psychological report example follow up for patient diagnosed with depression

What is the psychological report sample?

The psychological report sample points out them for one to understand the most significant elements of such type of work. In addition, the psychological report sample provides an example of the structure, style, and a clear outline of the psychological report. Date of birth: 11.08.05 Source of referral: Ms. Adriana Blake, the mother

How long should follow-up follow-up be followed after a Gad assessment?

Most physicians recommended that the first follow-up visit occur within 2 weeks for the GAD (79.4%) and MDE (82.5%) clinical-scenario patients (Table 2).

How are depression and anxiety diagnosed in primary care?

Depression and anxiety are suspected diagnosis made based on patient history and physical findings.

How is the diagnosis of depression made?

Once the patient completes the questionnaire by checking the appropriate box, the score is calculated (1-4= minimal depression, 20-27 = severe depression). Based on the score, a definitive diagnosis was made on clinical grounds, which is based patient understanding of the questionnaire and other information provided by the patient.

How do you write a mental health report?

Writing about mental health: The do'sDo start with a goal for your mental health content. ... Do use credible sources. ... Do include details on how to get in touch with professional help. ... Don't limit people's identities to their mental health. ... Don't turn people into victims. ... Don't use derogatory phrases.

How do you write a psychological evaluation?

5:5714:43HOW TO WRITE A PSYCHOLOGICAL EVALUATION - YouTubeYouTubeStart of suggested clipEnd of suggested clipInformation like the student's. Name date of birth. The dates that you evaluated them the date ofMoreInformation like the student's. Name date of birth. The dates that you evaluated them the date of the report. So that's just all at the top.

How often should you follow-up for depression?

Through the first year following a depression diagnosis, regular follow-up visits and use of the PHQ-9 at least once a month are recommended, until the patient's symptoms have improved for a period of one year.

How do you assess a patient for depression?

The Beck Depression Inventory (BDI) is widely used to screen for depression and to measure behavioral manifestations and severity of depression. The BDI can be used for ages 13 to 80. The inventory contains 21 self-report items which individuals complete using multiple choice response formats.

What is a psychological test example?

The most commonly used personality tests are the Rorschach, TAT, and MMPI. The assumptions underlying projective tests such as the Rorschach and TAT are that the standard set of stimuli are used as a screen to project material that cannot be obtained through a more structured approach.

What is psychological evaluation report?

Psychological assessments and reports are a speciality in the field of psychology. They incorporate multi-faceted methods of data collection to observe a client's behaviour, personality, cognitive thinking and capabilities to diagnose an issue that a client may be suffering from.

What is a positive depression screening?

Positive depression screenings were defined as a score of ≥3 on the PHQ-2 or a score of ≥10 on the PHQ-9. Interventions made in response to positive depression screenings documented in the EHR were recorded.

What should be monitored when taking antidepressants?

How should I monitor someone taking antidepressants? Suicidal thoughts and suicide attempts — monitor people with depression closely in the early stages of treatment. People considered at increased risk of suicide should be seen at least once a week. For more information, see the section on Assessing risk of suicide.

When should you increase SSRI?

You'll have regular meetings with your doctor when you first start taking SSRIs and you should let them know if you haven't noticed any improvement after 4 to 6 weeks. They may recommend increasing your dose or trying an alternative antidepressant.

How do psychologists diagnose depression?

What Does the Doctor Look for to Make a Depression Diagnosis? A doctor can rule out other conditions that may cause depression with a physical examination, a personal interview, and lab tests. The doctor will also do a complete diagnostic evaluation, discussing any family history of depression or other mental illness.

What is the gold standard assessment for depression?

The Patient Health Questionnaire (PHQ-9) has rapidly become the national and international gold standard measurement tool in major depression. Every treatment guideline around the world recommends use of measurement-based care.

What are 4 criteria used to diagnose depression?

Fatigue or loss of energy. Feelings of worthlessness. Diminished ability to think or concentrate; indecisiveness. Recurrent thoughts of death, recurrent suicidal ideation without a specific plan, or a suicide attempt or specific plan for committing suicide.

Why Should We Have To Undergo a Psychological Assessment?

There are various reasons why we have to undergo a psychological assessment. Sometimes we have difficulties and we have to take the psychological t...

How Can I Find a Psychologist That Can Give Me a Psychological Assessment?

In searching a psychologist, know the expertise of the particular test that you need. Then there are many ways on how you can find the psychologist...

How Much Does a Psychological Assessment Cost?

There are government services that can provide psychological assessment to you free of charge. Examples of these are schools and health centers. Bu...

How Can I Make My Psychological Report Writing Better?

Verify the solid data that you have. Be sure that you are going to include accurate information only. To have some great skills, use any psychologi...

What is a Psychological Assessment Report?

