Learning Objectives
Apply concepts, theories, and principles related to patient interviewing, diagnostic reasoning, and recording patient information
Formulate differential diagnoses for patients using DSM-5-TR criteria
Formulate plans of care for patients that incorporate family psychotherapy interventions
Develop psychotherapy genograms
To prepare:
Review this week’s Learning Resources and reflect on the insights they provide on family assessment. Be sure to review the resource on psychotherapy genograms.
Download the Comprehensive Psychiatric Evaluation Note Template and review the requirements of the documentation. There is also an exemplar provided with detailed guidance and examples.
View the Mother and Daughter: A Cultural Tale video in the Learning Resources and consider how you might assess the family in the case study.
The Assignment
Document the following for the family in the video, using the Comprehensive Evaluation Note Template:
Chief complaint
History of present illness
Past psychiatric history
Substance use history
Family psychiatric/substance use history
Psychosocial history/Developmental history
Medical history
Review of systems (ROS)
Physical assessment (if applicable)
Mental status exam
Differential diagnosis—Include a minimum of three differential diagnoses and include how you derived each diagnosis in accordance with DSM-5-TR diagnostic criteria
Case formulation and treatment plan
Include a psychotherapy genogram for the family
Note: For any item you are unable to address from the video, explain how you would gather this information and why it is important for diagnosis and treatment planning.
CASE STUDY
COPY AND PASTE ANY OF THE BELOW LINK ON CHROME BROWSER TO ACCESS THE VIDEO
https://video-alexanderstreet-com.eu1.proxy.openathens.net/watch/mother-and-daughter-a-cultural-tale
https://video-alexanderstreet-com.eu1.proxy.openathens.net/p/nRO2BP00l
https://video-alexanderstreet-com.eu1.proxy.openathens.net/p/nRO2BP00l
