Wk5 nrnp 6675 assign
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Case Study: Sherman Tremaine
© 2021 Walden University, LLC 1
Case Study: Sherman Tremaine
Program Transcript
[MUSIC PLAYING]
DR. MOORE: Good afternoon. I’m Dr. Moore. Want to thank you for coming in for your
appointment today. I’m going to be asking you some questions about your history and
some symptoms. And to get started, I just want to ensure I have the right patient and
chart. So can you tell me your name and your date of birth?
SHERMAN TREMAINE: I’m Sherman Tremaine, and Tremaine is my game game. My
birthday is November 3, 1968.
DR. MOORE: Great. And can you tell me today’s date? Like the day of the week, and
where we are today?
SHERMAN TREMAINE: Use any recent date, and any location is OK.
DR. MOORE: OK, Sherman. What about do you know what month this is?
SHERMAN TREMAINE: It’s March 18.
DR. MOORE: And the day of the week?
SHERMAN TREMAINE: Oh, it’s a Wednesday or maybe a Thursday.
DR. MOORE: OK. And where are we today?
SHERMAN TREMAINE: I believe we’re in your office, Dr. Moore.
DR. MOORE: OK, great. So tell me a little bit about what brings you in today. What
brings you here?
SHERMAN TREMAINE: Well, my sister made me come in. I was living with my mom,
and she died. I was living, and not bothering anyone, and those people– those people,
they just won’t leave me alone.
DR. MOORE: What people?
SHERMAN TREMAINE: The ones outside my window watching. They watch me. I can
hear them, and I see their shadows. They think I don’t see them, but I do. The
government sent them to watch me, so my taxes are high, so high in the sky. Do you
see that bird?
DR. MOORE: Sherman, how long have you saw or heard these people?
Case Study: Sherman Tremaine
© 2021 Walden University, LLC 2
SHERMAN TREMAINE: Oh, for weeks, weeks and weeks and weeks. Hear that– hear
that heavy metal music? They want you to think it’s weak, but it’s heavy.
DR. MOORE: No, Sherman. I don’t see any birds or hear any music. Do you sleep well,
Sherman?
SHERMAN TREMAINE: I try to but the voices are loud. They keep me up for days and
days. I try to watch TV, but they watch me through the screen, and they come in and
poison my food. I tricked them though. I tricked them. I locked everything up in the
fridge. They aren’t getting in there. Can I smoke?
DR. MOORE: No, Sherman. There is no smoking here. How much do you usually
smoke?
SHERMAN TREMAINE: Well, I smoke all day, all day. Three packs a day.
DR. MOORE: Three packs a day. OK. What about alcohol? When was your last drink?
SHERMAN TREMAINE: Oh, yesterday. My sister buys me a 12-pack, and tells me to
make it last until next week’s grocery run. I don’t go to the grocery store. They play too
loud of the heavy metal music. They also follow me there.
DR. MOORE: What about marijuana?
SHERMAN TREMAINE: Yes, but not since my mom died three years ago.
DR. MOORE: Use any cocaine?
SHERMAN TREMAINE: No, no, no, no, no, no, no. No drugs ever, clever, ever.
DR. MOORE: What about any blackouts or seizures or see or hear things from drugs or
alcohol?
SHERMAN TREMAINE: No, no, never a clever [INAUDIBLE] ever.
DR. MOORE: What about any DUIs or legal issues from drugs or alcohol?
SHERMAN TREMAINE: Never clever’s ever.
DR. MOORE: OK. What about any medication for your mental health? Have you tried
those before, and what was your reaction to them?
SHERMAN TREMAINE: I hate Haldol and Thorazine. No, no, I’m not going to take it.
Risperidone gave me boobs. No, I’m not going to take it. Seroquel, that is OK. But
they’re all poison, nope, not going to take it.
DR. MOORE: OK. So tell me, any blood relatives have any mental health or substance
abuse issues?
Case Study: Sherman Tremaine
© 2021 Walden University, LLC 3
SHERMAN TREMAINE: They say that my dad was crazy with paranoid schizophrenia.
He did in the old state hospital. They gave him his beer there. Can you believe that? Not
like them today. My mom had anxiety.
DR. MOORE: Did any blood relatives commit suicide?
SHERMAN TREMAINE: Oh, no demons there. No, no.
DR. MOORE: What about you? Have you ever done anything like cut yourself, or had
any thoughts about killing yourself or anyone else?
SHERMAN TREMAINE: I already told you. No demons there. Have been in the hospital
three times though when I was 20.
