Psychology: A Case Study Of Electronic Screening

Mr. Saunders is a 60 year old male who presented to the ED via LEO under petition by his niece, Rachelle, for allegedly putting a gun into his mouth, him putting a gun in another individuals mouth called "legs", and increasing alcohol consumption. At the time of the assessment Mr. Saunders is calm and cooperative. He denies suicidal ideation, homicidal ideation, and symptoms of psychosis. Mr. Saunders reports he has been depressed for several months and has been binge drinking alcohol. He reports relational issues with his wife has been the primary stressor contributing to his distress. He express feelings of hopelessness, worthlessness, irritability, and isolation. He does admit to informing a friend, William, he see no reason to leave if he can not be with his wife. Patient does not appear to be exhibiting signs of agitation,

Joshua is a 31-year old who presents from CRU from UPC. He is ACOT for wanting to leave valley hospital against medical advice. He was admitted to Valley Hospital on voluntary basis for increased depression and anxiety. BHR have a hx of OD and hanging. He is allergic to vicodin. Upon admission, his vital signs were within normal limits. He is partially cooperative, he stated, "I just want to go to bed." He will benefit from meeting with the provider and discussing medication management.

Both patients that consistently presented to Bakirkoy State and Training Hospital for Psychiatric and Neurological Diseases in Istanbu and normal healthy controls.

D-Met with the patient upon request. Upon meeting with the patient, the patient appeared upset and addressed her frustration in this writer's office. According to the patient, she's upset with her PCP forcing the patient to admit herself to the psych. ward to get on medication. Failure to do so, her PCP will complete the medication protection for her electricity. The patient owes over $3000 and with the protection, her light company cannot turn off her lights. Please note, the patient was pacing back and forth and getting emotional. This writer consolet he patient and validated her feelings. According to the patient, she reports that CMHA informed her that she in order to get into their clinic, an evaluation is needed whereas the evaluation can be completed at a hospital; however, the patient is worried about being admitted. Please note, the patient denies any suicidal or homocidal ideation when questioned.

Dr. Gentry requested an assessment for Kaitlin Bradley, an 19 year old female who presented to Randolph Hospital ER reporting suicidal ideation, with a plan, and symptoms of psychosis, and homicidal ideation. She stated " I plan to do some stupid shit". Ms. Bradley reports she has had suicidal ideation daily since the age of 10, She reports that in the past two weeks her suicidal ideation has gotten worse. She reports yesterday she was suicidal and reports if she was going to kill herself she would overdose no whatever pills she can get her hands on. Ms. Bradley reported cocaine and marijuana use, which was confirmed in her drug screening. She reports she came to the hospital so she would not harm herself. Ms. Bradley has a history of suicide

Additional, the client has met a Major Depressive Episode, which includes him currently meeting the three criteria; A, B, and C. Criteria A suggest that the client meet five symptoms during a two week time period. The client’s symptoms are as follows: depressed mood most of the day nearly every day as indicated by observation of his wife, marked diminished interest in activities most of the day, nearly every day indicated by observation of him not going to work in the past two weeks, psychomotor retardation nearly every day the last two weeks observed by his wife due to him not leaving the bed, diminished ability to think noticed by others when suggesting courses of action as to what may be helpful to him, and lastly, recurrent suicidal thoughts of death demonstrated by his irrational inquiries about an un-diagnosable disease of him dying soon. Criteria B reads that the client’s symptoms have to put significant distress or impairment in life areas of function, which the client does meet due to him not being able to currently leave his home/bed. Finally, criteria C is met because the client has to history of substance abuse or another medical condition that indicates attributable physiological effects. Although, the narrative suggests that there is history of Major Depressive Disorder, those particular episodes, I believe are not clinically attached to this particular manic episode, where he is now saying, “My skin is coming off in

