It is important for the PMHNP to have a comprehensive understanding of mood disorders in order to assess and accurately formulate a diagnosis and treatment plan for patients presenting with these disorders. Mood disorders may be diagnosed when a
patient’s emotional state meets the diagnostic criteria for severity, functional impact, and length of time. Those with a mood disorder may find that their emotions interfere with work, relationships, or other parts of their lives that impact daily functioning.
Mood disorders may also lead to substance abuse or suicidal thoughts or behaviors, and although they are not likely to go away on their own, they can be managed with an effective treatment plan and understanding of how to manage symptoms.
In this Assignment you will assess, diagnose, and devise a treatment plan for a patient in a case study who is presenting with a mood disorder.
To Prepare
 Review this week’s Learning Resources. Consider the insights they provide about assessing, diagnosing, and treating mood 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: Petunia Park. 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.

Solution Preview

CC (chief complaint): “I have had four to five times a year that I do not want to get out of bed, I have no energy, no motivation to do anything, and I can’t feel any interest in my creativity”

HPI: The patient considered is called Petunia Park and was born in 1995. The patient has come to the clinic for a mental health assessment. She has the feeling that he mental treatment is not effective and that it is leading to the death of her personality and her creativity. The psychological issues of the patient begin when she was a teenager when she had to be hospitalized after she was unable to sleep for 4-5 days before her mother took her to the hospital. The patient as well indicated that she might have been having hearing issues and was one day found to have taken Benadryl overdose with intention of committing suicide. In the past treatment, she was diagnosed with different conditions including depression, anxiety, and bipolar disorder. At the moment, she has had the issue of high and low episodes. She argues she finds it difficult to be able to work for more than 5 days in a row without breaking down. During her creative moments, she points out there are voices that tell her how creative she is. The other concern that is reported is that she has had a reduction in appetite during her creative moments but takes anything they see when they are crashing.

Substance Current Use: The patient had reported that she makes use of nicotine and smokes a pack daily. She had denied taking alcohol as it makes her feel bad and has never taken illicit drugs.

Medical History:

  • Current Medications: The patient has reported that she is using hypothyroidism medication and birth control pills
  • Allergies:There are no reports of any known allergies
  • Reproductive Hx:She reports that her menstruation is normal each month but cannot remember the exact day it was last month. She has more than one sexual partner but she makes use of birth control pills. She does not have any child  and no reports of any sexually transmitted diseases…

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