DR. MOORE: OK. What about any medical issues? Do you have any medical
problems?
SHERMAN TREMAINE: Ooh, I take metformin for diabetes. Had or I have a fatty liver,
they say, but they never saw it. So I don’t know unless the aliens told them.
DR. MOORE: OK. So who raised you?
SHERMAN TREMAINE: My mom and my sister.
DR. MOORE: And who do you live with now?
SHERMAN TREMAINE: Myself, but my sister’s plotting with the government to change
that. They tapped my phone.
DR. MOORE: OK. Have you ever been married? Are you single, widowed, or divorced?
SHERMAN TREMAINE: I’ve never been married.
DR. MOORE: Do you have any children?
SHERMAN TREMAINE: No.
DR. MOORE: OK. What is your highest level of education?
SHERMAN TREMAINE: I went to the 10th grade.
DR. MOORE: And what do you like to do for fun?
SHERMAN TREMAINE: I don’t work, so smoking and drinking pop.
DR. MOORE: OK. Have you ever been arrested or convicted for anything legally?
SHERMAN TREMAINE: No, but they have told me they would. They have told me they
would if I didn’t stop calling 911 about the people outside.
DR. MOORE: OK. What about any kind of trauma as a child or an adult? Like physical,
sexual, emotional abuse.
Case Study: Sherman Tremaine
© 2021 Walden University, LLC 4
SHERMAN TREMAINE: My dad was rough on us until he died.
DR. MOORE: OK.
[MUSIC PLAYING]
So thank you for answering those questions for me. Now, let’s talk about how I can best
help you.
[MUSIC PLAYING]
NRNP/PRAC 6665 & 6675 Comprehensive Focused SOAP Psychiatric Evaluation Template
Week (enter week #): (Enter assignment title)
Student Name
College of Nursing-PMHNP, Walden University
NRNP 6675: PMHNP Care Across the Lifespan II
Faculty Name
Assignment Due Date
Subjective:
CC (chief complaint):
HPI:
Substance Current Use:
Medical History:
· Current Medications:
· Allergies:
· Reproductive Hx:
ROS:
· GENERAL:
· HEENT:
· SKIN:
· CARDIOVASCULAR:
· RESPIRATORY:
· GASTROINTESTINAL:
· GENITOURINARY:
· NEUROLOGICAL:
· MUSCULOSKELETAL:
· HEMATOLOGIC:
· LYMPHATICS:
· ENDOCRINOLOGIC:
Objective:
Diagnostic results:
Assessment:
Mental Status Examination:
Diagnostic Impression:
Reflections:
Case Formulation and Treatment Plan:
References
© 2021 Walden University
Page 1 of 3
NRNP/PRAC 6665 & 6675 Comprehensive Focused SOAP Psychiatric Evaluation Template
Week (enter week #): (Enter assignment title)
Student Name
College of Nursing-PMHNP, Walden University
NRNP 6675: PMHNP Care Across the Lifespan II
Faculty Name
Assignment Due Date
Subjective:
CC (chief complaint):
HPI:
Substance Current Use:
Medical History:
· Current Medications:
· Allergies:
· Reproductive Hx:
ROS:
· GENERAL:
· HEENT:
· SKIN:
· CARDIOVASCULAR:
· RESPIRATORY:
· GASTROINTESTINAL:
· GENITOURINARY:
· NEUROLOGICAL:
· MUSCULOSKELETAL:
· HEMATOLOGIC:
· LYMPHATICS:
· ENDOCRINOLOGIC:
Objective:
Diagnostic results:
Assessment:
Mental Status Examination:
Diagnostic Impression:
Reflections:
Case Formulation and Treatment Plan:
References
© 2021 Walden University
Page 1 of 3
NRNP/PRAC 6665 & 6675 Comprehensive Focused SOAP Psychiatric Evaluation Template
WK5 ASSIGN NRNP 6675
Week 5: Schizophrenia Spectrum and Other Psychotic Disorders; Medication-Induced Movement Disorders
Two groups of symptoms found with schizophrenia spectrum and related psychotic disorders are “positive” and “negative” symptoms. Positive symptoms generally “add” and include things such as delusions, hallucinations, and repetitive movements. Negative symptoms generally “detract” and may include difficulty showing emotions, withdraw from social relationships, or apathy.
While many disorders result in the development of “positive” symptoms, not all of these conditions represent schizophrenia. When treating schizophrenia spectrum and other psychotic disorders, place emphasis not only on treating the positive symptoms but the negative and residual symptoms as well.
