Week 6 - Final Project Psychological Treatment Plan It is recommended that students review the e-book The Complete Adult Psychotherapy Treatment Planner (Jongsma, Peterson, & Bruce, 2014) for additional assistance in completing this assignment. Clinical and counseling psychologists utilize treatment plans to document a client’s progress toward shortand long-term goals. The content within psychological treatment plans varies depending on the clinical setting. The clinician’s theoretical orientation, evidenced-based practices, and the client’s needs are taken into account when developing and implementing a treatment plan. Typically, the client’s presenting problem(s), behaviorally defined symptom(s), goals, objectives, and interventions determined by the clinician are included within a treatment plan. To understand the treatment planning process, students will assume the role of a clinical or counseling psychologist and develop a comprehensive treatment plan based on the same case study utilized for the Psychiatric Diagnosis assignment in PSY645. A minimum of five peer-reviewed resources must be used to support the recommendations made within the plan. The Psychological Treatment Plan must include the headings and content outlined below. Behaviorally Defined Symptoms • • • Define the client’s presenting problem(s) and provide a diagnostic impression. Identify how the problem(s) is/are evidenced in the client’s behavior. List the client’s cognitive and behavioral symptoms. Long-Term Goal • Generate a long-term treatment goal that represents the desired outcome for the client. o This goal should be broad and does not need to be measureable. Short-Term Objectives • Generate a minimum of three short-term objectives for attaining the long-term goal. o Each objective should be stated in behaviorally measureable language. Subjective or vague objectives are not acceptable. For example, it should be stated that the objective will be accomplished by a specific date or that a specific symptom will be reduced by a certain percentage. Interventions • • • • • Identify at least one intervention for achieving each of the short-term objectives. Compare a minimum of three evidence-based theoretical orientations from which appropriate interventions can be selected for the client. Explain the connection between the theoretical orientation and corresponding intervention selected. Provide a rationale for the integration of multiple theoretical orientations within this treatment plan. Identify two to three treatment modalities (e.g., individual, couple, family, group, etc.) that would be appropriate for use with the client. It is a best practice to include outside providers (e.g., psychiatrists, medical doctors, nutritionists, social workers, holistic practitioners, etc.) in the intervention planning process to build a support network that will assist the client in the achievement of treatment goals. Evaluation • • List the anticipated outcomes of each proposed treatment intervention based on scholarly literature. o Be sure to take into account the individual’s strengths, weaknesses, external stressors, and cultural factors (e.g., gender, age, disability, race, ethnicity, religion, sexual orientation, socioeconomic status, etc.) in the evaluation. Provide an assessment of the efficacy of evidence-based intervention options. Ethics • • Analyze and describe potential ethical dilemmas that may arise while implementing this treatment plan. Cite specific ethical principles and any applicable law(s) for resolving the ethical dilemma(s). The Psychological Treatment Plan • • • • • Must be 8 to 10 double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.)Links to an external site.. Must include a separate title page with the following: o Title of paper o Student’s name o Course name and number o Instructor’s name o Date submitted Must use at least five peer-reviewed sources in addition to the course text. Must document all sources in APA style as outlined in the Ashford Writing Center. Must include a separate references page that is formatted according to APA style as outlined in the Ashford Writing Center. Attention Students: The Masters of Arts in Psychology program is utilizing the Pathbrite portfolio tool as a repository for student scholarly work in the form of signature assignments completed within the program. After receiving feedback for this Psychological Treatment Plan, please implement any changes recommended by the instructor, go to Pathbrite (Links to an external site.)Links to an external site., and upload the revised Psychological Treatment Plan to the portfolio. (Use the Pathbrite Quick-Start Guide to create an account if you do not already have one.) The upload of signature assignments will take place after completing each course. Be certain to upload revised signature assignments throughout the program as the portfolio