Psychopathology 8

Substance-Related and Addictive Disorders

Many individuals seeking treatment meet the criteria for both mental health and substance-related disorders. Regardless of whether you specialize in substance-related disorders, all advanced practice nurses should know their signs and symptoms and how to assess and diagnose them. There are assessment and screening tools available to clinicians, and a plethora of information can be obtained through the diagnostic interview. It takes time and experience to know what types of questions to ask to gain the most information, in addition to a basic knowledge of the substances and behaviors you are trying to assess. It can be complicated to sort out substance use disorders from other mental health disorders, but most clients seeking treatment have comorbidities.

This week, you apply DSM-5-TR substance use and addictive criteria as you formulate a diagnosis for a patient in a case study.

For this Assignment, you will practice assessing and diagnosing a patient in a case study who is experiencing a substance-related or addictive disorder. With this and all cases, remember to consider the patient’s cultural background.

To Prepare:

• Review this week’s Learning Resources and consider      the insights they provide.
• Review the Comprehensive Psychiatric Evaluation      template, which you will use to complete this Assignment.
• select a      specific video case study to use for this Assignment from the Video Case      Selections choices in the Learning Resources. View your assigned video      case and review the additional data for the case in the “Case History      Reports” document, keeping the requirements of the evaluation template in      mind.
• Consider what history would be necessary to collect      from this patient.
• Consider what interview questions you would need to      ask this patient.
• Identify at least three possible differential      diagnoses for the patient.

Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis.

Incorporate the following into your responses in the template:

• 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 the patient’s mental      status examination results. What were your differential diagnoses? Provide      a minimum of three possible diagnoses with supporting evidence, listed in      order from highest priority to lowest priority. Compare the DSM-5-TR      diagnostic criteria for each differential diagnosis and explain what      DSM-5-TR criteria rules out the differential diagnosis to find an accurate      diagnosis. Explain the critical-thinking process that led you to the      primary diagnosis you selected. Include pertinent positives and pertinent      negatives for the specific patient case.
• Reflection notes: What would you do      differently with this client if you could conduct the session over? Also      include in your reflection a discussion related to legal/ethical      considerations (demonstrate critical thinking beyond confidentiality and      consent for treatment!), health promotion and disease prevention taking      into consideration patient factors (such as age, ethnic group, etc.), PMH,      and other risk factors (e.g., socioeconomic, cultural background, etc.).

Learning Objectives

https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/full/10.1176/appi.books.9780890425787.x16_Substance_Related_Disorders

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.

• Chapter 20, Substance Use and Addictive Disorders
• Chapter 31.16, Adolescent Substance Abuse