Medication-induced movement disorders, one example of which is tremors, can stem from both recreational and therapeutic drugs, with dopamine receptor blocking drugs, such as antipsychotic and antiemetics, being common causes. These types of disorders can range from subtle to lethal.
This week, you will explore a wide variety of disorders along the schizophrenia spectrum as well as medication-induced movement disorders.
Learning Objectives
Students will:
· Assess patients with schizophrenia, other psychotic, and medication-induced movement disorders
· Develop differential diagnoses for patients with schizophrenia, other psychotic, and medication-induced movement disorders
· Develop appropriate treatment plans for patients with schizophrenia, other psychotic, and medication-induced movement disorders
· Advocate health promotion and patient education strategies for patients with schizophrenia, other psychotic, and medication-induced movement disorders
Learning Resources
Required Readings (click to expand/reduce)
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer. (For review as needed)
· Chapter 7, “Schizophrenia Spectrum and Other Psychotic Disorders”
· Chapter 29.2, “Medication-Induced Movement Disorders”
· Chapter 29.3, “α2-Adrenergic Receptor Agonists, α1-Adrenergic Receptor Antagonists: Clonidine, Guanfacine, Prazosin, and Yohimbine”
Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (Eds.). (2015). Rutter’s child and adolescent psychiatry (6th ed.). Wiley Blackwell.
· Chapter 43, “Pharmacological, Medically-Led and Related Disorders”
· Chapter 57, “Schizophrenia and Psychosis”
Zakhari, R. (2021). The psychiatric-mental health nurse practitioner certification review manual. Springer Publishing Company.
· Chapter 9, “Psychotic Disorders and Delusions”
Document: Focused SOAP Note Template
HYPERLINK “https://content.waldenu.edu/content/dam/laureate/laureate-academics/wal/ms-nurs/nrnp-6675/week-03/NRNP_PRAC_6665_6675_FocusedSOAP_Note_Exemplar_rev.4.2022.docx” o “Focused SOAP Note Exemplar”
Document: Focused SOAP Note Exemplar
Required Media (click to expand/reduce)
PsychScene Hub. (2017, April 24). Movement disorders with antipsychotic medication – Conversations with Dr. Stephen Stahl [Video]. YouTube. https://www.youtube.com/watch?v=ipW5AcbFzzE
HYPERLINK “https://www.youtube.com/watch?v=63lHuGMbscU” o “Realistic schizophrenia simulation” t “_blank”
Vallejo, E. (2020). Realistic schizophrenia simulation [Video]. YouTube. https://www.youtube.com/watch?v=63lHuGMbscU
Walden University. (2021). Case study: Sherman Tremaine. Walden University Blackboard. https://class.waldenu.edu
Assignment: Focused SOAP Note for Schizophrenia Spectrum, Other Psychotic, and Medication-Induced Movement Disorders
Psychotic disorders change one’s sense of reality and cause abnormal thinking and perception. Patients presenting with psychotic disorders may suffer from delusions or hallucinations or may display negative symptoms such as lack of emotion or withdraw from social situations or relationships. Symptoms of medication-induced movement disorders can be mild or lethal and can include, for example, tremors, dystonic reactions, or serotonin syndrome.
For this Assignment, you will complete a focused SOAP note for a patient in a case study who has either a schizophrenia spectrum, other psychotic, or medication-induced movement disorder.
To Prepare
· Review this week’s Learning Resources. Consider the insights they provide about assessing, diagnosing, and treating schizophrenia spectrum, other psychotic, and medication-induced movement disorders.
Photo Credit: Getty Images/Wavebreak Media
· 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: Sherman Tremaine. 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 Assignment
Develop 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 supporting evidence, and list them in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR 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 were able to 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 support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).
© 2021 Walden University
Page 1 of 3
USW1.57380.202270 – NRNP-6675-21-PMHNP Across the Lifespan II-2022-Summer-QTR-Term-wks-1-thru-11-(05/30/2022-08/14/2022)-PT27
SafeAssign Drafts
IFEOMA ABOLARIN
on Sat, Jul 02 2022, 5:42 AM
100% highest match
Submission ID: 0901481e-5d29-465e-91e3-516865e52eac
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WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
Word Count: 1,177
Attachment ID: 5668338964
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Another student’s paper
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Another student’s paper
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http://www.health.am/psy/schizophreniform-disorder/
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Another student’s paper
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Another student’s paper
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Week 5
SCHIZOPHRENIA
IFEOMA ABOLARIN
Walden University
DR. ESSEX
Subjective:
1
CC (chief complaint):
Suspected Entry: 100% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
CC (chief complaint)
Source – Another student’s paper
CC (chief complaint)
“There are people watching me from my window.
