Assignment: Assessing and Diagnosing Patients with Mood Disorders…

Question Answered step-by-step Assignment: Assessing and Diagnosing Patients with Mood Disorders… Assignment: Assessing and Diagnosing Patients with Mood DisordersSubjective: CC (chief complaint): Not great feeling, Just down.HPI: J. H. is a 19-year-old white female who presents for psychiatric evaluation. She complained of not doing so well in school. She reports that she feels just ok. She is in a particular business program, but she can’t seem to get it done. She is late on two projects. The teacher is getting to be a bit of a pain. She can’t remember what she just read. She also reports being unable to concentrate. She slept through five of my classes this month. She said that she could make friends and lately.  They got dull. She reports that she lost interest quickly. She said the mood swing a little bit, and she can’t get over anything. She changed the subject from time to time during the interview. They started playing board games, and then things got busy, and with the weather, This time of the year, It’s dark and gray and miserable—the whole city changes. The patient is not currently on any prescribed psychotropic medication. Past Psychiatric History: General Statement: No previous assessment or treatment for mental health disordersCaregivers (if applicable): n/aHospitalizations: n/a              Medication trials: none          Psychotherapy or Previous Psychiatric Diagnosis: There is no history of psychiatric illness and has never been treated for mental health problems. Substance Current Use and History: The patient denies any substance use history for her or her familyFamily Psychiatric/Substance Use History: NonePsychosocial History: The patient is single and lives in off-campus housing with two other females roommates. She is a full-time student, not working. She grew up with both parents, two brothers and one sister who lives in South Carolina. J.H. recently started a business undergraduate program in Boston, MA. Medical History: noneCurrent Medications: noneAllergies: NKDAReproductive Hx: noneROS: GENERAL: She gained ten pounds.HEENT: no changes in vision, double vision, or jaundice. Ears, Nose Throat: No changes in hearing, congestion, rhinorrhea, or sore throat.SKIN: No changes in skin color. No rash or itching. CARDIOVASCULAR: No chest discomfort or pain, palpitations, or edemaRESPIRATORY: No cough, sputum production, or dyspneaGASTROINTESTINAL: Reports increased appetite. GENITOURINARY: No burning with urination, urgency. Urine color is yellow and clear.NEUROLOGICAL: Alert and oriented. No headache, seizure paralysis, numbness or tingling in extremities. MUSCULOSKELETAL: able to move all extremities. No back pain, joint pain or stiffness.HEMATOLOGIC: No bleeding or anemia problems.          LYMPHATICS: No enlarged nodes noted.ENDOCRINOLOGIC: No sweating, heat, or cold intolerance. No polydipsia or polyuria.Objective:Vital Signs: T-98.1 P-78 R-18 , B/P 119/74, Ht. 5’2″ Wt. 184lbsPhysical exam: N/ADiagnostic results: N/AAssessment:Mental Status Examination: J.H. has dressed casually appropriately for the weather. She is alert and She is alert and oriented x4. Her memory appears to be intact in the assessment. She is cooperative but seems to be distant during the examination. Her speech is clear and coherent, but she speaks in slow and reluctantly answers questions. The mood is depressed and affects flat. She denies delusions or hallucinations. Her insight and judgment are fair. Differential Diagnoses: Major Depressive disorder describe major depressive disorder, express depressed or irritable mood for most of the day, diminished interest in previously pleasurable activities, significant unintentional weight loss or weight gain, insomnia or hypersomnia, physical agitation or slowness, loss of energy or fatigue, feelings of worthlessness or a diminished ability to concentrate ( Oyama, O., PhD, & Piotrowski, N. A., PhD. (2021). Depression. Magill’s Medical Guide (Online Edition).Bipolar disorder: Bipolar disorder (BD) is a mental disorder that causes mood flutuated, energy, activity levels, concentration, and the able to carry out day-to-day tasks. There are three types of bipolar disorder. All three types involve apparent h in mood swing, energy, and activity levels. These moods range from periods of significantly elevated irritable, or energized behavior which is manic episodes to very depressed and sad, or hopeless periods, depressive episodes. Less mood swing manic periods are known as hypomanic episodes (National Institute of Mental Health (NIH), 2020). Seasonal Affective Disorder (SAD): A form of cyclic mood disorder that manifests as winter depression. SAD has anecdotally been described as a hypocortisolemic condition (Agustini et al., 2019).Seasonal Pattern. Seasonal pattern to their mood disorders tend to experience depressive episodes during a particular season, most commonly winter. The design has become known as seasonal affective disorder (SAD), although this term is not used in DSM-5 (Sadock et al., 2015). Reflections: There are many different mood disorders related to each other. I have learned the mood disorder, which I can recognize. I have also known other mood disorders can affect people’s life. Precise diagnosis to make, it is necessary to study the factors and stressors (Sadock et al., 2015). The ethical and legal aspects should be carefully measured during the interview of the patient. The decision for the patient recommends seeing treatment and see individual therapy. To chemical, balance the patient needs to understand ant psychotherapy medications regimen is necessary. It is vital to ask about to help determine if thoughts are psychotic or suicidal thoughts to ensure to safety of the patient.              ReferencesAgustini, B., Bocharova, M., Walker, A. J., Berk, M., Young, A. H., & Juruena, M. F. (2019). Has the sunset for seasonal affective disorder and HPA axis studies? A systematic review and future prospects. Journal of Affective Disorders, 256, 584-593. https://doi-org.ezp.waldenulibrary.org/10.1016/j.jad.2019.06.060National Institute of Mental Health (NIH). (2020). Bipolar disorder. https://www.nimh.nih.gov/health/topics/bipolar-disorder/index.shtml Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.   Proofreading please. 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