Subjective:ÿWhat details did the patient provide regarding ÿtheir chief complaint and symptomology to derive your differential ÿdiagnosis? What is the duration and severity of their symptoms? How are ÿtheir symptoms impacting their functioning in life?Objective:ÿWhat observations did you make during the psychiatric assessment?Assessment:ÿDiscuss the patient?s mental status examination ÿresults. What were your differential diagnoses? Provide a minimum of ÿthree possible diagnoses with supporting evidence, and list them in ÿorder from highest priority to lowest priority. Compare the DSM-5ÿdiagnostic criteria for each differential diagnosis and explain what DSM-5ÿcriteria ÿrules out the differential diagnosis to find an accurate diagnosis. ÿExplain the critical-thinking process that led you to the primary ÿdiagnosis you selected. Include pertinent positives and pertinent ÿnegatives for the specific patient case.Plan:ÿWhat is your plan for psychotherapy? What is your plan ÿfor treatment and management, including alternative therapies? Include ÿpharmacologic and nonpharmacologic treatments, alternative therapies, ÿand follow-up parameters, as well as a rationale for this treatment and ÿmanagement plan.ÿAlso incorporate one health promotion activity and one ÿpatient education strategy.Reflection notes:ÿWhat would you do differently with this ÿpatient if you could conduct the session again?ÿDiscuss what your next ÿintervention would be if you were able to follow up with this ÿpatient.?Also include in your reflection a discussion related to ÿlegal/ethical considerations (demonstrate critical thinking beyond ÿconfidentiality and consent for treatment!), health promotion, and ÿdisease prevention, taking into consideration patient factors (such as ÿage, ethnic group, etc.), PMH, and other risk factors (e.g., ÿsocioeconomic, cultural background, etc.).Provide at least three evidence-based, peer-reviewed journal ÿarticles or evidenced-based guidelines that relate to this case to ÿsupport your diagnostics and differential diagnoses. Be sure they are ÿcurrent (no more than 5 years old).
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