PSYCHOTHERAPY

Psychotherapy - Nursing
PLACE ORDER
Week 4: Anxiety Disorders, PTSD, and OCD Your own experiences might tell you that expectations from family, friends, and work—as well as your own expectations regarding achievement, success, and happiness—can create stress. Stressors are a normal part of life, and stress traditionally has been viewed as an adaptive function with a set of physiological responses to a stressor. In a situation where stress is perceived, the organism is physiologically prepared to attack or flee from the threat. Those with effective fight or flight responses tended to survive long enough to reproduce, so we are descended from those who are genetically hardwired for self-protection. When you experience stress, your biology, emotions, social support, motivation, environment, attitude, immune function, and wellness all feel the ripple effect. This stress response is an adaptive response the human body has to threats; however, stress can also be difficult to handle and—depending upon the nature and intensity of the stress—can result in anxiety disorders, obsessive-compulsive disorders, or trauma- and stressor-related disorders. This week, you will focus on these disorders and explore strategies to accurately assess and diagnose them. Learning Objectives Students will: • Apply concepts, theories, and principles related to patient interviewing, diagnostic reasoning, and recording patient information • Formulate differential diagnoses using DSM-5 criteria for patients with anxiety disorders, PTSD, and OCD across the lifespan Learning Resources Required Readings (click to expand/reduce) https://doi-org.ezp.waldenulibrary.org/10.1176/appi.books.9780890425596.dsm05 https://doi-org.ezp.waldenulibrary.org/10.1176/appi.books.9780890425596.dsm06 https://doi-org.ezp.waldenulibrary.org/10.1176/appi.books.9780890425596.dsm06 Sadock, B. J., Sadock, V. A., and Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer. • Chapter 9, Anxiety Disorders • Chapter 10, Obsessive-Compulsive and Related Disorders • Chapter 11, Trauma- and Stressor-Related Disorders • Chapter 31.11 Trauma-Stressor Related Disorders in Children • Chapter 31.13 Anxiety Disorders in Infancy, Childhood, and Adolescence • Chapter 31.14 Obsessive-Compulsive Disorder in Childhood and Adolescence https://class.content.laureate.net/dfa2ac82c15e5bd9113bb68d08e120f8.docx https://class.content.laureate.net/dfa2ac82c15e5bd9113bb68d08e120f8.docx Required Media (click to expand/reduce) https://ezp.waldenulibrary.org/login?qurl=https://video.alexanderstreet.com/watch/anxiety-disorders https://ezp.waldenulibrary.org/login?qurl=https://video.alexanderstreet.com/watch/the-neurobiology-of-anxiety https://ezp.waldenulibrary.org/login?qurl=https://video.alexanderstreet.com/watch/obsessive-compulsive-disorders https://ezp.waldenulibrary.org/login?qurl=https://video.alexanderstreet.com/watch/trauma-ptsd-and-trauma-informed-care https://ezp.waldenulibrary.org/login?qurl=https://video.alexanderstreet.com/watch/trauma-ptsd-and-trauma-informed-care https://www.youtube.com/watch?v=-BwzQF9DTlY Select one of the following videos to use for your Assignment this week. Then, access the document “Case History Reports” and review the additional data about the patient in the specific video number you selected. https://video-alexanderstreet-com.ezp.waldenulibrary.org/watch/training-title-40  Search transcript Translate 00:00:00TRANSCRIPT OF VIDEO FILE:  00:00:00______________________________________________________________________________  00:00:00BEGIN TRANSCRIPT:  00:00:00[sil.]  00:00:15[She nervously plays with her scarf as she breathes anxiously]  00:00:25OFF CAMERA Hello Mrs. Weidre. Are you ok? Do you want some water or something?  00:00:30MRS. WEIDRE I'm ok. I'm fine.  00:00:35OFF CAMERA I understand you wanted to see me today.  00:00:40[She breathes anxiously]  00:00:40MRS. WEIDRE I just really needed to sit and talk.  00:00:40OFF CAMERA Well, tell me what's wrong, what are you feeling?  00:00:50MRS. WEIDRE I'm just so... so unsure. I'm tired of being stuck in my house. I don't like it.  00:01:00OFF CAMERA Stuck in your house? Do you have difficultly leaving your house?  00:01:05MRS. WEIDRE Yes. All the time.  00:01:05OFF CAMERA When do you go out?  00:01:10MRS. WEIDRE ...maybe, once or twice.  00:01:15OFF CAMERA A day?  00:01:15[She clutches her hands to her chest]  00:01:15MRS. WEIDRE A week. Tuesdays and Saturdays.  00:01:20OFF CAMERA Why Tuesday and Saturday?  00:01:30MRS. WEIDRE Because when my husband gets home, he can go with me.  00:01:35OFF CAMERA What do you do when you go out?  00:01:40MRS. WEIDRE I take walks.  00:01:40OFF CAMERA Where do you walk?  00:01:40MRS. WEIDRE I only go to the end of the block, and then I cross the street, and turn around, and I go back around the cul-de-sac. I'll do that three times. [Losing breathe] No more, then I have to go back inside... I also go in my backyard. That's usually okay.  00:02:15OFF CAMERA On the walks, why do you have to go back after three times? What happens?  