follow instuuctions attached Comprehensive Psychotherapy Evaluation 1 1. Compose a written comprehensive psychiatric evaluation of a patient you

follow instuuctions attached 

Comprehensive Psychotherapy Evaluation 1

1. Compose a written comprehensive psychiatric evaluation of a patient you have seen in the clinic.

2. OAP 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 


Make it sure it is psychotherapy on a patient with anxiety/depression

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

PLEASE READ CAREFULLY ATTACHED DOCUEMTN FOR ALL INSTRUCTIONS AND REQUIREMENTSAdvanced Practice Nursing: Clinical Decision-Making and Leadership

PLEASE READ CAREFULLY ATTACHED DOCUEMTN FOR ALL INSTRUCTIONS AND REQUIREMENTS Advanced Practice Nursing: Clinical Decision-Making and Leadership Essay Overview: This assignment invites you to explore the evolution of clinical decision-making as you transition from bedside nursing to advanced practice roles. In your essay, you will critically analyze and compare the

Module 1 Discussion  Foundation for Health Promotion For this Discussion, your

Module 1 Discussion   Foundation for Health Promotion For this Discussion, your instructor will assign you a case number. Case  Cases D.H. is a nurse administrator at a large primary practice. His duties include maintaining the nurses’ schedules to keep within the facility’s budget; overseeing the hiring and training of

  Therapeutic RelationshipCase

  Therapeutic Relationship Case  Cases J.J is a nurse practitioner who works in a primary care facility. He believes that one of the most important aspects of his work is to foster a therapeutic relationship with his clients. He is using effective communication techniques. Many of his clients have altered

15 S 21st St., Suite 205 Fargo, ND 58103

15 S 21st St., Suite 205 Fargo, ND 58103     BASIC ASSURANCES SYSTEM     Procedure Title: Basic Assurances System  Procedure Type: Service Operations  Number: 10 Original Date Issued: 03/11/2022  Effective Date: 03/11/2022  Approved By: Gibson W. Jerue, CEO  Approved Date: 03/11/2022  Revision Date(s):   Policy Reference: Basic Assurances System    Disability