SCNERIO
Select a child/adolescent patient with personality and paraphilic disorder. Some paraphilic disorders include pedophilia, exhibitionism, fetishism, and voyeurism. You can come up with case study of a child/adolescent with pedophilia, exhibitionism, fetishism and voyeurism for this assignment.
NOTE: I have the template and exemplar attached. Please make use of DSM-5 to formulate the 3 diagnoses.
· Pose three questions or discussion prompts, based on your presentation that your colleagues can respond to.
Grand Rounds Discussion: Complex Case Study Presentation
• State 3–4 objectives for the presentation that are targeted, clear, use appropriate verbs from Bloom’s taxonomy, and address what the audience will know or be able to do after viewing.
• Present the full complex case study. Include chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; current psychiatric diagnosis including differentials that were ruled out; and plan for treatment and management. Deliver the whole in-depth analysis of the case. Include the chief complaint, a history of the present illness, any pertinent past psychiatric, substance use, medical, social, or family history, the most recent mental status exam, the current psychiatric diagnosis including differentials that were ruled out, and a plan for treatment and management of the patient.
• When reporting the results of a diagnostic test, indicate “normal” followed by the test’s name (rather than specific value). Results that are abnormal ought to be reported with a particular value.
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Your coworkers will be able to react to three questions or discussion prompts that you pose depending on the presentation that you gave them.
• Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value.
• Pose three questions or discussion prompts, based on your presentation, that your colleagues can respond to
• Specifically address the following for the patient, using your SOAP note as a guide.
o 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?
o Objective: What observations did you make during the psychiatric assessment?
o Assessment: Discuss their mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses and why you chose them. List them from highest priority to lowest priority. What was your primary diagnosis, and why? Describe how your primary diagnosis aligns with DSM-5-TR diagnostic criteria and is supported by the patient’s symptoms.
o Plan: What was your plan for psychotherapy (include one health promotion activity and patient education)? What was 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. Discuss an identified social determinate of health impacting this patient’s mental health status and provide your recommendation for a referral to Help this patient in meeting this identified need (students will need to conduct research on this topic both in the literature and for community resources).
o Reflection notes: What would you do differently with this patient if you could conduct the session again? If you are able to follow up with your patient, explain whether these interventions were successful and why or why not. If you were not able to conduct a follow-up, discuss what your next intervention would be.
SCNERIO
Select a child/adolescent patient with personality and paraphilic disorder. Some paraphilic disorders include pedophilia, exhibitionism, fetishism, and voyeurism. You can come up with case study of a child/adolescent with pedophilia, exhibitionism, fetishism and voyeurism for this assignment.
NOTE: I have the template and exemplar attached. Please make use of DSM-5 to formulate the 3 diagnoses.
• Pose three questions or discussion prompts, based on your presentation, that your colleagues can respond to.