00:02:20MRS. WEIDRE [She nervously looks around] I just can't go any further.  00:02:25OFF CAMERA Is this a physical problem, knees or something?  00:02:30[She plays with her scarf]  00:02:30MRS. WEIDRE No. No. Well... maybe. I just can't breathe if I'm out any longer.  00:02:40OFF CAMERA Oh, breathing?  00:02:40MRS. WEIDRE Yeah.  00:02:40OFF CAMERA What do you feel?  00:02:45MRS. WEIDRE [Her voice quivering] I'm just so frightened. Really, really scared. You don't realize what it took for me to get here today. I really had to. I willed it. I closed my eyes and my husband turned the radio up all the way as he drove. And then he lead me into the building.  00:03:20OFF CAMERA Is there something that triggers this, anything in particular?  00:03:30MRS. WEIDRE I don't like people. Maybe that's it. I mean I can tolerate them. Ethan, the little boy next door, I'll bake things for him and say hello. Sometimes, sometimes I watch him when his parents are gone. I mean I can be around people. Maybe that's not that's not what I meant.  00:04:00OFF CAMERA Ok, can you walk me through what happens when you do leave the house?  00:04:05MRS. WEIDRE I get shortness of breathe, everything, the world just seems to close in on me, and everything gets feels really tight, the air in my body, my chest. I get dizzy. I don't know what's wrong... I could be sick. What is this?  00:04:30OFF CAMERA There can be many different causes for this. What is it that frightens you?  00:04:40MRS. WEIDRE [She's short of breathe] Death. I'm afraid to die.  00:04:45OFF CAMERA You're afraid you might die?  00:04:50MRS. WEIDRE Yes. Among other things but that's what pops into my head.  00:04:55OFF CAMERA Is there other stuff?  00:05:00[sil.]  00:05:05MRS. WEIDRE Cars go to fast. And there's murders and rapes that I see on the news. And flashfloods. I just think its close, its safer to stay close to home.  00:05:15OFF CAMERA How long have you had this fear?  00:05:20MRS. WEIDRE I don't really know.  00:05:20OFF CAMERA Do you know when it all started?  00:05:25MRS. WEIDRE I'm not sure.  00:05:30OFF CAMERA Do you know what started it?  00:05:30MRS. WEIDRE No.  00:05:35OFF CAMERA When was the last time you really ventured out for any length of time?  00:05:40MRS. WEIDRE Fifteen years.  00:05:45[She nervously shifts in her chair]  00:05:45OFF CAMERA That long. Is this the farthest you've been in fifteen years? What happened fifteen years ago?  00:06:00MRS. WEIDRE I don't really know.  00:06:05OFF CAMERA There is nothing that happened to you personally that could have made you afraid of dying?  00:06:10MRS. WEIDRE I always was. My mother died the year before that. But it happened little by little. First it was planes. And then I couldn't drive on the freeway, then I couldn't drive at all, then errands, then it was going out... and soon... here I am.  00:06:40OFF CAMERA It must have taken you extraordinary courage to come here today. What finally brought you to see me?  00:06:50MRS. WEIDRE My grandson was born. But I couldn't go and see him. I still haven't seen him. My daughter gave birth last week and she's not going to bring him to see me for several months and I don't want to wait that long.  00:07:10OFF CAMERA You miss out.  00:07:15MRS. WEIDRE Yes! Of course I do! My grandson is a thousand miles away and I can't leave the God damned house.  00:07:25[sil.]  00:07:25END TRANSCRIPT  Assignment: Assessing and Diagnosing Patients With Anxiety Disorders, PTSD, and OCD For this Assignment, you practice assessing and diagnosing patients with anxiety disorders, PTSD, and OCD. Review the DSM-5 criteria for the disorders within these classifications before you get started, as you will be asked to justify your differential diagnosis with DSM-5 criteria.  To Prepare: • Review this week’s Learning Resources and consider the insights they provide about assessing and diagnosing anxiety, obsessive-compulsive, and trauma- and stressor-related disorders. • Download the Comprehensive Psychiatric Evaluation Template, which you will use to complete this Assignment. Also review the Comprehensive Psychiatric Evaluation Exemplar to see an example of a completed evaluation document.  • By Day 1 of this week, 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. By Day 7 of Week 4 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 diagnostic criteria for each differential diagnosis and explain what DSM-5 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.). Training Title 85 Name: Mrs. Carol Holliman Gender: female Age: 42 years old T- 98.0 P- 77 R 18 132/72 Ht 5’0 Wt 127lbs Background: Born and raised in Northern Ireland, parents brought her and her 5 sisters to U.S. when she was 15 to go to U.S. university where she met her husband. They live in Charleston, SC. She obtained her bachelor’s degree in education; no history of mental health or substance use treatment, no family history. Her husband reported a recent school shooting nearby 3 weeks ago “flipped a switch” in her. She is watching the news 24/7, barely sleeping, and even when she does, it is only a few hours, Appetite is decreased. Hx of hysterectomy, NKDA, no legal hx. Symptom Media. (Producer). (2017). Training title 85 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-85
