please this is my last chance to resubmit this assignment. please pay attention to the comment below this assignment is a Mental health comprehensive assessment your HPI needs more comprehensive information. I should be able to understand the differential diagnosis from your HPI. (please explain the differential diagnoses)??????????????????? Needs more information in the MSE section please complete the genogram part 2 at least 5 references list need not more than 5 years Zero plagiarism The Assignment Part 1: Comprehensive Client Family Assessment With this client in mind, address the following in a Comprehensive Client Assessment (without violating HIPAA regulations): Demographic information Presenting problem History or present illness Past psychiatric history Medical history Substance use history Developmental history Family psychiatric history Psychosocial history History of abuse/trauma Review of systems Physical assessment Mental status exam Differential diagnosis Case formulation Treatment plan Part 2: Family Genogram Prepare a genogram for the client you selected. The genogram should extend back by at least three generations (great grandparents, grandparents, and parents). Learning Resources Required Readings Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company. use scenerio below HPI:Patient is a 30 year old female, seen via telehealth, patient gave verbal consent for treatment, patient report she suffers alot of anxiety and suffers from eating disorder, patient reported she use to be a model and she was being critized about her bad and that resulted to her eating disorder, she began binge eating sometimes she goes for days without food so once she eats she will binge , patient report her weight freaks her out, patient report gaining wieght freeks her out.Patient report she skip eating and she is very picky to maintained her weight.patient report she is currently 119 Ibs and her goal weight is one 118 pound. Patient reprot she suffers alot of anxiety , and her mother recently passed away and it has been hard for her to accept that her mother isno more, patient report when she experience death in the family, it stop her from eating , patient report she has not been sleeping well , patient report being depressed , feeling down, social isolates .patient report social anxiety disorder .Patient reported she is thinking of chnaging her names, she does not react very well to death, and she does not feel connected to her name .Patient denies any suicidal or homicidal ideation, plan or intent, denied visual of auditory hallucination. Denies somatic complaints (headache, fatigue, stomachache, etc.) Past Psychiatric History: Past Diagnosis: eating , disorder, anxiety and depression Hospitalizations: hospitalized a year ago for depression and eating disorder History of suicides: none History of Violence: No History of self-mutilation: no Outpatient Rx with a Psychiatrist: patient was receiving treatment from a psychiatrist Nurse practitioner Psychotherapy: currently at Pathways in Hollywood Medications trials in the past:lexapro ,lovox, Current psychotropics: mirtazapine, klonopin ,prochlorperazine Medication History: Date Medication Sig # Refill Status 06/25/2020 Zoloft 25 mg tablet 1 tablet by mouth daily 30 0 Active 06/25/2020 Remeron 15 mg tablet 1 tablet by mouth nightly 30 0 Active 06/25/2020 prochlorperazine maleate 10 mg tablet 1 tablet by mouth daily 0 Active Allergies: patient reproted she is allergic to red colour food or pills Social History: Social: Patient is single , no kids Develpmental: born and raised in Maryland Alcohol: drinks occassionally Drug: ; Denies Abuse: denies Faith: christian Occupation: unemployed Education: High school diploma Legal: Denies Family History: patient denies any family history of mental or medical problems Review of Systems: Constitutional Denied: Chills. Decline in Health. Fatigue. Fever. Malaise. Other abnormal constitutional symptoms. Weakness. Weight Gain. Weight loss. Eyes Denied: Blurry Vision. Cataracts. Discharge. Double Vision. Excessive tearing. Eye Pain. Eyeglass Use. Glaucoma. Infections. Pain with Light. Recent Injury. Redness. Unusual sensations. Vision Loss. Respiratory Denied: Asthma. Bronchitis. Cough. Coughing Blood. Pain. Pleurisy. Positive