Based on the following Comprehensive Psychiatric Evaluation and information provided, please complete the following:
** case will be attached below** would not load properly to file
CC (chief complaint): per mother, patient was making statements about jumping off a balcony/out the window and reporting she wants to kill herself. Patient refused to participate in assessment and would not engage or answer any questions for this writer.
HPI: C.H is a 36-year-old Black female who presents from Sentara VA Beach General Hospital under a TDO for a psychiatric evaluation after acting out irrational and being exhibiting impulsive behaviors by sexually acting out inappropriately and making comments of wanting to self-harm. Patient presents with symptoms of mania and lack of concentration and unable to commit to safety or communicate needs currently. Patient was uncooperative with staff, up om their face and hostile with staff at times. Patient was non-verbal on assessment, but staff reports delusions of somatization and grandeur. The patient lacks orientation and lacks capacity and the patient is currently not aware of why she is in the hospital.
General: unkept, well-nourished, well-developed, no fever, chills, or malaise, decrease sleep, denies pain
EENT: wears glasses, no blurred vision, no double vision, congestion, no difficulty swallowing
Respiratory: no shortness of breath, no chest pain, denies cough, no wheezing
Cardiovascular: denies chest pain. no palpitations, no swelling
Gastrointestinal: no N/V/D, no reflux, abdomen soft, non-distended
Genito-urinary: denies burning, frequency and urgency, no foul odor.
Neurological: headaches, no reports of seizures, no numbness or tingling
Endocrine: denies decrease in sensation
Musculoskeletal: no joint pain or swelling, steady gait, no falls, no deformities
Skin: no open lesions, no bruising, multiple tattoos
Mental health: no substance abuse, problems with memory, history of mania and impulsivity, depression, and anxiety
Past Psychiatric History:
· General Statement: C.H is out of town and per records, has had multiple inpatient admissions since 2021 to current for schizophrenia, impulsivity, and mood disorder.
· Caregivers (if applicable): patient lives with mother who reports much of history as patient lacks capacity.
· Hospitalizations: this current hospitalization is first for current symptoms, patient has been treated on an outpatient basis
· Medication trials: patient is usually compliant with taking her medications but has left them home during this family vacation and reports she will not be taking once returning home. Patients’ medication includes Invega sustenna 117/0.75 mg once a month for schizophrenia D/O, Depakote 500 mg for Bipolar D/O (pt does not recall last dose taken) No side effects reported from either medication.
· Psychotherapy or Previous Psychiatric Diagnosis: Schizophrenia, Bipolar D./O, Borderline Personality D/O
Substance Current Use and History: patient with no history of drug or alcohol abuse
Family Psychiatric/Substance Use History: father committed suicide 7 years ago by way of gunshot, mother with anxiety and depression.
Psychosocial History: patient currently lives with mother and younger sister. The patient was born and raised in North Carolina by both parents and comes from a physically abuse background. Patient is single with no children and currently receiving disability for her mental illness. Patient does not have many friends and spends majority of time with family.
Medical History: migraines
· Current Medications: Invega sustenna IM 117/0.75 mg once monthly, Depakote DRT 500mg B.I.D, Topamax 50 mg T.I.D migraines, Trazodone 50 mg PRN nightly for sleep
· Allergies: ginger, chocolate, and no meats
Mental Status Examination: C. H is a 36-year-old Black female presents as unkept with poor hygiene and took off her shirt with no undergarments during the assessment. No noted difficulties pertaining to patients’ motor skills. Patients’ behaviors were manic, distracted, and impulsive. She would not answer questions regarding orientation. When the client would decide to speak, speech was loud and a mood that altered between hostile and euphoric. Her affect was all overall incongruent. Unable to fully assess patients thought content, processing, memory, appetite and sleep due to lack of participation in the assessment. Patient was observed responding to auditory and visual hallucinations. She presents with no insight and impaired judgment currently.
Case Formulation and Treatment Plan:
Select your paper details and see how much our professional writing services will cost.
Our custom human-written papers from top essay writers are always free from plagiarism.
Your data and payment info stay secured every time you get our help from an essay writer.
Your money is safe with us. If your plans change, you can get it sent back to your card.
Check out some essay pieces from our best essay writers before your place an order. They will help you better understand what our service can do for you.
We offer more than just hand-crafted papers customized for you. Here are more of our greatest perks.
Get instant answers to the questions that students ask most often.See full FAQ
We complete each paper from scratch, and in order to make you feel safe regarding its authenticity, we check our content for plagiarism before its delivery. To do that, we use our in-house software, which can find not only copy-pasted fragments, but even paraphrased pieces of text. Unlike popular plagiarism-detection systems, which are used by most universities (e.g. Turnitin.com), we do not report to any public databases—therefore, such checking is safe.
We provide a plagiarism-free guarantee that ensures your paper is always checked for its uniqueness. Please note that it is possible for a writing company to guarantee an absence of plagiarism against open Internet sources and a number of certain databases, but there is no technology (except for turnitin.com itself) that could guarantee no plagiarism against all sources that are indexed by turnitin. If you want to be 100% sure of your paper’s originality, we suggest you check it using the WriteCheck service from turnitin.com and send us the report.
Yes. You can have a free revision during 7 days after you’ve approved the paper. To apply for a free revision, please press the revision request button on your personal order page. You can also apply for another writer to make a revision of your paper, but in such a case, we can ask you for an additional 12 hours, as we might need some time to find another writer to work on your order.
After the 7-day period, free revisions become unavailable, and we will be able to propose only the paid option of a minor or major revision of your paper. These options are mentioned on your personal order page.