Didactic Assignment Essay Paper
Didactic Assignment Essay Paper
Perform a 3-generational family psychiatric history on a friend or family member (not a patient due to HIPPA). Explain what you learned doing this assignment regarding family mental health history and discuss how this genogram technique can be used in the clinical setting. Provide at least 2 references on use of family genograms from psychology or psychiatry evidence based references. Upload a copy of the genogram you have created redacted for personal identifying information. The genogram should have a professional appearance.
P.S. This assignment does not have to be long, however, I need an actual 3 generational genogram to reflect the writing part. The Genogram could be the second page
Psych NP Didactic Assignment 2
History: Mrs. Peters is a widowed 38-year-old Caucasian of American nationality. She complains of being completely miserable since her husband died eight months ago. She described symptoms of depressive disorder and attributes the depression to the death of her husband as a precipitating factor.
Current symptoms: She reports that she has decreased appetite and has experienced loss of weight of more than six pound over a period of two months. In addition, she has difficulty in concentrating as her mind often wanders. She often has crying episode, feelings of sadness, and insomnia. She denies having suicidal ideation. She has symptoms of anxiety that occur daily and has an exaggerated startle response.
Prior manic/depressive episodes: She reports not having prior depressive episodes.
Complexity/severity: The severity of the case is estimated as moderate since the symptoms have little interference with her functioning, and there is low risk of morbidity without treatment.
Review of associated signs and symptoms: She does not report persistent, intrusive or obsessive thoughts, or compulsive, ritualistic actions. There are no delusions, hallucinations or other symptoms of psychotic process.
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Past psychiatric history: She does not report any history of substance withdrawal and has never been psychiatrically hospitalized. In addition, she received outpatient mental health treaty for anxiety ten years ago although no medication was prescribed. She does not have a history of self-injurious or suicidal behavior. Besides that, she denies any history of substance abuse. She has never had a prescription of psychotropic medication. Her past history is otherwise negative. Didactic Assignment Essay Paper
Social/Developmental history: She is a widowed 38-year-old woman. She is Caucasian and of American nationality. She is a widow and has two sons.
Barriers to treatment: She is experiencing profound grief that could be a barrier to treatment success. This will be addressed through the treatment plan.
Client’s goals: She seeks to feel better.
Family history: Her father is known to have anxiety while her sister is receiving treatment for depression. Her son is receiving outpatient treatment for a learning disorder. There is no other history of psychiatric treatment or psychiatric disorders, substance abuse or suicidal behavior in closely related family members.
Medical history: She does not have any known allergies, but has adverse drug reactions to penicillin that causes her respiratory distress.
Compliance: She reports good compliance with medical instructions including medication orders.
Examination: She looks unhappy, disheveled, inattentive and sad looking. She exhibits speech that is normal articulation, volume and rate, and is spontaneous and coherent. Her language skills are intact. She exhibits signs of depression that include being tearful and downcast. Her general demeanor, facial expression, attitude and body posture convey an underlying depressed mood. She denies having suicidal ideation. Her associations are logical and intact. She does not present any apparent signs to bizarre behaviors, delusions, hallucinations or any other psychotic indicators. Her fund of knowledge and cognitive function are intact and age appropriate. She has intact long and short term memory, as well as intact ability to do arithmetic and abstract calculations. She is fully oriented with fair judgment and insight into problems. She presents signs of anxiety to include being fidgety and irritability.
Diagnoses: Active diagnosis for histrionic personality disorder, generalized anxiety disorder, and adjustment disorder with depressed mood (American Psychiatric Association, 2013).
Treatment plan: Outpatient psychotherapy since there is relatively mild interference with occupational and interpersonal functioning.
Figure 1. Family genogram
A family genogram (such as seen in Figure 1) is a picture of the family history and relationships. It allows medical personnel to visualize relationship patterns and psychological factors that influence these relationships. It helps with understanding the key persons and relationships in the patient’s life. In addition, a genogram presents a framework to explain the patient’s circumstances through showing concerns and issues that are difficult to talk about in a non-threatening manner (Sperry, 2016; Wheeler, 2014).
References
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Sperry, L. (2016). Handbook of diagnosis and treatment of DSM-5 personality disorders: assessment, case conceptualization, and treatment (3rd ed.). New York, NY: Routledge.
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: a how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company. Didactic Assignment Essay Paper