TB Test. Recent Chest X-Ray. Short of Breath. Sputum. Tuberculosis. Wheezing. Cardiovascular Denied: Chest Pain. Extremity(s) Cool. Extremity(s) Discolored. Hair loss on legs. Heart murmur. Heart Tests (Not EKG). High blood pressure. history of heart attack. Leg Pain Walking. Palpitations. Recent Electrocardiogram. Rheumatic fever. Short of Breath Exertion. Short of Breath Lying Flat. Short of Breath Sleeping. Swelling of legs. Thrombophlebitis. ulcers on legs. Varicose veins. Gastrointestinal Denied: Abdominal Pain. Abdominal X-Ray Tests. Antacid Use. Black Tarry Stools. Change in Frequency of BM. Change in stool caliber. Change in stool color. Change in stool consistency. Constipation. Decreased Appetite. Diarrhea. Excessive Hunger. Excessive Thirst. Gallbladder Disease. Heartburn. Hemorrhoids. Hepatitis. Infections. Jaundice. Laxative Use. Liver Disease. Nausea. Rectal Bleeding. Rectal Pain. Swallowing Problem. Vomiting. Vomiting Blood. Musculoskeletal Reported: joint problems. Denied: disturbances of gait or station. muscle strength. tone. Psychiatric Reported: Depression. Nervousness. Mood changes. Denied: Behavioral Change. compulsive. delusions. depressive symptoms. Disorientation. Disturbing thoughts. Excessive stress. Hallucinations. intrusive. manic symptoms. Memory loss. persistent thoughts. Psychiatric disorders. ritualistic acts. suicidal ideas or intentions. Skin Reported: Easting disorder ,scolliosis , seizures Denied: Dryness. Eczema. Hair dye. Hair texture change. Hives. Itching. Lumps. Mole Increased Size. nail appearance change. nail texture change. Rashes. Skin Color Change. Neurological Reported: seizures disorder Denied: Blackouts. Burning. Dizziness. Fainting. Head Injury. Headaches. Loss of consciousness. Memory loss. Numbness. Paralysis. Speech disorders. Strokes. Tingling. Tremors. Unsteady gait. Endocrine Denied: Cold intolerance. Excessive Urination. Fatigue. Goiter. Heat intolerance. Increased Thirst. Neck Pain. Sweats. Thyroid Trouble. Weakness. Weight gain. Weight loss. Hematologic/Lymph Denied: Anemia. Bleeding easily. Blood clots. Easy bruisability. Lumps. Radiation Exposure. Swollen glands. Transfusion reaction. Allergic/Immunologic Denied: Coughing. Coughing with Exercise. Hives. Itchy Eyes. Itchy Nose. Recurrent infections. Runny Nose. Sneezing. Stuffy Nose. Watery Eyes. Wheezing. Wheezing with exercise. Genitourinary Urinary Denied: Awakening to Urinate. Bed-Wetting. Blood in Urine. Burning. Difficulty Starting Stream. Excessive Urination. Flank Pain. Frequency. Incontinence. Infections. Pain on Urination. Retention. Stones. Urgency. Urine Discoloration. Urine Odor. Female Genitalia Reported: Menopause. Denied: Birth control. Bleeding Between Periods. Change in Periods Duration. Change in Periods Flow. Change in Periods Interval. DES Exposure. Difficult Pregnancy. Discharge. Fertility problems. Hernias. Itching. Lesions. Menstrual pain. Pain on Intercourse. Postmenopausal Bleeding. Recent Pap Smear. Recent Pregnancy. Sexual Problems. Venereal Disease. Objective Vital Signs: Height, Weight, BMI and Measurements Height Weight BMI Flag Head Neck Waist 5? 11? 119 (lb) 16.6 Underweight Physical Exam: Constitutional The patient is awake, alert, well developed, well nourished and well groomed. Age Sex Race: The patient is a 30 years old female who appears the stated age. Distress: This patient is in no acute distress. Apparent State of Health: This patient appears to be in generally good health. Level of Consciousness: The patient is awake, alert, understands questions and responds appropriately and quickly. Nutrition: The patient is well developed and well nourished. Grooming: The patients is clothing clean and properly fastened. The patients hair, nails, teeth and skin are clean and well groomed. Odor: The patients breath and body odor are normal. Deformity: There are no obvious deformities Psychiatric Orientation The patient is oriented to time, place and person. Memory Testing for the accuracy of remote and recent memory is within normal limits. Attention Attention testing for digit span and serial 7s is within normal limits. Language Aphasia evaluation including testing for word comprehension, repetition, naming, reading comprehension and writing