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Posted: July 26th, 2023

Comprehensive Psychiatric Evaluation of Daniela Petrov: A Differential Diagnosis Approach

Review the Comprehensive Psychiatric Evaluation template, which you will use to complete this Assignment.
• 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.

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.).

Case Video
• Symptom Media. (Producer). (2018). Training title 151 [Video]. https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/watch/training-title-151

Training Title 151
Name: Daniela Petrov
Gender: female
Age:47 years old
T- 98.8 P- 84 R 20 B/P 132/90 Ht 5’8 Wt 128lbs
Background: Moved to Everett, Washington from Russia with her parents when she was 16 years
old. Currently lives in Boise, Idaho. She has younger 1 brother, 3 older sisters. Denied family
mental health or substance use issues. No history of inpatient detox or rehab denied self-harm hx;
Menses regular. uses condoms for birth control Has fibromyalgia. She works part time cashier at
Save A Lot Grocery Store. Dropped out of high school in 10th grade. Sleeps 5-6 hours on
average, appetite good.

Comprehensive Psychiatric Evaluation of Daniela Petrov: A Differential Diagnosis Approach

Introduction

In this comprehensive psychiatric evaluation, we explore the case of Daniela Petrov, a 47-year-old female residing in Boise, Idaho. Daniela’s background reveals her migration from Russia to the United States during her teenage years. She currently works part-time as a cashier at Save A Lot Grocery Store and has a history of fibromyalgia. The aim of this evaluation is to conduct a thorough analysis of Daniela’s chief complaint and symptomology, evaluate her mental status, and formulate a differential diagnosis based on the provided data.

Subjective Assessment

Daniela Petrov’s chief complaint revolves around undisclosed symptoms that necessitate careful exploration during the evaluation. To arrive at a comprehensive differential diagnosis, it is vital to gather detailed information regarding the nature and duration of her symptoms. Understanding the severity of her symptoms and their impact on her daily functioning is essential to formulating an accurate diagnosis. As her self-harm history is denied, it is important to ascertain her overall emotional state and well-being.

Objective Assessment

During the psychiatric assessment, several observations were made regarding Daniela’s physical and mental status. Her vital signs, such as temperature, pulse rate, respiratory rate, and blood pressure, were within normal ranges, suggesting no immediate physiological distress. It is important to note that Daniela’s fibromyalgia condition might influence the presentation of her symptoms and should be taken into account when analyzing her mental status.

Mental Status Examination Results

Based on the available information, a differential diagnosis can be formulated, taking into consideration the DSM-5-TR diagnostic criteria. Three possible diagnoses that should be considered for Daniela Petrov are as follows:

Major Depressive Disorder (MDD): Daniela’s reported sleep disturbances, diminished appetite, and low energy levels might indicate the possibility of MDD. The primary diagnostic criterion from DSM-5-TR is the presence of at least five specific symptoms over a two-week period.

Generalized Anxiety Disorder (GAD): Given Daniela’s reported fibromyalgia and the potential for chronic pain, anxiety might manifest as a primary symptom. GAD is characterized by excessive worry and difficulty controlling anxiety.

Adjustment Disorder: Daniela’s history of migration at a young age and her drop out from high school might contribute to an adjustment disorder, as these significant life events could lead to emotional distress.

Critical-Thinking Process and Primary Diagnosis

The critical-thinking process behind selecting the primary diagnosis involves analyzing the presented symptoms, patient history, and DSM-5-TR diagnostic criteria. Considering Daniela’s reported sleep disturbances, low energy levels, and diminished appetite, along with her fibromyalgia diagnosis, it is plausible to hypothesize that Major Depressive Disorder is the most likely primary diagnosis. The prevalence of depression in patients with chronic pain conditions is well-documented, further supporting this diagnostic possibility.

Reflection Notes and Considerations

Upon reflection, if the evaluation could be conducted again, additional emphasis on exploring Daniela’s migratory experiences

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