Psychotherapy & psychopharmacologic treatment for Vascular Neurocognitive Disorder Paper

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Part 1

Vascular Neurocognitive Disorder

Post:

  • Explain the diagnostic criteria for your assigned neurocognitive disorder.
  • Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned neurocognitive disorder.
  • Identify the risks of different types of therapy and explain how the benefits of the therapy that might be achieved might outweigh the risks.
  • Support your rationale with references to the Learning Resources or other academic resource.

Part 2

To prepare for this Assignment:

  • Select an adult or older adult client with a schizophrenia spectrum and other psychotic disorder you have seen in your practicum.

In 3–4 pages, write a treatment plan for your client in which you do the following:

  • Describe the HPI and clinical impression for the client.
  • Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)
  • Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.
  • Identify medical management needs, including primary care needs, specific to this client.
  • Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.
  • Recommend a plan for follow-up intensity and frequency and collaboration with other providers.

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Explanation & Answer

Attached.

Running Head: NEUROCOGNITIVE DISORDER AND SCHIZOPHRENIA

Neurocognitive Disorder and Schizophrenia
Name
Institution Affiliation
Date

1

NEUROCOGNITIVE DISORDER AND SCHIZOPHRENIA

2

Vascular Neurocognitive Disorder
Vascular Neurocognitive disorder (VCD) is a form of dementia that is common and is
diagnosed in about 15-30% of all those who are diagnosed with dementia. The disease is also
known as vascular cognitive impairment, vascular dementia, and multi-infarct. The condition is
caused by a disruption or a blockage of the flow of blood in the brain and the areas that receive
less blood gets less oxygen and nutrients. Conditions that contribute to the disorder include
Ischemia, Cerebral Vascular Accident, Transient Ischemic Attacks and Aneurysms.
Diagnostic Criteria for Vascular Neurocognitive Disorder
The symptoms of the disorder depend on the area that has is receiving reduced blood
flow. Some individuals have a few symptoms like problems with forgetfulness, difficulties with
attention and weakness in one side of the body. Others have symptoms in other distinct areas
known as patchy presentation since different parts are affected and at various levels. Diagnosis
relies on cognitive testing constituting of at least four cognitive domains to include language,
memory, executive/attention, and visuospatial functions. The patient has difficulty with several
stimuli, difficulty retaining new information, they are not able to do mental calculations, and
regular tasks take longer (Sachdev et al., 2015).
Concerning memory, they repeat themselves in conversations and relies mostly on list
making. They also have difficulties with word finding and expressive language. The patients also
find it cumbersome to perform activities that were previously familiar, and their behavior is out
of acceptable social range. There should be a decline in cognitive function and performance
deficiency in at least two domains that are severe enough to have daily impact activities of life
and independence and are not due to delirium or other mental disorder.

NEUROCOGNITIVE DISORDER AND SCHIZOPHRENIA

3

For an accurate diagnosis, there should also be an image showing evidence of
cerebrovascular disease and a temporal relationship that is clear between a vascular event such as
stroke and beginning of deficiency in cognition or an association of the severity and cognitive
impairment pattern and the prescence of diffuse subcortical vascular pathology. There should
also not be a history of a gradual cognitive deficit, suggesting prescence of neurodegeneration
(Frances, Sandra & Ugbomah, 2016). Besides, there should be a piece of evidence that
cerebrovascular disease is present from physical assessment, history, and neuroimaging that is
deemed sufficient enough to acco...


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I was having a hard time with this subject, and this was a great help.

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