Discuss the patient’s mental status examination results

SOAP NOTE: Assessment and Reflection

Abstract of the case zero.5 pg
1.5 pg Assessment: Discuss the patient’s mental status examination results. What have been your differential diagnoses? Present a minimal of three potential diagnoses with supporting proof, listed so as from highest precedence to lowest precedence. Evaluate the DSM-5-TR diagnostic standards for every differential prognosis and clarify what DSM-5-TR standards guidelines out the differential prognosis to seek out an correct prognosis. Clarify the critical-thinking course of that led you to the main prognosis you chose. Embrace pertinent positives and pertinent negatives for the particular affected person case.
1 web page Reflection notes: What would you do in a different way with this affected person when you might conduct the session once more? Discuss what your subsequent intervention could be when you might observe up with this affected person. Additionally embody in your reflection a dialogue associated to authorized/moral issues (reveal vital pondering past confidentiality and consent for therapy!), well being promotion, and illness prevention, considering affected person components (similar to age, ethnic group, and so on.), PMH, and different threat components (e.g., socioeconomic, cultural background, and so on.).

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