were performed and are normal. Knowledge The patients fund of knowledge: awareness of current events and past history is appropriate for age. Mood Personality The patients mood is described as sadness The affect is appropriate The patient has the following symptoms of a depressed mood: depressed or irritable mood most of the day nearly every day, fatigue or loss of energy nearly every day, feelings of worthlessness or inappropriate guilt nearly every day, markedly diminished interest or pleasure in almost all activities most of the day nearly every day, insomnia or hypersomnia nearly every day The mood disorder is consistent with major depressive episode The patients social skills are appropriate. The patient does not exhibit any traits consistent with personality disorder. Speech The speech rate and quantity is normal and the volume is well modulated. The patient is articulate, coherent; and spontaneous. The flow of words is consistent with normal fluent speech. Thought Processes The patients thought processes are logical, relevant, organized and coherent. Associations The patients associations are intact. Thought Content There are no obsessive, compulsive, phobic, delusional thoughts. There are no illusions or hallucinations. Judgment The patients judgment concerning everyday activities and social situations is good and insight into their condition is appropriate. MSE : Exam Mental Status Appearance Patient appears to be calm., Patient appears to be friendly., Patient appears to be happy., The patient looks relaxed.. Memory The patient seems to have immediate memory.. Speech Quality The patient seems to have normal speech.. Language The patient expressive language is good.. The patient displays good comprehension language.. Motor Activity The patients motor activity seems to be normal.. Interpersonal The patient seems to be friendly.. Behavior The patients behavior is cooperative.. Stated Mood The patient seems to be in a okay mood.. Affect The patient present normal affect.. Psychosis The patient seems not to be psychotic.. Suicidal The patient convincingly denies suicidal ideas or intentions.. Homicidal The patient convincingly denies homicidal ideas or intentions.. I.Q. Vocabulary and fund of knowledge indicate cognitive functioning in the normal range.. Judgment Judgement appears intact. Attention There are no signs of hyperactive or attention difficulties.. Assessment Diagnosis: Comment Major Depressv Disorder, Recurrent Severe W/o Psych Features Other Specified Anxiety Disorders Generalized Anxiety Disorder Binge Eating Disorder
Why Choose Us
Quality Homework Writing
Do you need to ace your test? We have qualified writers to assist you in writing 100% quality homework writing. Mycoursewriter offers students unique and personalized custom papers that help them in getting good grades. Our academic experts will assist you with your dissertation papers, thesis writing, research papers, term papers, and case study homework help. Our writers are experienced and have perfected the art of crafting the best essay writing papers regardless of your academic level. Order now and get our superb homework writing services.
Expert Academic Writers
A student needs professional assistance outside class time. Before hiring our writers, they undergo thorough tests and strict educational backgrounds. After passing a test, our writers undergo training to ensure they deliver expert professional papers to our customers. We ensure they meet the timely delivery of papers and follow our customers' provided instructions. Every writer is an ENL writer and is from the USA, Canada, UK, or Australia. Our experts approach papers effectively depending on their area of specialization.
Affordable Price Guarantees
Is the deal too good to be true? Mycoursewriter is the most affordable assignment help website on the market. We consider students' daily needs for academic help. Our paper costs are reasonably priced to approximately 90% of students around the globe. Our main aim is to ensure students achieve academic excellence, and we believe inconsiderable prices should not hinder students from getting quality homework writing help. In case of any dissatisfaction, we offer unlimited revisions and rewrites without extra charges.