2
I can see their shadows and I can hear them” HPI:
Suspected Entry: 86% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
I can see their shadows and I can hear them” HPI
Source – Another student’s paper
I can hear them, and I see their shadows
S.
3
M, a 53-year-old male, visits to the mental clinic alleging that he is being watched from the outside.
Suspected Entry: 75% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
M, a 53-year-old male, visits to the mental clinic alleging that he is being watched from the outside
Source – Another student’s paper
Sherman Tremaine is a 53-year-old A.A male, comes to the mental clinic alleging that he is being watched from the outside and hear voices
Patient claims that he can listen and observe these individuals, even though they are unaware of his presence.
Suspected Entry: 80% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
Patient claims that he can listen and observe these individuals, even though they are unaware of his presence
Source – Another student’s paper
He claims that he can listen and observe these individuals, despite the fact that they are unaware of his presence
4
Patient argues that the government has sent these individuals to keep an eye on him, resulting in his heavy taxation.
Suspected Entry: 77% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
Patient argues that the government has sent these individuals to keep an eye on him, resulting in his heavy taxation
Source – Another student’s paper
that the government has sent these individuals to keep an eye on him, resulting in his high taxes
3
Patient claims that he has spotted and heard these individuals for many weeks.
Suspected Entry: 78% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
Patient claims that he has spotted and heard these individuals for many weeks
Source – Another student’s paper
Client reports that he has spotted and heard these individuals for many weeks
Substance Current Use:
Suspected Entry: 100% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
Substance Current Use
Source – Another student’s paper
Substance Current Use
2
He admits smoking about three packs of cigarettes daily, and consuming alcohol.
Suspected Entry: 72% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
He admits smoking about three packs of cigarettes daily, and consuming alcohol
Source – Another student’s paper
Sherman also admits to smoking three packs of cigarettes every day and consuming alcohol
Medical History:
· Current Medications:
1
taking metformin for diabetes · Allergies:
Suspected Entry: 77% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
taking metformin for diabetes · Allergies
Source – Another student’s paper
Metformin for diabetes mellitus · Allergies
he denies having any allergies · Reproductive Hx: none collected during this visit
ROS:
GENERAL:
3
patient is healthy, no excess weight gains no fever
Suspected Entry: 100% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
patient is healthy, no excess weight gains no fever
Source – Another student’s paper
Patient is healthy, no excess weight gains no fever
HEENT: Eyes:
3
no discharge, or blurred vision.
Suspected Entry: 100% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
no discharge, or blurred vision
Source – Another student’s paper
no discharge, or blurred vision
Ears:
3
no ringing, discharge, or pain.
Suspected Entry: 100% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
no ringing, discharge, or pain
Source – Another student’s paper
no ringing, discharge or pain
Nose:
3
no congestion or runny nose.
Suspected Entry: 100% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
no congestion or runny nose
Source – Another student’s paper
no congestion or runny nose
Throat:
3
no sore throat, no heart burn.
Suspected Entry: 100% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
no sore throat, no heart burn
Source – Another student’s paper
no sore throat, no heart burn
SKIN:
3
warm and moist.
Suspected Entry: 100% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
warm and moist
Source – Another student’s paper
warm and moist
No bruises or rashes
Suspected Entry: 100% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
No bruises or rashes
Source – Another student’s paper
No bruises or rashes
CARDIOVASCULAR: he denies having abnormal heartbeat or chest pain
RESPIRATORY: he denies cough, and breathlessness
GASTROINTESTINAL:
3
bloating stomach, minimal bowel movements and sounds on the four
Suspected Entry: 100% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
bloating stomach, minimal bowel movements and sounds on the four
Source – Another student’s paper
bloating stomach, minimal bowel movements and sounds on the four
quadrants.
3
No vomiting or diarrhea.
Suspected Entry: 100% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
No vomiting or diarrhea
Source – Another student’s paper
No vomiting or diarrhea
Appetite is reduced
Suspected Entry: 100% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
Appetite is reduced
Source – Another student’s paper
Appetite is reduced
GENITOURINARY:
3
no frequency or urgency of urination, no burning sensation when urinating
Suspected Entry: 100% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
no frequency or urgency of urination, no burning sensation when urinating
Source – Another student’s paper
no frequency or urgency of urination, no burning sensation when urinating
NEUROLOGICAL:
3
no seizures, or headache.
