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 “Fear,” according to the DSM-5-TR, “is the emotional response to real or perceived imminent threat, whereas anxiety is anticipation of future threat” (APA, 2022). All anxiety disorders contain some degree of fear or anxiety symptoms (often in combination with avoidant behaviors), although their causes and severity differ. Trauma-related disorders may also, but not necessarily, contain fear and anxiety symptoms, but their primary distinguishing criterion is exposure to a traumatic event. Trauma can occur at any point in life. It might not surprise you to discover that traumatic events are likely to have a greater effect on children than on adults. Early-life traumatic experiences, such as childhood sexual abuse, may influence the physiology of the developing brain. Later in life, there is a chronic hyperarousal of the stress response, making the individual vulnerable to further stress and stress-related disease.

For this Assignment, you practice assessing and diagnosing patients with anxiety disorders, PTSD, and OCD. Review the DSM-5-TR criteria for the disorders within these classifications before you get started, as you will be asked to justify your differential diagnosis with DSM-5-TR criteria.

To prepare:

  • Review the below Learning Resources. Consider the insights they provide about assessing and diagnosing anxiety, obsessive-compulsive, and trauma- and stressor-related disorders.
  • Attached is the Comprehensive Psychiatric Evaluation Template, which you will use to complete this Assignment. Also review the Comprehensive Psychiatric Evaluation Exemplar to see an example of a completed evaluation document. 
  • Select a specific video case study to use for this Assignment from the Video Case Selections choices below. View your selected video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.
  • Consider what history would be necessary to collect from this patient.
  • Consider what interview questions you would need to ask this patient.
  • Identify at least three possible differential diagnoses for the patient. 

 Assignment:

Complete your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:

  • Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? 
  • Objective: What observations did you make during the psychiatric assessment? 
  • Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
  • Reflection notes: What would you do differently with this client if you could conduct the session over?  Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

Select one of the following videos and access the document “Case History Reports”. Then review the additional data about the patient in the specific video number you selected.

IF ABOVE LINK DOESN’T OPEN TRY: https://video.alexanderstreet.com/p/vQjj2nnXV

IF ABOVE LINK DOESN’T OPEN TRY: https://video.alexanderstreet.com/p/Z8WWO67zw

IF ABOVE LINK DOESN’T OPEN TRY: https://video.alexanderstreet.com/p/pZz2E4og6

IF ABOVE LINK DOESN’T OPEN TRY: https://video.alexanderstreet.com/p/K86QlW9Jl

IF ABOVE LINK DOESN’T OPEN TRY: https://video.alexanderstreet.com/p/w0krVEKRw

IF ABOVE LINK DOESN’T OPEN TRY: https://video.alexanderstreet.com/p/z6nnnMnwm

IF ABOVE LINK DOESN’T OPEN TRY: https://video.alexanderstreet.com/p/jYnnY79LR


Required Media Resources

Resources to consider:

  • Boland, R. & Verduin, M. L. & Ruiz, P. (2022). Kaplan & Sadock’s synopsis of psychiatry (12th ed.). Wolters Kluwer.
    • Chapter 8, “Anxiety Disorders”
    • Chapter 9, “Obsessive-Compulsive and Related Disorders”
    • Chapter 10, “Trauma- and Stressor-Related Disorders”
    • Chapter 2- only sections 2.13, “Anxiety Disorders of Infancy, Childhood, and Adolescence: Separation Anxiety Disorder, Generalized Anxiety Disorder, and Social Anxiety Disorder (Social Phobia)”; 2.14 “Selective Mutism” and 2.15 “Obsessive-Compulsive Disorder in Children and Adolescence”

NOTE: Please use Resources/References not older than 5-years. (Late 2018/2019 – 2023)

Rubric

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