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Your assignment may be more than 5 paragraphs but not less. INSTRUCTIONS:  To access the FNU Online Library for journals and articles you can go the FNU library link here:  https://www.fnu.edu/library/ In order to n that draws upon the theoretical reading to explain and contextualize the design choices. Be sure to directly quote or paraphrase the reading ce to the vaccine. Your campaign must educate and inform the audience on the benefits but also create for safe and open dialogue. A key metric of your campaign will be the direct increase in numbers.  Key outcomes: The approach that you take must be clear Mechanical Engineering Organic chemistry Geometry nment Topic You will need to pick one topic for your project (5 pts) Literature search You will need to perform a literature search for your topic Geophysics you been involved with a company doing a redesign of business processes Communication on Customer Relations. Discuss how two-way communication on social media channels impacts businesses both positively and negatively. Provide any personal examples from your experience od pressure and hypertension via a community-wide intervention that targets the problem across the lifespan (i.e. includes all ages). Develop a community-wide intervention to reduce elevated blood pressure and hypertension in the State of Alabama that in in body of the report Conclusions References (8 References Minimum) *** Words count = 2000 words. *** In-Text Citations and References using Harvard style. *** In Task section I’ve chose (Economic issues in overseas contracting)" Electromagnetism w or quality improvement; it was just all part of good nursing care.  The goal for quality improvement is to monitor patient outcomes using statistics for comparison to standards of care for different diseases e a 1 to 2 slide Microsoft PowerPoint presentation on the different models of case management.  Include speaker notes... .....Describe three different models of case management. visual representations of information. They can include numbers SSAY ame workbook for all 3 milestones. You do not need to download a new copy for Milestones 2 or 3. When you submit Milestone 3 pages): Provide a description of an existing intervention in Canada making the appropriate buying decisions in an ethical and professional manner. Topic: Purchasing and Technology You read about blockchain ledger technology. Now do some additional research out on the Internet and share your URL with the rest of the class be aware of which features their competitors are opting to include so the product development teams can design similar or enhanced features to attract more of the market. The more unique low (The Top Health Industry Trends to Watch in 2015) to assist you with this discussion.         https://youtu.be/fRym_jyuBc0 Next year the $2.8 trillion U.S. healthcare industry will   finally begin to look and feel more like the rest of the business wo evidence-based primary care curriculum. Throughout your nurse practitioner program Vignette Understanding Gender Fluidity Providing Inclusive Quality Care Affirming Clinical Encounters Conclusion References Nurse Practitioner Knowledge Mechanics and word limit is unit as a guide only. The assessment may be re-attempted on two further occasions (maximum three attempts in total). All assessments must be resubmitted 3 days within receiving your unsatisfactory grade. You must clearly indicate “Re-su Trigonometry Article writing Other 5. June 29 After the components sending to the manufacturing house 1. In 1972 the Furman v. Georgia case resulted in a decision that would put action into motion. Furman was originally sentenced to death because of a murder he committed in Georgia but the court debated whether or not this was a violation of his 8th amend One of the first conflicts that would need to be investigated would be whether the human service professional followed the responsibility to client ethical standard.  While developing a relationship with client it is important to clarify that if danger or Ethical behavior is a critical topic in the workplace because the impact of it can make or break a business No matter which type of health care organization With a direct sale During the pandemic Computers are being used to monitor the spread of outbreaks in different areas of the world and with this record 3. Furman v. Georgia is a U.S Supreme Court case that resolves around the Eighth Amendments ban on cruel and unsual punishment in death penalty cases. The Furman v. Georgia case was based on Furman being convicted of murder in Georgia. Furman was caught i One major ethical conflict that may arise in my investigation is the Responsibility to Client in both Standard 3 and Standard 4 of the Ethical Standards for Human Service Professionals (2015).  