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Case Study – Psychosocial Assessment of Mrs. Baker

Case Study – Psychosocial Assessment of Mrs. Baker

Hello,

The 32-year-old patient, Mrs. Baker. C, reports she has been having the been having the symptoms for the last four months. The patient did not report using or trying on any home treatments, supplements, or RXs for her current condition. Mrs. Baker has also not received any therapy or psychiatric care in the past. She also does not report having any suicidal ideations or a suicide attempt in the past. She is also not suicidal at the moment. In case she was, I would first implement a safety intervention for a suicidal patient, including removing all items that she may harm herself within the room. I would then log the case and report it to the facility, the policy, and the suicide help center. Mrs. Baker has no history of being hospitalized in a psychiatric facility. She reports that although she likes staying alone, she has a healthy relationship with her family and friends. She has no history of abuse, but she has gone through a divorce recently. Based on her reporting on substance use, there is no need to explore the use of all sources of nicotine, and neither does she use any alcohol or recreational drugs. I would inquire specifically about prescription drug misuse/abuse for patient safety reasons. When not at work, Mrs. Baker stays at home with her kids. She reports that she does not do anything specific to manage her sleep except sometimes sleep. She does not follow a strict dietary regime and mostly goes for fast food choices for herself and her children when she is too tired to cook after work. Her background would be a more relevant part of the psych exam to assist in identifying contributing circumstances and devising an intervention that addresses any underlying causes. Noting that she has no history of drug use, a urine drug test is not required. Additionally, although structural and functional brain imaging is indicated for GAD (Madonna et al., 2019), she does not need EEG screening. However, I would consider checking on genetic SNPs for GAD due to her reported family history of mood disorders.

 References

Madonna, D., Delvecchio, G., Soares, J. C., & Brambilla, P. (2019). Structural and functional neuroimaging studies in generalized anxiety disorder: A systematic review. In Brazilian Journal of Psychiatry (Vol. 41, Issue 4). https://doi.org/10.1590/1516-4446-2018-0108

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Question 


Case Study - Psychosocial Assessment of Mrs. Baker

Case Study – Psychosocial Assessment of Mrs. Baker

Thanks for your case study post.

Here are a few questions about the case:

Has she ever had these symptoms in the past?
Has she ever tried any home treatments, supplements, or RXs for her current condition? If so, what helped?
Has she ever received therapy or psychiatric care in the past?
Has she ever had suicidal ideations or a suicide attempt in the past?
Is she currently suicidal? what would you do if she was?
Has she ever been hospitalized in a psychiatric facility?
How is the relationship with her family? friends?
Does she report any abuse or trauma in her past?
Would you explore the use of all sources of nicotine?
Does she currently use any alcohol or recreational drugs?
Would you inquire specifically about prescription drug misuse/abuse?
What else does she do to manage stress?
Tell us more about her dietary intake
PE: what other parts of the psych exam would be relevant? https://www.merckmanuals.com/professional/psychiatric disorders/approach-to-the-patient-with-mental-symptoms/routine-psychiatric-assessmentLinks to an external site.
Would it be appropriate to order a urine drug screen?
is any brain imaging indicated for this condition?
Is an EEG advised for this patient?
Would you consider checking any genetic SNPs?