Outline for the Psychiatric Diagnosis

Case Study: Consultations of a Patient Mental Health

Evette Grayson

Ashford University

PSY 645: Psychopathology

Dr. Robin Friedman

September 23, 2019

Mental Health Consultation Case Study

The job of a mental health professional also involves offering consultancy and advisory services to other professionals within the field. For this case a mental health professional will be providing consultancy services to a clinical psychologist (Dr. John Smith) needing assistance on how to go about a 38-years old patient (Bob) with altered mental state.

Evaluation of the Symptoms

There are several symptoms beneficial in diagnosing of Bob’s mental condition. In the case, he is mentioned to be having high body temperatures, suffering psychomotor agitations causing him anxiety and severe emotional distress and anxiety, and even with developed circumstantial speech. It is likely that his shouting may be triggering adrenaline for an increased body activity and temperatures or even triggered by psychogenic fever (Nussbaum, 2017). The patient symptoms again reveal that he is also suffering from PPD (Paranoid Personality Disorder). PPD tend to instill a demeanor and perception of mistrust and disloyalty for the patients interacting with their environment (Tasman, Kay, & Ursano, 2013). As in the case Bob grew more paranoid with the doctors when asked about access to previous health records that he vehemently denied providing since he did not trust the doctors.

Review and Historical Analysis of the disorder

It is critical that a psychiatric dealing with patient study the historical evolution of patient mental disorder from its earlier stages. While each therapy method works differently understanding previous issues dealt with help navigate through the current complexities in psychiatric treatments. Historically, such a patient may be perceived suffering schizophrenia with undetected depressive or hyper dispositions. From the symptoms he also suffers PTS, Phobias, Panic Disorders, Generalized Anxiety, as well as having Obsessive and Compulsive fits, alongside PPD (Nussbaum, 2017; Avasthi & Malhotra, 2014).

When handling such patients due diligence and respect is observed to help the patients understand their position as delusional and non-existent. Apparently, Bob is suffering from chronic delusional disposition that is systematically corrupting his mind to further become paranoid (Nussbaum, 2017). Severe cases of paranoia may instead require medication as opposed to therapy to control.

Patient Cognitive and Theoretical Orientations

Achieving such an orientation is beneficial in understanding the patient thoughts and mental abilities and overall state of mind. For instance, Bob sees police as a threat/ enemy and those they are always everywhere. It indicates that Bob also suffers from IMND (Induced Major Neurocognitive Disorder) and perhaps tells the reason he always has that borderline personality, i.e., disorderly behavior and yelling (Tasman, Kay, & Ursano, 2013).

The Humanistic Approach to the case

From the humanistic perspective is important in assessing a person in their entirety. Bob is seemingly suffering from encounters in life, as opposed to his upbringing/ family background. It is out of his fear that he develops the pressured circumstantial speech. Using other approaches in analyzing the case Bob suffers delirium and depression that may perhaps be as a result of financial issues or low life esteem (Nussbaum, 2017; Avasthi & Malhotra, 2014).

Conclusion

Separate from the DSM-5 the psychologist handing Bob’s case can consider the Oxford Handbook of Clinical Psychology or even the (PDM) Psychodynamic Diagnostic Manual to better understand and diagnose Bob’s symptoms. The clinical psychologist can also consider other diagnostic manuals such as the ‘Related Health Problems,’ as well as the ‘International Statistical Classification of Diseases’ to help with the diagnosis (Tasman, Kay, & Ursano, 2013; Avasthi & Malhotra, 2014).

References

Avasthi, A., & Malhotra, N. (2014). The psychiatric interview: Evaluation and diagnosis. Indian Journal of Medical Research, 140(6), 796.

Nussbaum, A. M. (2017). The Pocket Guide to the DSM-5® Diagnostic Exam. American Psychiatric Pub.

Tasman, A., Kay, J., & Ursano, R. J. (2013). The psychiatric interview: Evaluation and diagnosis.Chichester, England: John Wiley & Sons.