Assessing and Diagnosing Patients With Schizophrenia, Other Psychotic Disorders, and Medication-Induced Movement Disorders

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Learning Resources

American Psychiatric Association. (2022). Medication-induced movement disorders and other adverse effects of medication. In Diagnostic and statistical manual of mental disorders (5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?url= https://dsm.psychiatryonline.org/doi/full/10.1176/appi.books.9780890425787.Medication_Induced_Movement_Disorders

American Psychiatric Association. (2022). Schizophrenia spectrum and other psychotic disorders. In Diagnostic and statistical manual of mental disorders (5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?url= https://dsm.psychiatryonline.org/doi/full/10.1176/appi.books.9780890425787.x02_Schizophrenia_Spectrum

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

· Chapter 7, Schizophrenia Spectrum and Other Psychotic Disorders

· Chapter 29.2, Medication Induced-Movement Disorders

· Chapter 31.15, Early-Onset Schizophrenia

THE QUESTION

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? 

· Include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!).

· Also include 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.).