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Patient key information Assignment Sample

   

Added on  2021-06-18

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Patient key informationThe case study assessment involves a patient aged 26 year old, currently living with his mother and two older brothers. The patient exhibited unique behavioural habits which lead to developing loss of interests in doing tasks. He started experiencing dissociative behaviour, medical care was offered at psychiatric ward, however he was not able to have ward level activities. The family states that he losses interest very shortly and unable to concentrate. His medical history has been unable to establish psychosis symptoms. The patient has been having intermittent ward admissions throughout.Differential diagnosisDifferential diagnosis is key in the patient in that, there is a possibility of having morethan one diagnosis. Differentiating between different diagnoses to determine actual diagnosis is key in the patient, ruling out malingering and factious disorder. The patient is not faking any symptoms as there were no psychotic symptoms displayed.Malingering often refers to state of a patient feeling to benefit on a particular diagnosis while the factitious disorder is when one derives psychological benefits after the taking the role of sick persons. (Ferri, 2010)Ruling out drug related causes for the patient is key. Some drugs often cause psychotic depression, which often reflects drug abuse. From the medical assessmentthe patient is not on any medication or drug related activities. Ruling out of general medications is key. From the medical history by her mother, the patient is not on any influence of drugs.Further assessment of mood disorders is key for the patient. It is common with persons having Down syndrome. The differential diagnosis associated with this is ruling out the presence of thyroid disorders, sleep related disorders and vitamin b12for the patient. The patient does not exhibit any of the established risks factors. Eliminating of mood disorder for the patient is key. As from the key indicators there are signs of low and high mood stages for the patient, further positive mood disorder exhibit physical symptoms of depression and unexplained headaches. Further due to absence of episodes occurrences the patient is negative of bipolar disorders and cylothamic disorders. (Baud et al, 2011)Final diagnosisThe final diagnosis for this patient is attention deficit hyperactivity disorder. It is characterised by neuron developmental disorder which is occasioned by lack of paying attention and difficulty in controlling behaviour for the patient, (APA, 2013). It is marked by an ongoing pattern of inattention and hyperactivity which is impulsive. Symptoms characterised by the patient exhibit low mood disorder and mood swings. The patient is exhibiting antisocial behaviour. Treatment plan-Medication Medication management for the patient involves counselling and use of medication laxatives. Treatment for the patient offers long term treatment and improves long term outcomes. Appropriate medications include use of alpha -2-adrenargic receptor -Therapies Use of behavioural therapies in ADHD is essential in first line treatment, therapies include;-Psycho educational therapy-Behaviour therapy-Inter personal psychotherapy

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