Suspected Entry: 100% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
no seizures, or headache
Source – Another student’s paper
no seizures, or headache
No loss of sensation or tingling of the feet
Suspected Entry: 100% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
No loss of sensation or tingling of the feet
Source – Another student’s paper
No loss of sensation or tingling of the feet
MUSCULOSKELETAL:
3
free from muscle pain or joint pain.
Suspected Entry: 79% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
free from muscle pain or joint pain
Source – Another student’s paper
no muscle pain or joint pain
No stiffness of the joints
Suspected Entry: 100% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
No stiffness of the joints
Source – Another student’s paper
No stiffness of the joints
HEMATOLOGIC: negative for paleness or bruising
LYMPHATICS:
3
lymph nodes with normal size
Suspected Entry: 100% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
lymph nodes with normal size
Source – Another student’s paper
lymph nodes with normal size
ENDOCRINOLOGIC:
3
no night sweats, temperature intolerance, increases thirst or urination
Suspected Entry: 100% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
no night sweats, temperature intolerance, increases thirst or urination
Source – Another student’s paper
no night sweats, temperature intolerance, increases thirst or urination
Objective:
Diagnostic results:
3
no tests were ordered
Suspected Entry: 100% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
no tests were ordered
Source – Another student’s paper
no tests were ordered
Assessment:
3
Mental Status Examination:
Suspected Entry: 100% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
Mental Status Examination
Source – Another student’s paper
Mental Status Examination
The patient is a 53-year-old man whose stated age seems to correspond with his appearance.
2
Patient is attentive and responds to all the examiner’s inquiries.
Suspected Entry: 70% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
Patient is attentive and responds to all the examiner’s inquiries
Source – Another student’s paper
He is cooperative and responds to all of the examiner’s inquiries
Patient appears to have low cleanliness and is untidy.
3
Patient has a constrained affect, speaks with a fluctuating tone, and thinks in a circumstantial manner.
Suspected Entry: 93% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
Patient has a constrained affect, speaks with a fluctuating tone, and thinks in a circumstantial manner
Source – Another student’s paper
He has a constrained affect, speaks with a fluctuating tone, and thinks in a circumstantial manner
The patient agrees that he is experiencing audio and visual hallucinations on a regular basis.
Suspected Entry: 89% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
The patient agrees that he is experiencing audio and visual hallucinations on a regular basis
Source – Another student’s paper
Patient reports that he is experiencing audio and visual hallucinations on a regular basis
Patient also appears to lack discernment.
Suspected Entry: 82% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
Patient also appears to lack discernment
Source – Another student’s paper
He also appears to lack discernment
Patient also reported that the music prevented him from sleeping or feeding well.
Diagnostic Impression:
Paranoid schizophrenia:
3
Based on the patient’s mental examination and symptoms, patient is suffering from paranoid schizophrenia.
Suspected Entry: 67% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
Based on the patient’s mental examination and symptoms, patient is suffering from paranoid schizophrenia
Source – Another student’s paper
Based on the patient’s mental examination and symptoms, he is suffering from paranoid schizophrenia, schizophreniform disorder, schizoaffective disorder, or short psychotic condition is a possibility
The differential diagnoses are schizophreniform disorder, schizoaffective disorder, and short psychotic condition.
3
Hallucinations, disordered speech and behavior, muted Expression, and anhedonia are among the patient’s symptoms.
Suspected Entry: 100% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
Hallucinations, disordered speech and behavior, muted Expression, and anhedonia are among the patient’s symptoms
Source – Another student’s paper
Hallucinations, disordered speech and behavior, muted Expression, and anhedonia are among the patient’s symptoms
The symptoms of paranoid schizophrenia must be present for at least six months, as stated in the DSM-5 criteria.
Suspected Entry: 90% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
The symptoms of paranoid schizophrenia must be present for at least six months, as stated in the DSM-5 criteria
Source – Another student’s paper
The symptoms of paranoid schizophrenia must be present for at least six months, according to the DSM-5 criteria
Among the negative symptoms, catatonic behavior, incoherent speech, delusions, and hallucination should all be present in the patient (de Pablo et al., 2020).
Suspected Entry: 97% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
Among the negative symptoms, catatonic behavior, incoherent speech, delusions, and hallucination should all be present in the patient (de Pablo et al., 2020)
Source – Another student’s paper
Negative symptoms, incoherent speech, catatonic behavior, hallucination, and delusions should all be present in the patient (de Pablo et al., 2020)
The symptoms of the patient matched the criteria for schizophrenia in the DSM-5, validating the diagnosis.
