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Module Assignments:
Change the directions to read as follows:
Assignment (due by 2359 EST on Sunday)
For this assignment, you will watch an assigned video clip that depicts a patient needing
psychiatric/mental health treatment. You then will complete a treatment plan for this patient, following
the attached formatting. You are required to follow APA 7, which includes, a title page, your typed
treatment plan, and a references page. Each video case that is assessed should result in a treatment plan
that is a minimum of 3 pages in length, in addition to the title page and references page. This is a
treatment plan, not a research paper. Follow the rubric guidelines for grading criteria.
Just like in practice, there are times when all the preferred information may not be available, yet you still
will need to formulate a treatment plan for the patient. Your treatment plan must include in-text citations
and proper APA 7 formatting.
The following reference materials are required to be utilized and referenced:

DSM-5
Course Textbook
Drug guide of your choice (text or online)
1 scholarly peer reviewed journal article, dated within the last 5 years, that supports your
treatment plan. UptoDate is a wonderful site, but it is not considered a scholarly peer
reviewed journal article.
The APA 7 style of writing is required. This includes (but is not limited to):

Proper grammar and composition, capitalization and sentence structure
APA 7 approved font (such as 12-point Times New Roman)
Double spaced paper with 1” margins
Paragraphs are to be left margin justified only
Paragraph indentions
Heading Levels (see APA p. 47-48)
References that are formatted as per APA 7. See chapter 9 of the APA 7.
How to properly cite and reference the DSM-5.
For electronic versions:
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
https:doi.org/10.1176/appi.books.9780890425596
For printed version:
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
American Psychiatric Association.
Basic in-text citation for the DSM-5: (American Psychiatric Association, 2013).
NKU MSN675 | 2022 Treatment Plans, DSM-5, Differentials
Treatment Plan: What to include and how to format the treatment plan
Your Treatment plan should include the following categories:
1. Title page
2. Content of treatment plan (The title of your treatment plan should be on line 1 of page 2).
a. Video # or Discussion Board Prompt #
b. Brief description of the patient
c. Brief explanation of the presenting symptoms
d. Any known medical history, allergies, etc.
e. Your psychiatric diagnosis (supported by the DSM-5).
f. List 3 of the differential diagnosis from the DSM-5, and briefly state why that was
chosen as a differential diagnosis, and not as the main diagnosis. (See course
materials on Differential Diagnosis) (supported by the DSM-5).
g. Suicide and/or homicidal risk assessment (this includes ideation, intent, plan,
means, etc.).
h. What psychiatric tools or scales you used (or that you would use) to help support
your diagnosis (include citations).
i. Medications being ordered
i. Include name of medication(s) and what the med is used for (include
citation)
ii. Include the route, dosage, frequency (include citation)
iii. Include black box warnings or what the pt needs to know/foods to avoid,
etc. (include citation)
j. Non-pharmacological treatments that are being ordered (include citation that
supports these).
k. Any labs or medical tests that need to be completed to rule out organic causes, for
medication monitoring, and so forth (include citation). (include a short line stating
why each lab/test is being ordered)
l. Questions that you would ask to further solidify your diagnosis (brief list)
m. Any further directives/resources for the patient (this would include, follow up with
primary doctor to monitor HTN or diabetes; directives to follow-up with other
members of the comprehensive treatment team; safety plan if you are sending the
pt home and they have suicidal or homicidal thoughts; return for medication
assessment in x number of weeks, etc. This also includes support group and hotline
phone numbers for things like SI and SUD).
3. References Page – include all citations used in the paper, formatted per APA 7, double
spaced and in alphabetical order. References are to include the DSM-5, the course textbook,
a drug book of your choice (text or online), and 1 scholarly journal article reference within
the last 5 years, for each of the videos or discussion board prompts being assessed.
Note:
Direct quotations should be kept to a minimum and properly cited as per the APA 7. It is imperative
that you synthesize the course information into your own words, using minimal direct quotations from scholarly
journal articles to support your treatment plan. Academic integrity is essential as proper citations give credence
and reliability to your treatment plan.
