Answer for PRAC 6635 WEEK 6 Clinical Hour and Patient Logs Substance-Induced Psychosis Disorder

Name: G.R

Age: 37 years

Gender: Male

Diagnosis: Substance-Induced Psychosis Disorder

G.R is a 37-year-old male patient who was accompanied to the facility by his brother for an assessment. The brother reports that the patient has been exhibiting worrying symptoms, which he associates with marijuana smoking. He reports symptoms such as disorganized thinking, delusions, and hallucinations. His brother indicates that the patient recently took off while in their compound, claiming that some individuals were after his life, claims which the brother disputes. These symptoms have impaired his daily functioning.

O: The patient looks disheveled, and poor hygiene is noted. He also looks agitated and has a labile mood, mainly irritable. He exhibits a pressured and tangential speech. His thought process is disorganized, and frequent derailments are observed. He confesses paranoid delusions. He denies suicidal thoughts or ideations.

A: The patient’s symptoms indicate substance-induced psychosis disorder.

P: The patient needs to start weekly sessions of CBT to help address underlying cognitive distortions.

Conduct Disorder

Name: L.G

Age: 9 years

Gender: Male

Diagnosis: Conduct Disorder

L.G is a 9-year-old male patient who came to the facility accompanied by his father. The father reports that the patient has been exhibiting symptoms such as aggression towards peers and siblings and defiance towards authority figures. The father also indicates that the patient feels angry and frustrated with an inability to control his impulses.

O: The patient is well-dressed and oriented. He is also alert and oriented. He appears restless and fidgets. He struggles to make and retain eye contact. The patient is in an irritable mood. He finds it hard to concentrate. He has an intact memory and a coherent thought process.

A: The patient’s symptoms indicate conduct disorder.

P: The patient is to start CBT sessions for better impulse control.

Post-Traumatic Stress Disorder

Name: F.W

Age: 26 years

Gender: Female

Diagnosis: Post-Traumatic Stress Disorder

F.W is a 26-year-old female patient who visited the facility for a psychiatric assessment. She was recently robbed at gunpoint, and she escaped with a few bruises. Consequently, she has been having recurrent flashbacks, nightmares, and distressing memories related to the robbery. She reports other symptoms, such as difficulty sleeping, irritability, and hypervigilance. She also confesses to being emotionally numb and detached from others.

O: The patient is appropriately dressed and oriented. She is also alert. She is in a depressed mood. She finds it hard to concentrate and maintain focus. Her speech is clear and normal. She also has an intact memory and a coherent thought process. She confesses to visual and auditory hallucinations.

A: The patient’s symptoms are indicative of post-traumatic stress disorder

P: The patient should commence weekly trauma-focused CBT sessions.

Anorexia Nervosa

Name: H.D

Age: 15 years

Gender: Female

Diagnosis: Anorexia Nervosa

H.D. is a 15-year-old female patient who came to the facility following a referral. She indicates that her mind has been preoccupied with weight gain, obesity, and food. She fears gaining weight, hence rationing her food and engaging in physical exercise every day. She reports difficulty concentrating, dizziness, and fatigue.

O: The patient is well-dressed and groomed. She is also alert and oriented. She looks emaciated and malnourished. She is in a depressed mood. She has a normal speech. Her thought process is coherent. She has an intact memory. She has a mild concentration impairment. She denies suicidal thoughts.

A: The patient’s symptoms are indicative of anorexia nervosa.

P: The patient is to start weekly sessions of CBT to help address the dysfunctional thoughts and beliefs regarding food and body image.

Alcohol Use Disorder

Name: T.D

Age: 41 years

Gender: Male

Diagnosis: Alcohol Use Disorder

T.D. is a 41-year-old male patient who came to the facility after a referral. The patient presents with a history of heavy alcohol consumption. He has so far found it difficult to control his drinking or cut it down. Consequently, his daily life and functionality have been negatively impacted. He is aware that he needs to stop drinking and has a strong will to achieve it.

O: The patient looks disheveled, with poor hygiene and grooming noted. He is alert and oriented. He looks irritable, restless, and anxious. He is in an anxious mood.