Suspected Entry: 100% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
The symptoms of the patient matched the criteria for schizophrenia in the DSM-5, validating the diagnosis
Source – Another student’s paper
The symptoms of the patient matched the criteria for schizophrenia in the DSM-5, validating the diagnosis
Patient ‘s father had paranoid schizophrenia, which might explain the patient’s present condition, according to the patient’s family history.
Suspected Entry: 88% match
Uploaded – WK5 ASSIGN1 Abolarin I. NRNP 6675 2000.doc
Patient ‘s father had paranoid schizophrenia, which might explain the patient’s present condition, according to the patient’s family history
Source – Another student’s paper
Sherman’s father had paranoid schizophrenia, which might explain the patient’s present condition, according to the patient’s family history
5
Differential Diagnosis · Schizophreniform disorder:
Suspected Entry: 69% match
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Differential Diagnosis · Schizophreniform disorder
Source – http://www.health.am/psy/schizophreniform-disorder/
Refining the diagnosis of schizophreniform disorder
3
The features of schizophreniform disorder must have been present for a period of more than one month, but less than six months, as stated in the DSM-5 criteria.
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The features of schizophreniform disorder must have been present for a period of more than one month, but less than six months, as stated in the DSM-5 criteria
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· Schizophreniform disorder must have been present for at minimum one month but no more than six months, according to the DSM-5 criteria
Negative symptoms, disordered speech, catatonic conduct, hallucination, and illusions should all be highlighted (de Pablo et al., 2020).
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Negative symptoms, disordered speech, catatonic conduct, hallucination, and illusions should all be highlighted (de Pablo et al., 2020)
Source – Another student’s paper
Negative symptoms, disordered speech, catatonic conduct, hallucination, and illusions should all be highlighted (de Pablo et al., 2020)
The diagnosis is excluded from consideration because the client has been having the symptoms for more than six months now.
· Schizoaffective disorder:
3
Symptoms must be encountered within one month, according to the DSM-5 criteria for schizoaffective disorder (Webb, 2017).
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Symptoms must be encountered within one month, according to the DSM-5 criteria for schizoaffective disorder (Webb, 2017)
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· Schizoaffective disorder- Symptoms must be encountered within one month, according to the DSM-5 criteria for schizoaffective disorder (Webb, 2017)
Catatonic behavior, unpleasant symptoms, disordered speech, auditory and visionary hallucination, and delusions are some of the symptoms (Webb, 2017).
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Catatonic behavior, unpleasant symptoms, disordered speech, auditory and visionary hallucination, and delusions are some of the symptoms (Webb, 2017)
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Catatonic behavior, unpleasant symptoms, disordered speech, auditory and visionary hallucination, and delusions are some of the symptoms (Webb, 2017)
Mood disorder symptoms such as mania or sadness may accompany the symptoms.
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Mood disorder symptoms such as mania or sadness may accompany the symptoms
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Mood disorder symptoms such as mania or sadness may accompany the symptoms
The patient hasn’t revealed any signs or symptoms of a mood condition;
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The patient hasn’t revealed any signs or symptoms of a mood condition
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The patient hasn’t revealed any signs or symptoms of a mood condition, thus the diagnosis is ruled out
6
thus, the diagnosis is ruled out.
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thus, the diagnosis is ruled out
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therefore, the diagnosis is ruled out
· Brief psychotic disorder:
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· Brief psychotic disorder
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Brief psychotic disorder
1
It is defined by the DSM-5 criteria as a illness characterized by a quick onset of signs lasting less than one month, succeeded by full remissions with the possibility of subsequent flare ups (Castagnini & Fusar-Poli, 2017).
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It is defined by the DSM-5 criteria as a illness characterized by a quick onset of signs lasting less than one month, succeeded by full remissions with the possibility of subsequent flare ups (Castagnini & Fusar-Poli, 2017)
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The brief psychotic disorder is defined by the DSM-5 criteria as an illness characterized by a quick onset of symptoms lasting less than one month, followed by complete remissions with the possibility of future relapses (Castagnini & Fusar-Poli, 2017)
Some or all these signs ought to be present:
6
disordered speech, catatonic behavior, negative symptoms, hallucination, and delusions (Castagnini & Fusar-Poli, 2017).
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disordered speech, catatonic behavior, negative symptoms, hallucination, and delusions (Castagnini & Fusar-Poli, 2017)
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disordered speech, catatonic behavior, negative symptoms, hallucination, and delusions (Castagnini & Fusar-Poli, 2017)
1
Because the client’s symptoms lasted more than a month, the diagnosis of short psychotic condition was ruled out.