NKU MSN675 | 2022 Treatment Plans, DSM-5, Differentials
DSM-5 & Differential Diagnosis
In order to effectively treat patients, a reliable diagnosis and treatment recommendation is
essential. The DSM-5 provides a definition for each mental health disorder along with diagnostic
criteria that must be met for each diagnosis. These diagnoses are designed to “help clinicians to
determine prognosis, treatment plans, and potential treatment outcomes for their patients”
(American Psychiatric Association, 2013, p. 20). Diagnosis are then made after performing a
clinical interview with the patient, using DSM-5 descriptions, criteria, and using clinician
judgment (American Psychiatric Association, 2013).
1. All psychiatric disorders have a categorical place in the DSM -5. It includes the
symptoms that must be present with specifiers that allow for a more specific
diagnosis that help with the development of a treatment plan. (Example: Major
depressive disorder with psychotic features).
2. Most psychiatric disorders (and psychiatric emergencies) require a thorough suicide
risk assessment. If the patient in the DB or video requires a suicide risk assessment
you must mention that clearly, as well as giving the side effects of any meds that may
make suicidal thinking worse, as well as a safety plan.
3. Differential diagnoses: A reliable diagnosis is required to effectively treat the patient
and to have positive treatment outcomes. The differentials provide for clinicians and
alternate diagnosis that could be considered if it is proven that the patient does meet
the criteria for the primary diagnosis that was chosen.
A clinician does not randomly come up with a differential diagnosis on their own. The
DSM-5 provides for clinicians, differential diagnosis for each primary diagnosis. They
are listed in the DSM-5 at the end of each diagnosis chapter. The differentials are listed in
order of prevalence. For example, of all the patients diagnosed with Bipolar 1, if that
diagnosis was proven not to be correct, most often the correct diagnosis is found to be
first, major depressive disorder, then second most frequent is the 2nd differential listed,
then the 3rd most frequent is the 3rd differential that is listed. So the differentials should be
alternate diagnosis that you considered or wrestled with as you were determining the
primary diagnosis for the patient.
For example, if you have a patient who appears with a mood disorder, you may be
considering depressive disorder or bipolar 1 disorder. Upon examining the diagnostic
criteria in the DSM-5 for bipolar 1 (page 123-131) you determine that bipolar 1 is the
diagnosis that the patient meets the criteria for. You must then look to the differential
diagnosis that are listed in the DSM-5 (for bipolar 1 the differentials are on page 131132) and you choose 2 or 3 of them that your patient closely matches the criteria for. You
then briefly explain why you chose bipolar 1, as opposed to the differential diagnosis of
major depressive disorder (for example).
NKU MSN675 | 2022 Treatment Plans, DSM-5, Differentials
Arnie, Opioid Use Disorder, Drug Abuse Assessment
Arnie currently uses opiates, which he says are for back pain. When at work, Arnie will sometimes
smokes marijuana after taking an Oxycontin. After his girlfriend was concerned about his use of opioids,
Arnie attempted to stop his prescription for two weeks and instead began taking a smaller dose from a
coworker’s prescription. While using this lesser dose, Arnie experienced severe pain. Though Arnie is
unable to stop taking his opiates for longer than one or two days, he does not feel guilty or concerned
because he follows his doctor’s prescription. Arnie has not neglected his work responsibilities as a result
of his opiate use; rather he says it is the back pain that prevents him from functioning.
OFF CAMERA: [00:00:29] Now I’m going to ask you some questions specifically related to
your opiate use the oxys crime. Have you ever use oxys other than for a medical reason.
ARNIE: [00:00:42] No it’s always my pain.
ARNIE: [00:00:44] That’s why I use them and use more than one drug at a time more than one
oxy or is it were alcohol or marijuana.
ARNIE: [00:00:58] Well so short answer.
ARNIE: [00:01:02] No but at work you know like I said oh I’ll have to take the Aussie to get
through my day at work and make sure that I can stay there the whole day and accomplish what I
need to do so I don’t get fired. And we do take smoke breaks.
ARNIE: [00:01:22] So you know it’s busy I’m get anxious my hands are starting to twitch I take
some some pop out back and smoke that just calm down but I’m not grinding the two up and
making some sort of super pill or nothing like that.
OFF CAMERA: [00:01:42] OK. Are you able to stop using the oxy when you want to.
ARNIE: [00:01:49] Well I need it so I don’t think stopping it is going to be a good idea. I try to
wean myself down a little bit because you know people just get scared like they don’t know what
I’m going through. Like
ARNIE: [00:02:09] I said my my girlfriend should be like you are real sure you need this. It’s so
expensive. And so for her sake just to basically prove a point I said OK it makes you feel better
if I don’t have to hear this complains.