Mr. Moore is a 24 year old male who presented to the ED with reports of experiencing depressive symptoms, vague suicidal ideation without a plan, and recent episodes of anxiety. At the time of the assessment Mr. Moore denies current suicidal ideation, homicidal ideation, and symptoms of psychosis. He reported to suicidal ideation would come and go, however never had a plan . Mr. Moore appears calm, cooperative and in good spirits during assessment. He reports a history of anxiety, depression, and emotional trauma by father at the age of 8 years old. Mr. Moore expressed he started noticing increase anxiety when he had to speak in large groups, present in school, driving, and engaging in social actives. He states, "Over the past 16 years my father has been out my live, when I was younger he would hit me if he felt I said anything out of line." Mr. Moore reports recent relationship issues and separation with his fiance. He reports due to him not engaging in many social actives his fiance has left him. He reports for many year going to Randolph Counseling Center for his anxiety. He reports positive results from services. Mr. Moore mention coming to the hospital last Thursday for his anxiety and bring prescribed a 30day supply of Ativan, which he reports has helped him become more stable when engaging in actives,like driving his mother's car. He reports depressive comes and goes depending on the mood he is in. He describes symptoms on occasion as feelings of

The patient has 53 years and completed the electronic screening assisted by this therapist. The results were negative for suicide ideation (C-SSRS), positive mild for depression symptoms (CAD-MDD, CAT-DI: 56.3), severe for anxiety symptoms (CAT-AND: 74.5), elevated for mania/hypo mania symptoms (CAT-M/HM: 59.8), positive for medication non adherence (MMAS-8: .50) and positive for tobacco (NIDA assist). The patient verbalized financial issues among other factors to contribute on his symptoms. He forgot the referral for mental health services to McIntosh Trail, however, he said by phone that he will pick up the referral previous his appointment next Thursday. The recommendation is psychiatric evaluation and counseling services. Eunice Malavé

Stage 1: Dr. G is a 38 year old female. She is a former physician and has a history of suicide attempts for the last six months. I would ask Dr. G if she is taking her medications consistently or abusing the prescription. I would also ask who prescribed the medication if it was an emergency room physician or a psychiatrist. I would also ask Dr. G if she has access to any other medications or drugs in her home.

During the time of assessment the patient presents drowsy. The patient reports during the time of assessment that he is not currently suicidal or homicidal. The patient reports that he hears voices telling him to kill him self and kill his wife. However, the patient reports that he loves his wife and do not wish to harm her. The patient reports that tonight that him and his wife got into an argument, however

How will you receive feedback from other members? How might this be a challenge for you?

At the time of the assessment the patient reports she denies homicidal ideations and symptoms of psychosis.Patient has a history of command auditory hallucinations but denies any current and states, "Everyone in my family

During the time of assessment the patient reports that she recently had a change in depression medication. Patient expresses that she stop taking the anti-depressant medication last Monday. The patient reports that for a week she has been very tearful, isolating herself, experiencing insomnia, worthlessness, irritable, and hopelessness. Patient stated, "I don't feel suicidal, just feel hopeless." Further patient

In this case, there is a difference of opinion between the medical and mental health consultants regarding the claimant’s medical improvement. While, there is no doubt there was improvement in her medical condition, the mental health consultant opined that there was “No sig MI” (no significant medical improvement), in her mental condition.

The patient completed the electronic screening and this therapist assisted him since he expressed that does not know about computers. He has 88 years and hearing problems. The results were negative for suicidal ideation (C-SSRS); positive for depression/severe (CAD-MMD, CAT-DI 79.9); positive/mild for anxiety (CAT-ANX: 42.6); negative for mania/hypomania (CAT-M/HM 42.5), he is not taking medication and negative for NIDA (alcohol/drugs (0). Furthermore, he denied hallucinations, delusional ideas are not present and he is oriented (time, place and person). The results were discussed with the patient and Ms. Kubay, NP. The patient is receptive for the help and does not have a psychiatric history. He shared that his depression started after his