Posted: September 28th, 2022

Diagnosis: ADHD / Major Depressive Disorder

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Scholar Identify
Faculty of Nursing-PMHNP, Walden College
NRNP 6645: Psychopathology and Diagnostic Reasoning
College Identify
Project Due Date

Subjective:
CC (chief criticism):
HPI:
(embody psychiatric ROS rule out)
Previous Psychiatric Historical past:
• Basic Assertion:
• Caregivers (if relevant):
• Hospitalizations:
• Medicine trials:
• Psychotherapy or Earlier Psychiatric Prognosis:
Substance Present Use and Historical past:
Household Psychiatric/Substance Use Historical past:
Psychosocial Historical past:
Medical Historical past:

• Present Drugs:
• Allergy symptoms:
• Reproductive Hx:
Goal:
Diagnostic outcomes:
Assessment:
Psychological Standing Examination:
Differential Diagnoses:
Reflections:
Case Formulation and Remedy Plan:

References

Pt Identify: A.C
Age: 13 Years previous.
Prognosis: ADHD / Major Depressive Disorder / Generalized Anxiousness Disorder
Chief Complain: Arrested by Police.
Scholar Word: Pt is a 13-year-old feminine, who offered to the clinic with the grand mum stating that she was hospitalized on the hospital twice due to behavioral points. Pt pulled a knife on the sister throughout an argument and was arrested and despatched to the hospital. Again in Might, she was arrested by the police due to arguing with a police officer. Pt was requested if she was on her drugs earlier than she pulled the knife on the sister and he or she stated sure. Pt stated she do argue with lecturers in school for various causes. Pt was launched from the hospital final two weeks and he or she argued with the relations over leaving a toy gun in her home. She stated there has not been a lot enchancment along with her drugs. Pt has not been constant along with her medicine. Pt has anger downside, elevated vitality, despair, fearful, guilt, helplessness, hopelessness, lack of curiosity in issues, feels she is healthier off lifeless, utilizing medication like weeds, marijuana, Nicotine. Pt was once in class volleyball however was suspended due to behavioral points. Pt was requested what sort of Help she wants however she doesn’t know. Her drugs had been reviewed, and a few modifications had been made however pt is educated on the significance of taking her drugs. Her drugs embody Latuda 40 mg as soon as each day with meals, Lexapro 5 mg x three each day, Buspirone 15 mg x three each day, Lorazepam 20 mg as soon as each day. Pt’s medicine was despatched to the pharmacy, and he or she is to comply with up in two weeks.

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Tags: Diagnosis: ADHD / Major Depressive Disorder / Generalized Anxiety Disorder