and its contents will be used in other courses and may be used by individual students as a professional resource tool. See the Pathbrite (Links to an external site.)Links to an external site. website for information and further instructions on using this portfolio tool. Carefully review the Grading Rubric (Links to an external site.)Links to an external site. for the criteria that will be used to evaluate your assignment. Running head: OUTLINE OF PSYCHIATRIC EVALUATION Outline of Psychiatric Evaluation Mary A. Doke PSY 645 Psychopathology Dr. William Gibson November 12, 2018 1 OUTLINE OF PSYCHIATRIC EVALUATION 2 Outline of Psychiatric Evaluation The psychiatric diagnosis requires background knowledge in the field of therapy and related disciplines. It is for the same reason that the professionals in the field of study have devised the theoretical and historical models to analyze the challenges faced by the patients and ensure diagnosed cases get on point. The other factor behind the whole motivation to sort the dilemma at hand points to the unique nature of the patient’s analysis and treatment modules. The outline encompasses the respective evaluation protocols, spanning the concepts of Psychiatric Evaluation; Psychiatric History; Mental Status Examination; Organization of The Mental Status; Examination Techniques for The Psychiatric Assessment; and Suggested Cross-References. Diagnostic manual justification The outline selected promises a number of benefits as compared to the options available for conducting a psychiatric evaluation. It has a number of segments that independently evaluate the mental disposition of the patient with the segments providing elaborate information on the patient history and circumstances as well as the intervention options that are available in the context of the case at hand (Sadock & Ruiz, 2015). The manual begins with a psychiatric evaluation of the patient before delving into the psychiatric history of the patient with the hope of establishing the root of the mental issues. It then encompasses a mental evaluation of the patient, which yields the mental status of the patient. The manual then provides a synopsis of the assessment methods that suffice with respect to the subject case. It then culminates in a discussion of the cross reference, which involves a comparative study of the manuals available for the diagnosis. Symptoms evaluation within the context of a theoretical orientation An evaluation of the symptoms brought about by the above case study looks into a plethora of behavior displayed at the doctor’s office. The crucial and the worst form of analogy that has hit the weak points to the psychomotor agitation. Here, the patient suffers from severe anxiety and stress issues pacing up and down wondering why some people keep on following him/her. In the case, the patient envisages the police after he thus fears to take up any duty and any step. The above is caused due to a condition is known as schizophrenia. A patent receives delusional actions such as the one here. The victim keeps on seeing people following them for no apparent reason and thus cause panic. The other symptom points to an elevated temperature which means that all body organs are worked out to ensure the patient boils and angers at almost everything at that juncture (Fried & Nesse, 2015). Theoretical orientation There are two concepts and theories worth looking at while performing a diagnosis of a therapeutic session by a patient at any level. The first analysis by Sigmund Feud looks at the psychoanalysis and the psychodynamic schools of therapy. Here, the patient’s problems are looked at from having problematic relationships and looking at a solution from a motivational and unconscious meaning works for that matter. Psychology and counseling work best when the doctor understands the background given by the patient based on their unconscious decisions and mind have given their actions for that matter. The other theory revolves around the humanistic theories and tendencies (Ko et al., 2014). The humanistic therapies point to a vital segment relating to the client-patient relationship. The above model advocates for a client-based approach while conducting treatment. It seeks to depart from the traditional therapy strategies and ensure that the current plan used is client based and the client receives priority in care management and related factors for that matter. OUTLINE OF PSYCHIATRIC EVALUATION 3 Psychiatric history At this point, it is essential to inquire into the family history on the psychiatric cases quickly. Most cases are hereditary and genetically involved. Thus, the doctor interrogates any tangible evidence from the patient's perspective, it is vital that the family and genetic tree get looked at for that matter. The behavioral instincts and operations derived would go in a long way in making