Phil From The Clinic : Dr. Phil Essay

Recently, I completed a psychosocial assessment on a patient in the PHRM/ISS program. She was 21 years old, pregnant with her fifth child. When she initially walked in she seemed pleasant. Then, before we could get started she received a phone call. She politely asked could she step out and of course I said sure. Immediately, after she walked back in she seemed anxious and annoyed as evidence by her frowning and checking her phone every minute. Then, she would continue to say yes and not pay attention to the questions that I was asking. After a while, this began to bother me. This is because I would ask her a question and she would not answer or ask me to repeat myself. Then, she made a comment stating that “it does not matter and she was ready to go because she was upset.” At that moment, I knew that I needed to take an assertive stance.

Read each case below and determine what psychological disorder each patient might have. In your own words, state your reasons why. Type your answer directly below each case.

The patient arrived on for his counseling session. Reports stability on his current dose and denies the need for a dose increase or decrease when offered by the writer. The patient was made aware that he will be reassigned to counselor, Scott effectively immediately as his new assigned counselor will schedule his next session. The patient reports of no update with his medical pertaining to a referral to another PCP as he is currently still seeing the same medical provider.

The patient was a middle aged man who was diagnosed in his early twenties with what is now called bipolar. He is a known marijuana user and a binge drinker however he has been clean for around 1 year; then in his mid-thirties he was diagnosed with paranoid schizophrenia. He had come in through the emergency department after an unsuccessful suicide attempt and had been on the unit for nearly 5 months; he was due for discharge by the end of the week.

ADHD is a troublesome neurodevelopmental disorder that affects thousands of children in the United States. Nonetheless, there is no cure for Attention Deficit Hyperactivity Disorder. However, great strives have been made in the medical field in the last ten years to better treat this disorder. There are a variety of treatments available, including prescription medications, herbal remedies and behavioral therapy. Information about ADHD is easily available. There are thousands of books, and hundreds of websites offering valuable information on the disorder. Mayo Clinic is a reputable source for current information on Attention Deficit Hyperactivity Disorder. The Mayo Clinic is an organization as well as a hospital. Furthermore on their website they have an extensive listing of ailments, diseases and disorders. The Mayo Clinic provides a quality website that offers in depth, accurate, and a reliable evaluation of Attention Deficit Hyperactivity Disorder.

Which personality inventory would be most helpful for assessing the nature and severity of his symptoms?|

The assessment was conducted on a patient who was forty nine (49) years old bisexual, a white female and single, a Roman Catholic and who didn't have any child. Most importantly, this patient has worked with me for a period of one year from January 2010; therefore I have been seeing her every week for about fifteen minutes. The patient was given to me by one psychiatrist who came across her at event where the housing project was being commissioned to support Veterans. By that time ,the patient was suffering from Anxiety Disorder NOS and Depression NOS.

by finding the identity of his parents and accepting his talent. It is after he

Patient Presentation: Benjamin Fowler arrived 15 minutes late for his appointment today. He was accompanied by his sister, Paula Fowler. She joined us in the interview to assist Benjamin and to answer some questions concerning Benjamin's behavior. Benjamin is a 27-year-olds African American male. He wore a t-shirt with dress pants and tennis shoes to his interview. Benjamin looked like he had not showered recently. Benjamin had issues focusing on the questions during the interview. He also was distracted by objects in the office during the interview. Benjamin also spoke in a quick manner. Benjamin was not able to tell me what day it was or where he was.

I was requested by his wife to evaluate the patient psychiatrically because of the difficulty he has been experiencing recently in terms of confusion and agitated behavior. His wife asked me to evaluate him at Sweetwater as it is very difficult for her to transport the individual to my office because he is confused diso-riented and at times hostile and belligerent.

The patient meets the criteria for 295.90 Schizophrenia. The patient’s symptoms consist of delusions, hallucinations, psychosis, and impulsive.

Counselor met with Pt. for his monthly individual session. Counselor and Pt. discussed his progress in treatment, any medication issue, any triggers and acceptance of his TX plan. Pt. signed his Record Service sheet. Pt. indicated that he does not attend the clinic Tuesday, Saturday and Sunday and he likes having more time in his schedule because he likes to take care of his business and different errands. Pt. verbalized how hard it is to stay away from his business because worried about his employees and clients. Pt. stated, “The business is like my kid,” Pt. spoke about how he is thinking about opening a second shop around this area. Pt. commented that he isn’t experiencing serious side effects and prescribed medication is working well. Pt. informed this

I went to Free Clinic on Wednesday in part to get away from all that is going on currently, and I quickly realized that I couldn’t escape the realities many face today in America.

D-The patient arrived late to her counseling session. Reported stability on her current dose and denies the need for a dose increase when offered by this writer. This writer addressed with the patient about her attitude about learning about her results yesterday as she appeared to be in a hurry and nonchalant about the result. According to the patient, he was affected by the news and says, " I had left over cocaine and threw it away.....I am done with that stuff." The patient updated this writer on her plans to change her mental health provider from CHR to the Hope Center as the patient dislike her psychiatrist at CHR. Furthermore, the patient reports, her CHR case manager will assist the patient referral to Chrysalis to be assigned with a

There are three main ways to be diagnosed with a personality disorder. The first is a physical exam, this will determine if there is an underlying medical problem. The exam can include lab tests and possible screening for alcohol and/or drugs. The next step is a psychiatric evaluation. During this evaluation the patient and their doctor should discuss the patient’s feelings, their thoughts, and of course their behavior. This evaluation can include a survey in regards to the patient and can include their