Schizophrenia and Other Psychotic Disorders; Medication-Induced Movement Disorders
This week, you explore psychotic disorders, including schizophrenia. You also explore medication-induced movement disorders and formulate a diagnosis for a patient in a case study.
- Apply concepts, theories, and Â Â Â Â Â principles related to patient interviewing, diagnostic reasoning, and Â Â Â Â Â recording patient information
- Formulate differential Â Â Â Â Â diagnoses usingÂ DSM-5-TRÂ criteria for patients with Â Â Â Â Â schizophrenia, other psychotic disorders, and medication-induced movement Â Â Â Â Â disorders across the life span
Â Assessing and Diagnosing Patients With Schizophrenia, Other Psychotic Disorders, and Medication-Induced Movement Disorders
Psychotic disorders and schizophrenia are some of the most complicated and challenging diagnoses in theÂ DSM. The symptoms of psychotic disorders may appear quite vivid in some patients; with others, symptoms may be barely observable. Additionally, symptoms may overlap among disorders. For example, specific symptoms, such as neurocognitive impairments, social problems, and illusions may exist in patients with schizophrenia but are also contributing symptoms for other psychotic disorders.
For this Assignment, you will analyze a case study related to schizophrenia, another psychotic disorder, or a medication-induced movement disorder.
- Review this weekâ€™s Learning Resources and consider the insights Â Â Â Â Â they provide about assessing and diagnosing psychotic disorders. Consider Â Â Â Â Â whether experiences of psychosis-related symptoms are always indicative of Â Â Â Â Â a diagnosis of schizophrenia. Think about alternative diagnoses for Â Â Â Â Â psychosis-related symptoms.
- Download the Comprehensive Psychiatric Â Â Â Â Â Evaluation Template, which you will use to complete this Assignment. Also Â Â Â Â Â review the Comprehensive Psychiatric Evaluation Exemplar to see an Â Â Â Â Â example of a completed evaluation document.
- By Day 1 of this week, select a specific video Â Â Â Â Â case study to use for this Assignment from the Video Case Selections Â Â Â Â Â choices in the Learning Resources. View your assigned video case and Â Â Â Â Â review the additional data for the case in the â€œCase History Reportsâ€ Â Â Â Â Â document, keeping the requirements of the evaluation template in mind.
- Consider what history would be necessary to Â Â Â Â Â collect from this patient.
- Consider what interview questions you would Â Â Â Â Â need to ask this patient.
- Identify at least three possible differential Â Â Â Â Â diagnoses for the patient.
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:Â What details did Â Â Â Â Â the patient provide regarding their chief complaint and symptomology to Â Â Â Â Â derive your differential diagnosis? What is the duration and severity of Â Â Â Â Â their symptoms? How are their symptoms impacting their functioning in Â Â Â Â Â life?
- Objective:Â What observations Â Â Â Â Â did you make during the psychiatric assessment?
- Assessment:Â Discuss the patientâ€™s Â Â Â Â Â mental status examination results. What were your differential diagnoses? Â Â Â Â Â Provide a minimum of three possible diagnoses with supporting evidence, Â Â Â Â Â listed in order from highest priority to lowest priority. Compare the Â Â Â Â Â DSM-5-TR diagnostic criteria for each differential diagnosis and explain Â Â Â Â Â what DSM-5-TR criteria rules out the differential diagnosis to find an Â Â Â Â Â accurate diagnosis. Explain the critical-thinking process that led you to Â Â Â Â Â the primary diagnosis you selected. Include pertinent positives and Â Â Â Â Â pertinent negatives for the specific patient case.
- Reflection notes:Â What would Â Â Â Â Â you do differently with this client if you could conduct the session Â Â Â Â Â over?â€¯Also include in your reflection a discussion related to Â Â Â Â Â legal/ethical considerations (demonstrate critical thinking beyond Â Â Â Â Â confidentiality and consent for treatment!), health promotion and disease Â Â Â Â Â prevention taking into consideration patient factors (such as age, ethnic Â Â Â Â Â group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, Â Â Â Â Â etc.).
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015).Â Kaplan & Sadockâ€™s synopsis of psychiatryÂ (11th ed.). Wolters Kluwer.
- Chapter 7, Schizophrenia Spectrum and Other Psychotic Â Â Â Â Â Disorders
- Chapter 29.2, Medication Induced-Movement Disorders
- Chapter 31.15, Early-Onset Schizophrenia
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