sure that the psychoanalytic of the patients get evaluated effectively and efficiently (Dolan, 2014). Therefore, it can be confidently said that the patient needs and wants should get an evaluator angle from the family health point of view. The patient would get the best care to avoid getting into trouble and other risk-related activities. Mental Status Examination and Organization of the Mental Status This segment looks into the intrigues of the evaluation of the actual mental state of the patient and relies on a number of factors in order to come up with a viable hypothesis and thereafter a workable intervention plan. It looks into factors such as appearance, speech, emotional expressions, thinking and perceptions, thought form, thought content, sensorium, alertness, orientation, concentration insight and even judgment. Cross-reference The justification behind the diagnostic and handbooks manuals in getting the cases closed looks into matters such as the pros and cons as analyzed and related to the case study. The DSM's provide a perfect platform for a one-stop diagnosis information retrieval. The patient does not need to come to several sessions. Just one course is enough to give the required diagnosis for that matter. In addition, the patient needs be met since the five causes of stress are prioritized and dealt accordingly at any particular juncture for that matter (Cohen, West & Aiken, 2015). In the wake of a ranging and complex diagnostics, it is vital that a consideration is made on the above framework since there is the quick reference from the whole therapeutic analysis and thus the guesswork on a patient's state of mind get eliminated. OUTLINE OF PSYCHIATRIC EVALUATION 4 References Cohen, P., West, S. G., & Aiken, L. S. (2014). Applied multiple regression/correlation analysis for the behavioral sciences. Psychology Press. Dolan, B. (2014). Oedipal guilt, punishment and criminal behaviour. Fried, E. I., & Nesse, R. M. (2015). Depression sum-scores don’t add up: why analyzing specific depression symptoms is essential. BMC medicine, 13(1), 72. Ko, C. H., Yen, J. Y., Chen, S. H., Wang, P. W., Chen, C. S., & Yen, C. F. (2014). Evaluation of the diagnostic criteria of Internet gaming disorder in the DSM-5 among young adults in Taiwan. Journal of psychiatric research, 53, 103-110. Sadock, B., & Ruiz, P. (2015). Kaplan; Sadock &’s synopsis of psychiatry: behavioral sciences. Walters Kluwer. Case 20 You Decide: The case of Suzanne Hi, my name is Suzanne, and for a long time, I have suffered from anxiety issues as well as other problems. My parents have always wanted me to be the best in my class and everything else. Although there were seven kids in my family, I always felt pressured to be the best. I always strived for good grades in school and for the most part I did good. I was not very athletic and this disappointed my parents. The pressure became too much from my parent's side, and while I was in fifth grade, I began pulling my hair out strand by strand as a way of dealing with anxiety. Kids in my class began to bully me and it was not long before my mother realized my behavior. My mother was mortified! I tried to stop but couldn’t. Like all other things, I told myself nothing was wrong. College was not an easy transition because I did not have a lot of confidence. Although I stopped pulling my hair out, I was very shy and did not make friends easily. I was used to my parents telling me what to do. I was so homesick and lonely that after a few months I again started pulling my hair one by one as a way of dealing with my worries and troubles. I became very anxious and the only time I got comfort and relief was through pulling my hair. When I came home for Christmas break my mother noticed my issue with pulling my hair out. She was very angry and she wanted this picture perfect child. I finally told my mother everything, about the anxiety, loneliness, and pressures at school. She didn’t seem to understand why I was having so many problems. She pushed me into going to therapy. The first couple of sessions I really wasn’t engaged. Finally I began to open up. When I returned to school my anxiety returned. I would like to enter counseling again and would appreciate a call back so I can begin my recovery. Please return my call at: 123-456-7890. 