Reference no: EM133801041

HPI: U.O is a 28-year-old female who comes to the clinic complaining of a depressed mood for the past 6 months. U.O reported having a feeling of sadness, hopelessness, and loss of interest in her normal activities. She reports having disrupted sleep and loss of appetite. She reports fatigue and that her energy has decreased, which has made it difficult to carry out her daily tasks. The client denies suicidal ideation and also denies having other psychiatric symptoms. The client reports that her personal and professional life has been affected by the worsening symptoms. She reports no significant history of illness. She has no significant medical history and no psychiatric history.
Primary diagnosis: Major Depressive disorder
Differential diagnosis:
Dysthymic Disorder
Adjustment Disorder with Depressed Mood

Specifically address the following for the patient, using your SOAP note as a guide:
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 their mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses and why you chose them. List them from highest priority to lowest priority. What was your primary diagnosis and why? Describe how your primary diagnosis aligns with DSM-5 diagnostic criteria and supported by the patient's symptoms.

Plan: In your video, describe your treatment plan using clinical practice guidelines supported by evidence-based practice. Include a discussion on your chosen FDA-approved psychopharmacologic agents and include alternative treatments available and supported by valid research. All treatment choices must have a discussion of your rationale for the choice supported by valid research. What were your follow-up plan and parameters? What referrals would you make or recommend as a result of this treatment session? Get Your Solution!

In your written plan include all the above as well as include one social determinant of health according to the HealthyPeople 2030 (you will need to research) as applied to this case in the realm of psychiatry and mental health. As a future advanced provider, what are one health promotion activity and one patient education consideration for this patient for improving health disparities and inequities in the realm of psychiatry and mental health? Demonstrate your critical thinking.

Reflection notes: What would you do differently with this patient if you could conduct the session again? If you are able to follow up with your patient, explain whether these interventions were successful and why or why not. If you were not able to conduct a follow up, discuss what your next intervention would be.