Overview
- Step 1 Compose a written comprehensive psychiatric evaluation of the following patient diagnoses with Major Depressive Disorder (MDD), Generalized Anxiety Disorder (GAD) and Panic Disorder. Upload your completed comprehensive psychiatric evaluation as a Word doc. Scanned PDFs will not be accepted. This assignment will pass through Turnitin. Use the attached template.
- J.M., a 45-year-old divorced male construction worker with longstanding anxiety, depressive symptoms over the past 6 months, panic attacks, flashbacks/nightmares after a workplace accident, and comorbid Type 2 Diabetes. His mental status shows flat affect, depressed mood, anxiety, poor concentration, and logical thought processes. Reports: “I feel anxious all the time, I can’t sleep, and lately I don’t even feel like living.” Longstanding anxiety and constant worry. Over the past 6 months: depressed mood, fatigue, loss of interest, poor sleep, and impaired concentration. Panic attacks, flashbacks, and nightmares related to a past workplace accident. Denies current suicidal intent but expresses passive thoughts of not wanting to live.
2. Step 2: The student will create a focused SOAP note presentation about the above Patient psychiatric eval to be spoken in 5-6 min presentation. SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan.
S = | Subjective data: Patient’s Chief Complaint (CC); History of the Present Illness (HPI)/ Demographics; History of the Present Illness (HPI) that includes the presenting problem and the 8 dimensions of the problem (OLDCARTS or PQRST); Review of Systems (ROS) |
O = | Objective data: Medications; Allergies; Past medical history; Family psychiatric history; Past surgical history; Psychiatric history, Social history; Labs and screening tools; Vital signs; Physical exam, (Focused), and Mental Status Exam |
A = | Assessment: Primary Diagnosis and two differential diagnoses including ICD-10 and DSM5 codes |
P = | Plan: Pharmacologic and Non-pharmacologic treatment plan; diagnostic testing/screening tools, patient/family teaching, referral, and follow up |