1 2 Running head: EVALUATION OF PATIENT THERAPY DILEMMA Evaluation of Patient Therapy Dilemma Mary A. Doke PSY 645 Psychopathology Dr. William Gibson November 4, 2018 Evaluation of Patient Therapy Dilemma 1 EVALUATION OF PATIENT THERAPY DILEMMA Introduction The psychiatric diagnosis requires background knowledge in the field of therapy and related disciplines. It is for the same reason that the professionals in the field of study have devised the theoretical and historical models to analyze the challenges faced by the patients and ensure diagnosed cases get on point. The other factor behind the whole motivation to sort the dilemma at hand points to the unique nature of the patient’s analysis and treatment modules. As in the case study, the patient is in no position to provide the historical data, thus providing the doctor with a huge challenge in trying to get to the bottom of the problem. It is for the same reason that the analysis seeks to summarize the historical psychoanalytic, psychodynamic and cognitive behaviors surrounding diagnosis and treatment of therapy-related issues and come up with a final approach to assist Dr. Smith for that matter. Symptoms exhibited by the psychiatric patient An evaluation of the symptoms brought about by the above case study looks into a plethora of behavior displayed at the doctor’s office. The crucial and the worst form of analogy that has hit the weak points to the psychomotor agitation. Here, the patient suffers from severe anxiety and stress issues pacing up and down wondering why some people keep on following him/her. In the case, the patient envisages the police after he thus fears to take up any duty and any step. The above is caused due to a condition is known as schizophrenia. A patent receives delusional actions such as the one here. The victim keeps on seeing people following them for no apparent reason and thus cause panic. The other symptom points to an elevated temperature which means that all body organs are worked out to ensure the patient boils and angers at almost everything at that juncture (Fried & Nesse, 2015). 2 EVALUATION OF PATIENT THERAPY DILEMMA Historical perspective of the diagnosis At this point, it is essential to inquire into the family history on the psychiatric cases quickly. Most cases are hereditary and genetically involved. Thus, since the doctor has failed to receive any tangible evidence from the patient's perspective, it is vital that the family and genetical tree get looked at for that matter. The behavioral instincts and operations derived would go in a long way in making sure that the psychoanalytic of the patients get evaluated effectively and efficiently (Dolan, 2014). Therefore, it can be confidently said that the patient needs and wants should get an evaluator angle from the family health point of view. The patient would get the best care to avoid getting into trouble and other risk-related activities. Theoretical analogies evaluating the symptoms looked There are two concepts and theories worth looking at while performing a diagnosis of a therapeutic session by a patient at any level. The first analysis by Sigmund Feud looks at the psychoanalysis and the psychodynamic schools of therapy. Here, the patient’s problems are looked at from having problematic relationships and looking at a solution from a motivational and unconscious meaning works for that matter. Psychology and counseling work best when the doctor understands the background given by the patient based on their unconscious decisions and mind have given their actions for that matter. The other theory revolves around the humanistic theories and tendencies (Ko et al 2014). The humanistic therapies point to a vital segment relating to the client-patient relationship. The above model advocates for a client-based approach while conducting treatment. It seeks to depart from the traditional therapy strategies and ensure that the current plan used is client based and the client receives priority in care management and related factors for that matter. 3 EVALUATION OF PATIENT THERAPY DILEMMA Conclusion The justification behind the diagnostic and handbooks manuals in getting the cases closed looks into matters such as the pros and cons as analyzed and related to the case study. The DSM's provide a perfect platform for a one-stop diagnosis information retrieval. The patient does not need to come to several sessions. Just one course is enough to give the required diagnosis for that matter. Also, the patient needs get met since the five causes of stress get prioritized and dealt accordingly at any particular juncture for that matter. In the wake of a ranging and complex diagnostics, it is vital that a consideration is made on the above framework since there is the quick reference from the whole therapeutic analysis and thus the guesswork on a patient's state of mind get eliminated. 4 EVALUATION OF PATIENT THERAPY DILEMMA References Dolan, B. (2014). Oedipal guilt, punishment and criminal behaviour. Fried, E. I., & Nesse, R. M. (2015). Depression sum-scores don’t add up: why analyzing specific depression symptoms is essential. BMC medicine, 13(1), 72. Ko, C. H., Yen, J. Y., Chen, S. H., Wang, P. W., Chen, C. S., & Yen, C. F. (2014). Evaluation of the diagnostic criteria of Internet gaming disorder in the DSM-5 among young adults in Taiwan. Journal of psychiatric research, 53, 103-110. 5 
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