over him. His emotional well-being is adversely affected because of this. The patient alleges that he was subjected to derogatory epithets such as "Mr. Smelly" by his classmates due to his refusal to bathe and occasional nocturnal mishaps. He experiences alone and struggles to concentrate on his academic pursuits. Furthermore, he expresses dissatisfaction with his nearly constant headaches and stomachaches. In recent weeks, he has experienced noticeable weight loss as a result of a drop in his appetite. He reveals that lack of fatherly love precipitates the condition and physical activity relieves the stress.

Question: Based on the above scenario, answer the following questions

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 in order of highest to lowest priority and explain why you chose them. What was your primary diagnosis and why? Describe how your primary diagnosis aligns with DSM-5-TR diagnostic criteria and is supported by the patient's symptoms.

Plan: Describe your treatment modality and your plan for psychotherapy. Explain the principles of psychotherapy that underline your chosen treatment plan to support your rationale for the chosen psychotherapy framework. What were your follow-up plan and parameters? What referrals would you make or recommend as a result of this psychotherapy session?

Reflection notes: What would you do differently in a similar patient evaluation? Reflect on one social determinant of health according to the Healthy People 2030 (you will need to research) as applied to this case in the realm of psychiatry and mental health. As a future advanced provider, what are one health promotion activity and one patient education consideration for this patient for improving health disparities and inequities in the realm of psychiatry and mental health? Demonstrate your critical thinking.