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Focused SOAP Note For Anxiety PTSD And OCD 3
Focused SOAP Note For Anxiety PTSD And OCD 3Focused SOAP Note For Anxiety PTSD And
OCD 3In assessing patients with anxiety, obsessive-compulsive, and trauma and stressor-
related disorders, you will continue the practice of looking to understand chief
symptomology in order to develop a diagnosis. With a differential diagnosis in mind, you
can then move to a treatment and follow-up plan that may involve both
psychopharmacologic and psychotherapeutic approaches.In this Assignment, you use a case
study to develop a focused SOAP note based on evidence-based approaches.To
PrepareReview this week’s Learning Resources. Consider the insights they provide about
assessing and diagnosing anxiety, obsessive compulsive, and trauma-related
disorders.Review the Focused SOAP Note template, which you will use to complete this
Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for
Assignment expectations.Review the video, Case Study: Dev Cordoba. You will use this case
as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock
patient. The patient will be represented onscreen as an avatar.Consider what history would
be necessary to collect from this patient.Consider what interview questions you would need
to ask this patient.The AssignmentDevelop a Focused SOAP Note, including your differential
diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the
following into your responses in the template:Subjective: What details did the patient
provide regarding their chief complaint and symptomology to derive your differential
diagnosis? What is the duration and severity of their symptoms? How are their symptoms
impacting their functioning in life?Objective: What observations did you make during the
psychiatric assessment?Assessment: Discuss the patient’s mental status examination
results. What were your differential diagnoses? Provide a minimum of three possible
diagnoses with ing evidence, listed in order from highest priority to lowest priority.
Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what
DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the
critical-thinking process that led you to the primary diagnosis you selected. Include
pertinent positives and pertinent negatives for the specific patient case.Plan: What is your
plan for psychotherapy? What is your plan for treatment and management, including
alternative therapies? Include pharmacologic and nonpharmacologic treatments,
alternative therapies, and follow-up parameters, as well as a rationale for this treatment
and management plan. Also incorporate one health promotion activity and one patient
education strategy.Reflection notes: What would you do differently with this patient if you
could conduct the session again? Discuss what your next intervention would be if you could
follow up with this patient.?Also include in your reflection a discussion related to
legal/ethical considerations (demonstrate critical thinking beyond confidentiality and
consent for treatment!), health promotion, and disease prevention, taking into
consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors
(e.g., socioeconomic, cultural background, etc.).Provide at least three evidence-based, peer-
reviewed journal articles or evidenced-based guidelines that relate to this case to your
diagnostics and differential diagnoses. Be sure they are current (no more than 5 years
old).ORDER NOW FOR CUSTOMIZED, PLAGIARISM-FREE PAPERS

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Focused SOAP Note For Anxiety PTSD And OCD 3.docx

  • 1. Focused SOAP Note For Anxiety PTSD And OCD 3 Focused SOAP Note For Anxiety PTSD And OCD 3Focused SOAP Note For Anxiety PTSD And OCD 3In assessing patients with anxiety, obsessive-compulsive, and trauma and stressor- related disorders, you will continue the practice of looking to understand chief symptomology in order to develop a diagnosis. With a differential diagnosis in mind, you can then move to a treatment and follow-up plan that may involve both psychopharmacologic and psychotherapeutic approaches.In this Assignment, you use a case study to develop a focused SOAP note based on evidence-based approaches.To PrepareReview this week’s Learning Resources. Consider the insights they provide about assessing and diagnosing anxiety, obsessive compulsive, and trauma-related disorders.Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations.Review the video, Case Study: Dev Cordoba. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar.Consider what history would be necessary to collect from this patient.Consider what interview questions you would need to ask this patient.The AssignmentDevelop a Focused SOAP Note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?Objective: What observations did you make during the psychiatric assessment?Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with ing evidence, listed in order from highest priority to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy.Reflection notes: What would you do differently with this patient if you
  • 2. could conduct the session again? Discuss what your next intervention would be if you could follow up with this patient.?Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention, taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).Provide at least three evidence-based, peer- reviewed journal articles or evidenced-based guidelines that relate to this case to your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).ORDER NOW FOR CUSTOMIZED, PLAGIARISM-FREE PAPERS