Patient Psychiatric Assessment

Within this essay, I will reflect and critically analyse an OSCE which has increased my awareness, or challenged my understanding, in assessing the holistic needs of a service user (John), referred by his GP, whilst incorporating a care plan using the Care Programme Approach (CPA). By utilising this programme and other sources of current literature, I hope to demonstrate my knowledge and understanding in relation to this skill as well as identifying areas with scope for learning.

Many people surrounding the concept of college and collegiate students are recognizing what many surveys are proving. The reason people are starting to notice is because recent studies and surveys are presenting that there is evidence of a rise in mental problems. To name a couple of them, depression, suicide and even eating disorders among the collegiate students. The reason this issue has evolved into a controversy is because not only are these survey showing that the umber of students developing mental health issues is increasing but the people being affected by this issue is growing. Some stakeholders have a bad and some have good viewpoint on this issue. The stakeholders fighting and voicing their viewpoint in this controversy vary from

Clinical Assessment=According to our book, the term Clinical assessment generally refers to applying assessment procedures to (a) diagnose a mental disorder, (b) develop a plan of intervention, (c)monitor progress in counseling, and (d) evaluate counseling outcome. (Drummond, 2010). Clinical assessment has been the method used when diagnosing and planning treatment for a patient. The first step is evaluating the individual in order to obtain information and figure out what is wrong. Counselors, conduct this assessment to develop and adhere a plan of intervention, monitor clients progress, and ensue all information are interpreted and understood.

Mallory is a 25-year-old female. She said before coming that she is dissatisfied with multiple aspects of her life. She thought that she would be married or seriously involved with a romantic partner, but she was not. Although her job paid her bills, she found it boring and somewhat unfulfilling. She described mild depressive symptoms to Dr. Santos prior to her first visit.

Identify the Problem: April S is a 30 year old, divorced Afro-American female with one child seeking help to deal with feelings of suicide and depression. Client reports crying daily for the six months, difficulty focusing at work, inability to doing house chores (laundry, cleaning), isolating from family and friends, weight loss of 30 lbs. in the past two weeks without dieting,

Major depression can also be the cause of other health issues. Chronic diseases such as cancer and HIV/aids can cause depression. Postpartum depression occurs in pregnancy and is due to hormonal change in the body. Drug abuse at early age can also cause depression in the later life (Schatzberg, 2002).

Sarah had and might have some intellectual setbacks. She is below her peers intellectually and has had some learning deficiencies with articulation, mathematics, and chemistry. At the age of 12 her father died and that was when she had taken a turn for the worse. Argued and fought, had gotten a boyfriend who made her feel bad about her weight and lowered her self-esteem. Mother had found diet pills in Sarah’s room, but Sarah lied about them. During Sarah’s interview she was asked if there was anything she would change about herself and she said that if she could change anything it would be her appearance. She

In evaluating Ms. Jacobs, she appears depressed and tearful and demonstrates psychomotor slowing. She reports that it is very difficult to get out of bed and that she has stopped attending classes most days. Although her history is significant for alcohol and marijuana use she states that she does not feel like “partying” and denies recent use of these substances. She reports feelings of emptiness, depersonalization, and occasional panic attacks. Ms. Jacobs admits to preoccupying thoughts of suicidal ideation, episodes of self-harm, and feelings of hopelessness.

Rationale: Jennifer has been presenting with symptoms for unspecified amount of time. Jennifer meets six of the criteria for symptoms being present during the same 2-week period and represents a change from previous functioning. Jennifer is depressed most of the day, nearly every day, has diminished interest in all or almost all activities most of the days, nearly every day, has fatigue or loss of energy nearly every day, feelings of worthlessness, and diminished ability to think or concentrate, is having recurrent thoughts of death, recurrent suicidal ideation without a specific plan. The symptoms have cause clinically significant distress or impairment in social, occupational, and other functioning areas. There is no know substance or medical condition and occurrence is not better explained by Schizophrenia Spectrum or Psychotic Disorders. Jennifer has never had a manic episode or a hypomanic episode. Possible family history of depression - mother.

Smith has been presenting with depression and anxiety along with chest pains, stomachaches, and headaches. The depression and anxiety symptoms appeared about 3 months ago when Mrs. Smith changed jobs. She also reported having trouble keeping details straight at work and felt that she was not as “sharp as she previously had been. Mrs. Smith expressed that she had relational problems with her children and also found that her daughter was abusing narcotics. Mrs. Smith also reported symptoms of being tearful, fatigued, with reduced appetite, feeling easily overwhelmed, and ruminating thoughts. Mrs. Smith reported that 6 months ago she also started to become overly emotional in stressful

Firstly, the analysis will address the standard of mental health care across each category of prison individually, discussing good examples of mental health support, but also, where there are failures. With this, there is a visual map of how the data was categorised. The analysis will then thematically explore the range of recommendations from every prison category to create an overarching conclusion of standards in reference to general failures across the prison system, the impact this has on current prisoners, and could have for the future of the prison institutional structure of mental health care. The standards that are assessed throughout this analysis are from the Standards for Prison Mental Health Services document (RCPSYCH, 2016),

The Mental Health Screening Form-III (MHSF) could provide useful information to help assess the appropriate level of care according to the American Society of Addiction Medicine (ASAM). The MHSF is a versatile assessment that can be given to the client to answer or the clinician can orally give it to the client (Center for Abuse Treatment, 2005). The assessment covers a range of mental health illnesses that can prompt additional questions for the clinician to find out more information.

Gwen, is a Caucasian transgendered female between the ages of 31-40 years old. She initially came to counseling to quit smoking. After conquering this goal, and suffering from withdrawals, she still was not happy with herself. As her life took a whirl spin, she also lost her job. She experienced periods of depression from living as a male and often thought about transitioning to the opposite sex. She became a bit confused, and often put it off because she was confused about really made her happy in life. Gwen’s mother notice the unhappiness she was experiencing within herself and offered her support in assisting in transitioning to the opposite sex.

Annique is a 51-year-old, African American female with a chief complaint of chronic major depressive disorder. Additionally, she is currently seeking treatment for assertion deficits/dependent personality disorder, and for menopausal symptoms including hot flashes and irritability. She is a married teacher and wants to improve her relationships and quality of life. She sees a private psychiatrist every 3 months for medication management, and has tried a number if antidepressant medications, which she states “take the edge off”. This will be the third time that she has participated in psychotherapy. She and her husband work full-time, have job security and health

Initially, Sarah appears to be a quiet individual. She almost appears child-like in a sense that she seems shy and innocent looking on the surface. However, when you get to know her, you will quickly realize that she is quite outgoing and very mature for her age. She always thinks about others before herself but cares a lot about what others think. She said in regards to me asking about people's opinions, "they play a huge role even though I know they shouldn't but I want people to like me." When she is truly interested in something, she becomes very passionate about it. For example, she is a dancer and loves to dance. In high school, she danced six times a week and whenever she has free time she watches dance videos on YouTube. Dance is always on her mind. It makes sense for her to relieve stress in the dance studio as she said in response to my 'how to deal with stress' question, "If a dance studio is open, I'll use it and do some improv". Another unrelated but comical example of her passion for her interests is her love for