ARNIE: [00:02:27] You don’t know how I feel but I’ll do this for you all. I’ll stop for like two
weeks or something like that so I let my medication you know lapse for a little while.
[00:02:44] And there’s a guy at the bar who the guy at the bar he had some that I just took like
two weeks worth a little bigger pill but I you know chopped them up or whatever to make it
seven and a half milligrams.
ARNIE: [00:03:02] So I wouldn’t take my full dose maybe one every other day or so to try and
wean off of it to prove a point and point proved is that my back started killing me and my leg
started getting worse than they were. So that’s the point that I proved to my girlfriend that I need
this stuff.
OFF CAMERA: [00:03:29] So did you ever totally go off the opiates for like a day or couple
days at all.
ARNIE: [00:03:37] I mean after I had my wisdom teeth out but that was a while ago.
OFF CAMERA: [00:03:43] So it did. So you said your pain came back. Did you get sick or have
any withdrawal sometimes feel like cold and clammy or nauseous.
ARNIE: [00:03:52] No I didn’t have any withdrawal symptoms ahead headaches and I had my
back.
ARNIE: [00:03:58] The pain just roared back into me and my legs they used to be not not fine
but not as bad as it was to begin with.
ARNIE: [00:04:08] So it started going back into that area whereas oh this feels just as bad as it
did a few months ago. You know what I mean.
ARNIE: [00:04:19] So .
OFF CAMERA: [00:04:22] Have you ever had a blackout or pass out from using opiates.
ARNIE: [00:04:30] I mean all take one at night if it’s really bad you know falsely then but I
don’t I don’t know if that’s a blackout like driving or something I haven’t hit a tree or anything
like that.
OFF CAMERA: [00:04:45] OK. Do you ever feel bad or feel guilty about using oxys.
ARNIE: [00:04:50] No I’m just doing what my doctor told me.
OFF CAMERA: [00:04:55] Does your family or friends or your girlfriend ever complain about
your use of opiates.
ARNIE: [00:05:03] No. She doesn’t complain. She complains that oh you didn’t take the trash
out this way. It’s not my turn. I say I did take it out. But she points out small things like that. Not
directly. Oh you’re a drug addict. But you know like I said before I said OK well we’ll try this
little experiment and see how it goes. So that’s the extent of the complaining.
OFF CAMERA: [00:05:35] Have you ever neglected your family or any responsibilities like
work because of your using the oxys.
ARNIE: [00:05:47] No I if my pain is too bad some days then I’ll have to take a day off of work.
But I’m not consciously like. Let me take a bunch of Oxys and sit at home all day. I legit can’t
work that day because the pain is so bad or you know maybe I won’t be able to help my brother
mow the lawn or something like that he’ll get pissed at me but I’m not actively avoiding
anything because of my pain.
OFF CAMERA: [00:06:23] Have you ever engaged in any illegal activities in order to obtain
oxys.
ARNIE: [00:06:33] I’ve never been arrested. So no.
ARNIE: [00:06:37] But when when we were when he gave me those like carry over pills.
ARNIE: [00:06:43] I mean I don’t know what the law says about your friend helping you.
OFF CAMERA: [00:06:49] So you’re taking somebody else’s prescription.
ARNIE: [00:06:54] He’s giving me, Me somebody else with his prescription.
OFF CAMERA: [00:06:58] Was it the same prescription as yours.
ARNIE: [00:07:00] Yeah it is a different dosage because the same ingredients.
OFF CAMERA: [00:07:06] Have you had any medical problems as a result of using oxy
anything like metal memory loss or seizures.
ARNIE: [00:07:17] No I I was seizure I don’t have any like seizures but when it gets really busy
at work like I said I need to go take a pot break my.
[00:07:30] It’s the anxiety is what really gets me so I’ll be working behind the cooktop get a
rush. It’s late at night. There’s nobody else for me there. And you know the anxiety just comes
up and my hands started shaking and I don’t feel safe holding a knife chopping up ingredients for
people so I’ll just step aside smoke a little and then call myself that.
OFF CAMERA: [00:08:03] Have you or anyone else ever been injured as a result of using the
opiates.
ARNIE: [00:08:10] No.

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