Generating a Diagnosis and Treatment Plan
Generatinga Diagnosis and Treatment Plan
Generatinga Diagnosis and Treatment Plan
Mentalhealth providers are obliged to follow standard procedures whenevaluating and treating patients with psychiatric complications. Thefirst crucial process is the administration of a physical exam topotential patients. This will aid the specialist to rule out physicalconditions that are likely to cause certain symptoms. Secondly, theexamining doctor will conduct laboratory tests. These may involvethe examination of thyroid function and the screening for drugs andalcohol. Thirdly, a psychological evaluation is performed (Castillo &Guo, 2016). A mental health expert talks to the patients about thesymptoms, feelings, thoughts, and behavior patterns. The Diagnosticand Statistical Manual of Mental Disorders fifth edition (DSM-5)published by the American Psychiatric Association (APA) providesanalytic criteria and codes that vary based on the psychologicaldisorder in question.
Mindfulnessand Mindful-based Cognitive Therapy for People with IntellectualDisabilities
Theeffectiveness of psychotherapeutic interventions and what isdescribed as an intervention for patients with intellectualdevelopment disorder has been a debatable issue for a long time.Scientists in this field have expressed their satisfaction with thecognitive behavior therapy (CBT) approach in handling a range ofpsychiatric disorders (Idusohan-Moizer et. al, 2013). However, CBTapproach turned out to be unsuitable for all the people affected byintellectual disabilities (ID), including individuals with little orno language skills, high support needs and severe physicalincapacity. However, mental health scientists came up with a newapproach called the mindfulness and mindful-based cognitive therapyfor people with intellectual disabilities (MBCT). This treatmentcombines elements of cognitive therapy and a form of Easternmeditation (Idusohan-Moizer et. al, 2013). MBCT was developed withthe aim of minimizing relapse in patients with recurrent anxiety anddepression and those exposed to episodes of depression and anxiety.This therapeutic procedure involves yoga stretches and simplebreathing meditations to help an individual become more aware of thepresent moments including getting in touch with different variancesin the body and mind. The MBCT also involves psychoeducation onanxiety and depression as well as various exercises from cognitivetherapy that illustrate the association between behavior, feelings,and thinking. It also evaluates ways in which people can take care ofthemselves in case they get overwhelmed by anxious thoughts anddepressed mood (Idusohan-Moizer et. al, 2013). This process dependson less the verbal communication between the patient and thetherapist- which the majority of people with ID find a big challenge.
ElectroconvulsiveTherapy for Patients with Post-Traumatic Stress Disorder
Post-traumaticstress disorder is a major mental condition that affects people fromall walks of life. It can be successfully treated with psychotherapyand antidepressant medications (Dannon et al., 2016). However, thereare instances in which a patient develops treatment-resistantdepression that is described as the failure to attain remission evenwith intervention strategies (Dannon et. al, 2016). Specialists inmental health provision usually use three approaches. Firstly, aclient is hospitalized in a day-care unit or psychotherapy ward. Therecommended hospitalization period is 60 days. During this time, thepatient receives powerful medications that are accompanied bypsychotherapy. However, hospitalization does affect the normal lifeof patients because it causes difficulties in the regular lifecircle thus, it can be stigmatic to these patients (Dannon et. al,2016).
Electroconvulsivetreatment (ECT) has been used to treat these conditions for more than80 years. ECT is mostly recommended for the treatment of mentaldisorders because of its efficacy and safety is based onwell-established clinical research and experience (Dannon et. al,2016). It has been used to treat depressed patients besides remainingmost effective treatment procedure for many mental disorders such astrauma. According to Dannon et al. (2016), ECT is also helpful toindividuals suffering from agitation, anxiety, and hostility.
Castillo,R. J., & Guo, K. L. (2016). Implications of DSM-5 for health careorganizations and mental health policy. Journal of Health andHuman Services Administration, 39(2), 217-244. Retrieved fromhttps://search.proquest.com/docview/1828181186?accountid=45049
Dannon, P.,Magnezi, R., Aminov, E., Shmuel, D., &Dreifuss, M. (2016). Comparison between neurostimulationtechniques rapid transcranial magnetic stimulation vs.electroconvulsive therapy for the treatment of resistant depression:patient preference and cost-effectiveness. Patient Preference andAdherence, 10, 1481-1487. doi:10.2147/ppa.s105654
Hansen,H. B., Donaldson, Z., Link, B. G., Bearman, P. S., Hopper, K., Bates,L. M., Teitler, J. O. (2013). Independent review of social andpopulation variation in mental health could improve diagnosis in DSMrevisions. Health Affairs, 32(5), 984-93. Retrieved fromhttps://search.proquest.com/docview/1353317399?accountid=45049
Idusohan-Moizer, H.,Sawicka, A., Dendle, J., & Albany, M. (2013).Mindfulness-based cognitive therapy for adults with intellectualdisabilities: An evaluation of the effectiveness of mindfulness inreducing symptoms of depression and anxiety. Journalof Intellectual Disability Research,59(2),93-104. doi:10.1111/jir.12082
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