A psychological assessment report is a document that contains the psychological assessment of a person. Psychological assessment is the way of testing the behaviour, personality and abilities of a person using techniques where the psychologist can arrive with hypotheses. It can also be called psychological testing. The assessment states whether a person is suffering from a mental illness or not. The purpose of this report is to give information about the mental conditions of a person. It is used in a variety of ways. Companies commonly used psychological testing as a part of recruitment process in hiring. Psychological report is used in children to assess whether they are normal or not. It can also be used in court as an evidence that can help in the trial. Not that mental health should be in question, but the fact that we know the mental condition of a person can help the person who can have the illness and the people around us. We have to be a little concerned about our mental health. We have to know the mental history of an individual. We can help them if we will do so. If an employee was proved to have a mental illness, we can be careful about his condition while we are at work. In case of our children, bringing them to the psychologist at an early age can make us to give an early solution if there could ever be found a diagnosis of mental problem. The psychological assessment report is useful and we can take care of our mental health.

Why is it important to write a psychological report?

Writing a psychological report is crucial as it would contain the delicate issue about the mental health of a person. If you are new in psychological assessment report writing, you might want to try these steps in writing:

Why Should We Have To Undergo a Psychological Assessment?

There are various reasons why we have to undergo a psychological assessment. Sometimes we have difficulties and we have to take the psychological testing to assess the problem that we are having. We can know if we are struggling with a mental problem. We can provide the right solutions for it. We can make solutions before it is too late. When a person starts to have struggles with his thoughts, and can notice unusual behavior with himself, it is time for him to seek help before the problem gets worse. It is not usual to have unusual attitudes, so we have to take a psychological test to ensure that our mental health is not in danger. Aside from these things, a psychological assessment is needed in different situations like as evidence in the court or a test that we should take in the recruitment process in an employment. When our behaviour is needed to be examined, we have to undergo a psychological assessment. It is not bad. We will know the extent of our behaviour and we can be released with the mental stress. We can know if we have a mental problem or not.

How Can I Make My Psychological Report Writing Better?

Be sure that you are going to include accurate information only. To have some great skills, use any psychological assessment example as a reference. You can have better ideas on how to write a psychological report.

What is PTSD in psychology?

Post-Traumatic Stress Disorder (PTSD) Traumatic events sometimes happen, and everyone of us may have experienced this in our lives. This mental illness is a psychiatric disorder that anyone can have after having such traumatic events. A person may have lost a loved one and cannot take the truth of it. Someone can have this illness from battling from war. If a person has experienced sexual violence, PTSD can also result. It can occur to any people in every nationality. People who have this have disturbing thought about the thing that has happened to them. They have nightmares and even flashbacks about it. They always relive the memory. It makes them sad, fearful, or angry and it detached them to the people around them.

How to find a psychologist?

In searching a psychologist, know the expertise of the particular test that you need. Then there are many ways on how you can find the psychologist that can conduct the assessment for you . You can ask a medical practitioner that you know. They can refer you to a psychologist that can give you this work. If you want your children to be tested, you can ask their school. Maybe they have a psychologist that can do it for your children. To provide a quick answer to your search, you may contact APS “Find a Psychologist” service. Their phone can be accessed at (1800-333-497). They can give you a suitable psychologist.

How to interview a patient?

As you do the interview with the patient, you must do it with proper care. Speak in a warm tone and ask questions that will not hurt the feelings of the patient. You have to remember, be a good counselor to your patient. To get the best counsel, do not make the interview short. Take a great time to let the patient speak their thoughts, so you can know if they have a problem or not. Apply all the knowledge that you have learned in your psychology course. You may have learned some great skills on how to handle a patient. Do not ask too personal questions instantly. Let the patient open that kind of conversation. Remember that our thoughts are too personal to be intruded. Before a patient would hide themselves because of awkwardness, ask questions that would make them feel more at ease with you. They might open up if you will choose right questions. One of the best way is to ask how they are doing. Ask what is going on with their thoughts. Ask if something has been troubling them. Ask all of these in a friendly tone where anyone can tell their worries and fear.

What was Mark's depression?

His depression was characterized as being “controlled by a pattern of interpersonal avoidance.” The behavior/activation therapist asked Mark to complete an activity record to help steer the treatment sessions.

How long did Sara go through IPT?

The clinician recommended interpersonal psychotherapy (IPT) for a duration of 12 weeks.

3.Physical and Behavioral Observation

The interviews were conducted twice a week since the 12 of December until the 10th of January; there was one personal meeting with the patient and one with his mother being present weekly. James behaved acceptably, he was never late to the interview, even to those that he attended just by himself.

4.Family Background

James’ parents are divorced for four years; they stay in a friendly relationship. The boy lives with his mother but has weekly meetings with the father, he spends at least one week of the summer vacations with him. Mr. Robert Blake, James’ father, is going to get married for the second time; his fiancée, Ms. Mary Brown, is fourth months pregnant.

