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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 2 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).

Treatment Plan: What to include and how to format the treatment plan

Your Treatment plan should include the following categories:

Title page

Content of treatment plan

(The title of your treatment plan should be on line 1 of page 2).

Video # or Discussion Board Prompt #

Brief description of the patient

Brief explanation of the presenting symptoms

Any known medical history, allergies, etc.

Your psychiatric diagnosis

(supported by the DSM-5).

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).

Suicide and/or homicidal risk assessment

(this includes ideation, intent, plan, means, etc.).

What psychiatric tools or scales you used (or that you would use) to help support your diagnosis

(include citations).

Medications being ordered

Include name of medication(s) and what the med is used for (include citation)

Include the route, dosage, frequency (include citation)

Include black box warnings or what the pt needs to know/foods to avoid, etc. (include citation)

Non-pharmacological treatments that are being ordered (include citation that supports these).

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)

Questions that you would ask to further solidify your diagnosis (brief list)

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).

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.

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).

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).

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.

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 2

nd

differential listed, then the 3

rd

most frequent is the 3

rd

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 131-132) 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).

Watch and assess the following video case:

week 2 video

Links to an external site.

Rubric

Video case assignments

Video case assignments

Criteria

Ratings

Pts

This criterion is linked to a Learning Outcome

References

Use APA format
to cite all references. Please include scholarly peer reviewed
references published within the last 5 years. Use evidence based
research to support your recommendations.

2

to >

1.0

pts

Exceeds Expectations

Used
APA format correctly to cite all references. Scholarly peer reviewed
sources and evidence based research used to support recommendations.

1

to >

0.0

pts

Meets expectations

References are much older than 5 years old, not evidence based, or trouble with APA format.

0

pts

Does not meet expectations

Did not use APA format or used outdated references or no references.

2

pts

This criterion is linked to a Learning Outcome

Evaluation

Evaluate each
video clip stating your initial diagnosis with differentials using only
what the clip provides. List any symptoms that influenced your decision
to use your diagnosis and why. Discuss treatment suggestions you have
for this patient which may include psychosocial, cultural, and/or
developmental considerations.

3

to >

1.5

pts

Exceeds Expectations

Evaluated
the video clip by making a diagnosis with the information provided.
Included additional questions to ask, any differentials, and suggested a
treatment plan to begin with this patient.

1.5

to >

0.0

pts

Meets expectations

Reflection
was basic and missing some of the recommended listing of symptoms,
diagnosis, treatment suggestions, developmental, psychosocial, or other
considerations.

0

pts

Does not meet expectations

Did not provide a diagnosis or include a treatment plan for the case.

3

pts

Total Points:
5

[PATIENT:] I went to the emergency department last week, because I was feeling like I was dying from a
heart attack, and they did one of those, what do you call it? Ah, an EKG. And it was normal. But I was
sweating and I was having trouble like catching my own breath. And my heart was pounding really,
really hard. And I, and I just felt like my, my heart was just going to explode out of my chest. It almost
felt like, um, like when your…I don’t know, when you’re in the woods. Uh, alone and, and you… you, feel
like someone is, is following or, or chasing you. Or something like that. I, I just, I just my heart felt like it
was about to leap out of my chest. I… And uh… I don’t know, probably twelve, fifteen minutes went by
and, and the feeling just went away. It just passed. But then… the next day, it was the very same thing
and I, for no reason at all. Just all of a sudden, I was making coffee and then WAM, that, that, that
tightness in my chest came back and I was sweating and my heart was pounding, same exact feeling.
Twelve, fifteen minutes, and then it just went it away. It was like… almost it was almost like my mother, I
remember she would get the same thing, probably three to four times a week. It’s just sheer panic for
no particular reason at all.

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