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Because the client’s symptoms lasted more than a month, the diagnosis of short psychotic condition was ruled out
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Because the patient’s symptoms lasted more than a month, the diagnosis of a short psychotic condition was ruled out
Reflections:
3
The patient presented to the facility with hallucinatory symptoms.
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The patient presented to the facility with hallucinatory symptoms
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The patient presented to the facility with hallucinatory symptoms
The patient is diagnosed with paranoid schizophrenia, according to the DSM-5 criteria.
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The patient is diagnosed with paranoid schizophrenia, according to the DSM-5 criteria
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Patient is diagnosed with paranoid schizophrenia, according to the DSM-5 criteria
I agree with the diagnosis because the DSM-5 diagnostic standards are critical in determining a correct diagnosis depending on the client’s complaints.
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I agree with the diagnosis because the DSM-5 diagnostic standards are critical in determining a correct diagnosis depending on the client’s complaints
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I agree with the diagnosis because the DSM-5 diagnostic standards are critical in determining a correct diagnosis depending on the client’s complaints
To make an appropriate diagnosis, I realized how important it is to comprehend various ailments and create a differential diagnosis.
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To make an appropriate diagnosis, I realized how important it is to comprehend various ailments and create a differential diagnosis
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To make an appropriate diagnosis, I realized how important it is to comprehend various ailments and create a differential diagnosis
To diagnose the client’s illnesses, no laboratory tests were conducted;
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To diagnose the client’s illnesses, no laboratory tests were conducted
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To diagnose the client’s illnesses, no laboratory tests were conducted
nevertheless, I would have employed diagnostic testing such as Computed tomography or Magnetic resonance imaging (MRI) or blood work to exclude out other physiological disorders that may have caused the patient ‘s symptoms.
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nevertheless, I would have employed diagnostic testing such as Computed tomography or Magnetic resonance imaging (MRI) or blood work to exclude out other physiological disorders that may have caused the patient ‘s symptoms
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nevertheless, I would have employed diagnostic testing such as Computed tomography or Magnetic resonance imaging ( MRI) or lab work to exclude out other physiological disorders that may have caused the patient ‘s symptoms and to rule out other diagnosis such as bipolar
The patient’s assessment and diagnosis were done in conformity with psychiatric practice’s legal and ethical norms.
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The patient’s assessment and diagnosis were done in conformity with psychiatric practice’s legal and ethical norms
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The patient’s assessment and diagnosis were done in conformity with psychiatric practice’s legal and ethical norms
The patient gave his or her permission for therapy, and the patient’s privacy is protected.
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The patient gave his or her permission for therapy, and the patient’s privacy is protected
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The patient gave his permission for therapy, and the patient’s privacy is protected
The client is treated with dignity and sensitivity.
Suspected Entry: 100% match
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The client is treated with dignity and sensitivity
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The client is treated with dignity and sensitivity
Case Formulation and Treatment Plan:
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Case Formulation and Treatment Plan
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Case Formulation and Treatment Plan
The client has paranoid schizophrenia and will be treated with counseling and medication.
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The client has paranoid schizophrenia and will be treated with counseling and medication
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The client has paranoid schizophrenia and will be treated with counseling and medication
He is given Amisulpride 200 mg to treat hallucinatory symptoms (Demjaha et al., 2017) and Clozapine 25mg acts in the brain to alleviate symptoms by harmonizing serotonin and dopamine (Demjaha et al., 2017).
2
The client shall also be given eszopiclone for sleeplessness.
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The client shall also be given eszopiclone for sleeplessness
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The client will also be given eszopiclone to help with his or her sleeplessness
3
The patient has shown a dislike for medicine, but he will undergo compliance training to educate him on the value of medication in managing his health condition.
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The patient has shown a dislike for medicine, but he will undergo compliance training to educate him on the value of medication in managing his health condition
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The patient has shown a dislike for medicine, but he will undergo compliance training to educate him on the value of medication in managing his health condition
7
The patient will get personalized Cognitive behavioral therapy.
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The patient will get personalized Cognitive behavioral therapy
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The patient will be placed under individual cognitive-behavioral therapy
3
This treatment will assist the patient operate independently, cope with illness, and lessen everyday suffering (Jauhar et al., 2019).