Timely delivery of papers
Tight deadline? Is your paper due in the next few hours? Worry no more. Our writers are here for your rescue. Many college students find it hard to balance their social and academic life and get caught up with academic deadlines. Drafting your paper at the last minute does not allow you to conduct extensive research and craft the correct answers. We have expert writers ready to work on your assignment writing. Urgent writing services are the ultimate solutions you need. We guarantee you timely delivery of papers at your convenience and specified time delivery of the customer.
100% Original Tasks
The ultimate deal-breaker in achieving good grades is submitting imitative papers. Plagiarism is a breach of examination standards and has serious consequences. Students need to deliver papers written in their understanding by paraphrasing their research findings and relevant citations. Our expert's primary consideration is providing free plagiarized papers that meet the lecturers' requirements. Our editors will proofread your paper before delivery ad ensure your papers will not be substandard. We guarantee extreme originality, and in case of any customer concerns, we offer a plagiarism report.
All Round the clock Customer Support
Our website is user-friendly and super useful! Mycoursewriter is the most trusted online writing website always available to provide you with assignment writing services that you need. Our primary concern is meeting customer need specifications by our friendly customer support team that Is available all the time. Our website usability is self-learnable but in case of any problem, feel free to contact us directly through our website email: firstname.lastname@example.org. We have diligently satisfied thousands of students, and you can witness this on our sites' review page.
Try it now!
How it works?
Follow these simple steps to get your paper done
Place your order
Fill in the order form and provide all details of your assignment.
Proceed with the payment
Choose the payment system that suits you most.
Receive the final file
Once your paper is ready, we will email it to you.
Advantages of Using Our Assignment writing Services
Mycoursewriter welcomes you for superb essay writing services. We are a legit site offering help with your most challenging homework writing assignments at affordable prices. Your essay paper will be assigned to a professional writer who will craft the paper from scratch according to your provided instructions.
Essay writing is a common assignment writing for most college students. It takes a lot of time to craft a complete perfect essay. Mycourserwiter offers the best essay writing and proofreading services for most college students. Your paper is assigned to an expert writer who does thorough research on fresh ideas and personalizes your essay paper according to your assignment writing guidelines. Our essays are entirely exceptional and undergo a strict procedure that includes papers free from plagiarism and thorough proofreading.
Admission and Business Papers
Writing an admission paper is not every student's desire, and this should not hinder any student from earning an admission. Writing a perfect personal statement to earn a position in a dream school or job can be stressful. Personal statements should display a high level of confidence and uniqueness. Admission essays require you to have a vast knowledge of the current happenings in the world and knowhow of the business world. We have qualified writers with skills who will write your admission paper through comprehensive research. All you have to do is provide us with little details about yourself, instructions and our writers will craft a perfect paper for you.
Editing and Proofreading
Mycoursewriter offers you assignment writing services free from grammatical and formatting mistakes. An error-free paper is significant in scoring the desired maximum grades. We have a team of editors who will go through your paper after our expert writers have delivered their fully crafted papers. Our writers will cover all the aspects of your paper instructions, such as fonts, spacing, and educational formats. Our team of editors will check through your paper to make sure it meets the formatting style provided in the paper instructions. Under no circumstances will a poorly formatted paper will be forwarded to you as our team of editors will ensure careful proofreading.
Assignment writing is part of a learning process, and one may not have the knowledge to answer all questions correctly. This should not be a stress to you as we have qualified essay writing experts to help you. Our qualified writers are holders of PhDs, Degrees, and Masters in different areas of study and can handle any papers regardless of the complexity. Multiple assignments may be challenging to finish on time. Our skilled professional writers are here to assist you in crafting all the correct answers for your assignment. Stop stressing about your homework writing and place an order with us, and our expert writers will provide you with the best assignment help.