Making sure we do not disclose information without consent ev 4. Identify two examples of real world problems that you have observed in your personal Summary & Evaluation: Reference & 188. Academic Search Ultimate Ethics We can mention at least one example of how the violation of ethical standards can be prevented. Many organizations promote ethical self-regulation by creating moral codes to help direct their business activities *DDB is used for the first three years For example The inbound logistics for William Instrument refer to purchase components from various electronic firms. During the purchase process William need to consider the quality and price of the components. In this case 4. A U.S. Supreme Court case known as Furman v. Georgia (1972) is a landmark case that involved Eighth Amendment’s ban of unusual and cruel punishment in death penalty cases (Furman v. Georgia (1972) With covid coming into place In my opinion with Not necessarily all home buyers are the same! When you choose to work with we buy ugly houses Baltimore & nationwide USA The ability to view ourselves from an unbiased perspective allows us to critically assess our personal strengths and weaknesses. This is an important step in the process of finding the right resources for our personal learning style. Ego and pride can be · By Day 1 of this week While you must form your answers to the questions below from our assigned reading material CliftonLarsonAllen LLP (2013) 5 The family dynamic is awkward at first since the most outgoing and straight forward person in the family in Linda Urien The most important benefit of my statistical analysis would be the accuracy with which I interpret the data. The greatest obstacle From a similar but larger point of view 4 In order to get the entire family to come back for another session I would suggest coming in on a day the restaurant is not open When seeking to identify a patient’s health condition After viewing the you tube videos on prayer Your paper must be at least two pages in length (not counting the title and reference pages) The word assimilate is negative to me. I believe everyone should learn about a country that they are going to live in. It doesnt mean that they have to believe that everything in America is better than where they came from. It means that they care enough Data collection Single Subject Chris is a social worker in a geriatric case management program located in a midsize Northeastern town. She has an MSW and is part of a team of case managers that likes to continuously improve on its practice. The team is currently using an I would start off with Linda on repeating her options for the child and going over what she is feeling with each option.  I would want to find out what she is afraid of.  I would avoid asking her any “why” questions because I want her to be in the here an Summarize the advantages and disadvantages of using an Internet site as means of collecting data for psychological research (Comp 2.1) 25.0\% Summarization of the advantages and disadvantages of using an Internet site as means of collecting data for psych Identify the type of research used in a chosen study Compose a 1 Optics effect relationship becomes more difficult—as the researcher cannot enact total control of another person even in an experimental environment. Social workers serve clients in highly complex real-world environments. Clients often implement recommended inte I think knowing more about you will allow you to be able to choose the right resources Be 4 pages in length soft MB-920 dumps review and documentation and high-quality listing pdf MB-920 braindumps also recommended and approved by Microsoft experts. The practical test g One thing you will need to do in college is learn how to find and use references. References support your ideas. College-level work must be supported by research. You are expected to do that for this paper. You will research Elaborate on any potential confounds or ethical concerns while participating in the psychological study 20.0\% Elaboration on any potential confounds or ethical concerns while participating in the psychological study is missing. Elaboration on any potenti 3 The first thing I would do in the family’s first session is develop a genogram of the family to get an idea of all the individuals who play a major role in Linda’s life. After establishing where each member is in relation to the family A Health in All Policies approach Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum Chen Read Connecting Communities and Complexity: A Case Study in Creating the Conditions for Transformational Change Read Reflections on Cultural Humility Read A Basic Guide to ABCD Community Organizing Use the bolded black section and sub-section titles below to organize your paper. For each section Losinski forwarded the article on a priority basis to Mary Scott Losinksi wanted details on use of the ED at CGH. He asked the administrative resident