5.Summary

James is most likely to be concerned about his relationship with the father after his new marriage, especially considering the fact that Mr. Robert is going to have a second child. The boy is afraid of being unwanted in the new family and ‘replaced’ by the newborn baby.

7.Recommendations

The parents of the boy have to explain the situation and the future development of it to James, he needs to be ensured of being needed and loved by his father in order to feel safe and to overcome the diagnosed issues. In addition, it would be helpful for the boy to spend some time, a week or two, with Mr.

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What is the patient's background?

They moved here to stay with family members but had to be evicted because the house was sold. She has a 10-year-old daughter and 7-year-old twins (a boy and a girl). She got married 11 years ago and presently seeking employment with Safeway supermarket. She has an upcoming interview next week. She is of the Catholic faith , but only occasionally attends church. She and her family have had some difficulties with their church of choice. At one point, the pastor accused her husband of theft of his laptop computer and a credit card; even though, it was later shed to light that one of the young people in the church had been the culprit and no apology was ever given to her husband. Again, both couples were assisting their pastor on a yard sale, the proceeds from the yard sales were stolen, including some discount cards, the patient husband was accursed again, but the thief was later discovered. Still the church never apologizes for the false accusation.

What is the prevalence of major depressive disorder?

The lifetime prevalence of the major depressive disorder in the United States is about 16% (Amanda et al. 2009). The study endorsed at least two current symptoms of depression found that current major depressive disorder was present in 66% cases. The annual prevalence rate is up to 25% in the patient with the chronic medical illness. Risk factors are multifactorial and include genetics, medical, social and environmental factors. Initial patient presentation of major depression can be a variety of physical symptoms including a headache, musculoskeletal pain, abdominal/pelvic pain, mood symptoms and cognitive changes. Depression is highly recurrent. In a study conducted by Bentley, Pagalilauan & Simpson (2014), of 200 patients who have recovered from an episode of major depressive disorder, 64% experienced at least one additional of major depression with the risk of recurrence in the first month after recovery. A history of the most predictive factor for additional episodes of major depressive disorder and each increase the risk of experiencing another by 16%.

What is the history of present illness?

The history of present illness supports a determination of the Major depressive disorder. The DSM-V criteria were met in the above patient demography. Further discussion will be presented in the differential diagnosis section. Patient exhibit some anxiety, as she mentioned of being anxious and stress. The patient goes into panic attack due to inability to pay her bills, and husband is also jobless. Other support measures will be further. Treatment measures will address depression and anxiety, and the family situation will be considered. Folk, J. (2017, April 25).

How old was the patient when she started walking?

The patient was born by a healthy pregnancy, reported by the best of her ability. She started walking without assistance at 12 months old. Patient has no evidence of developmental delays or issue from birth. The patient was born in the southern part of the country; patient has past young adulthood still her mental health problems are affecting her ability to secure a job, which is a primary developmental focus. Functional impairment is common in depression; this may persist more than symptoms. It needs to be assessed. (Culpepper, 2016)

How many people have anxiety disorders?

Anxiety disorders are the most common mental illness in the U.S., affecting 40 million adults in the United States age 18 and older, or 18.1% of the population every year. Anxiety disorders are highly treatable, yet only 36.9% of those suffering receive treatment. Folk, J. (2017, April 25).

Why does a patient go into panic attack?

The patient goes into panic attack due to inability to pay her bills, and husband is also jobless. Other support measures will be further. Treatment measures will address depression and anxiety, and the family situation will be considered.

Which endocrine disorders are most likely to cause mood changes?

Endocrine Disorders: Endocrinology disorders involving the hypothalamic pituitary adrenal axis or thyroid are especially likely to produce changes in mood. These include Addison disease, Cushing syndrome, hyperthyroidism, hypothyroidism, and hyperparathyroidism. The endocrine disorder must be rule out because the patient has hypothyroidism. However, her recent thyroid tests were regular. The symptoms the patient is exhibiting that may be related to the hypothyroid problem include fatigue, difficulty taking a deep breath, poor memory, and weight change (Sadock, Sadock, & Ruiz, 2015).

Session Report

Case Summary

Source and Reason For Referral

History of Present Illness

Preliminary Assessment

Informal Assessment

Formal Assessment

Visual Analogue

Diagnosis

Identifying Information

Tests Administered

Physical and Behavioral Observation

• The interviews were conducted twice a week since the 12 of December until the 10th of January; there was one personal meeting with the patient and one with his mother being present weekly. James behaved acceptably, he was never late to the interview, even to those that he attended just by himself. Still, he was unwilling to talk openly, especially ...

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Family Background

Summary

Recommendations