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This treatment will assist the patient operate independently, cope with illness, and lessen everyday suffering (Jauhar et al., 2019)
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This treatment will assist the patient operate independently, cope with illness, and lessen everyday suffering (Jauhar et al., 2019)
There will be self-monitoring, adaptive skills coaching and cognitive reorganization (Jauhar et al., 2019).
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There will be self-monitoring, adaptive skills coaching and cognitive reorganization (Jauhar et al., 2019)
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There will be self-monitoring, adaptive skills coaching and cognitive reorganization (Jauhar et al., 2019)
The patient will be taught the value of quitting smoking, socializing, and exercising.
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The patient will be taught the value of quitting smoking, socializing, and exercising
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The patient will be educate the value of quitting smoking, substance use, alcohol consumption, socializing, and exercising
a month for patient follow-up He will be urged to come to the clinic for an assessment to see whether the therapy is working or if alternative options exist.
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a month for patient follow-up He will be urged to come to the clinic for an assessment to see whether the therapy is working or if alternative options exist
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He will be urged to come to the clinic for an assessment to see whether the therapy is working or if alternative options exist
References Castagnini, A.
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References Castagnini, A
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References Castagnini, A
C., & Fusar-Poli, P.
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C., & Fusar-Poli, P
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C., & Fusar-Poli, P
(2017).
3
Diagnostic validity of ICD-10 acute and transient psychotic disorders and DSM-5 brief psychotic disorder.
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Diagnostic validity of ICD-10 acute and transient psychotic disorders and DSM-5 brief psychotic disorder
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Diagnostic validity of ICD-10 acute and transient psychotic disorders and DSM-5 brief psychotic disorder
European Psychiatry, 45, 104-113.
Suspected Entry: 100% match
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European Psychiatry, 45, 104-113
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European Psychiatry, 45, 104-113
Demjaha, A., Lappin, J.
Suspected Entry: 100% match
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Demjaha, A., Lappin, J
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Demjaha, A., Lappin, J
M., Stahl, D., Patel, M.
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M., Stahl, D., Patel, M
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M., Stahl, D., Patel, M
X., MacCabe, J.
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X., MacCabe, J
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X., MacCabe, J
H., Howes, O.
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H., Howes, O
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H., Howes, O
D.,. & Murray, R. M. (2017).
3
Antipsychotic treatment resistance in first-episode psychosis:
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Antipsychotic treatment resistance in first-episode psychosis
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Antipsychotic treatment resistance in first-episode psychosis
prevalence, subtypes and predictors.
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prevalence, subtypes and predictors
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prevalence, subtypes and predictors
Psychological medicine, 47(11), 1981-1989.
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Psychological medicine, 47(11), 1981-1989
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Psychological medicine, 47(11), 1981-1989
de Pablo, G.
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de Pablo, G
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de Pablo, G
S., Catalan, A., & Fusar-Poli, P.
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S., Catalan, A., & Fusar-Poli, P
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S., Catalan, A., & Fusar-Poli, P
(2020).
3
Clinical validity of DSM-5 attenuated psychosis syndrome:
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Clinical validity of DSM-5 attenuated psychosis syndrome
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Clinical validity of DSM-5 attenuated psychosis syndrome
advances in diagnosis, prognosis, and treatment.
Suspected Entry: 100% match
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advances in diagnosis, prognosis, and treatment
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advances in diagnosis, prognosis, and treatment
Jama Psychiatry, 77(3), 311-320.
Suspected Entry: 100% match
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Jama Psychiatry, 77(3), 311-320
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Jama Psychiatry, 77(3), 311-320
Jauhar, S., Laws, K.
Suspected Entry: 100% match
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Jauhar, S., Laws, K
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Jauhar, S., Laws, K
R., & McKenna, P.
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R., & McKenna, P
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R., & McKenna, P
J. (2019).
3
CBT for schizophrenia:
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CBT for schizophrenia
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CBT for schizophrenia
a critical viewpoint.
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a critical viewpoint
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a critical viewpoint
Psychological medicine, 49(8), 1233-1236.
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Psychological medicine, 49(8), 1233-1236
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Psychological medicine, 49(8), 1233-1236
Webb, C. A. (2017). Schizoaffective Disorder:
3
Do Clinicians’
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Do Clinicians&apos
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Do Clinicians&apos
Conceptualizations Match DSM-5 Criteria?
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Conceptualizations Match DSM-5 Criteria
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Conceptualizations Match DSM-5 Criteria
(Doctoral dissertation, Mississippi State University).
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(Doctoral dissertation, Mississippi State University)
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(Doctoral dissertation, Mississippi State University)
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