The patient is a 40-year-old African American male who presents with depressive symptoms such as lack of interest, isolation, irritability, crying, overeating, and sleep problems. Based on diagnostic tests, he is diagnosed with major depressive disorder and moderate dementia. The treatment plan involves cognitive behavioral therapy and antidepressant medication with Duloxetine to target his depressive symptoms and improve his quality of life. Regular follow-ups will also be conducted to monitor his progress and medication adherence.
2Assessing ClientsA comprehensive assessment of the patient who p.docxBHANU281672
2Assessing Clients“A comprehensive assessment of the patient who presents for psychotherapy is necessary to develop an appropriate treatment plan. This assessment is a relational process that sets the tone for subsequent sessions” (Wheeler, 2014, p. 131). As a future Psychiatric Mental Health Nurse Practitioner, it is essential to be able to accurately assess clients to determine whether yourtherapeutic approach would contribute to improved clinical outcomes. The purpose of this assignment is to select a client that was observed or counseled at my practicum site and completea comprehensive client assessment and genogram for the client selected.Comprehensive Client AssessmentDemographic information for the client chosen is as follows: The client is a 27-year-old African female who resides in Maryland. She is a single, heterosexual, mother of fraternal twins,a boy and a girl. She was referred by her psychiatrist to the current counselor for psychotherapy and is primarily followed by the psychiatrist for medication management. The client has been receiving psychotherapy for the past two years. Her presenting problem revolves around learning how to be independent while coping with her mental illness. She stated, “I need help with figuring out my finances.” History of present illness: Client has a history of bipolar and presented to the office with complaints about her “baby daddy” not wanting to help her out with their children and about how difficult it’s going to be when her cousin stops keeping her twins because daycare is expensive. She also expressed discontent towards her father interfering in herpsychiatric care because he shares the same Nigerian ethnicity as her psychiatrist and she wants to be on less medication and receives more psychotherapy. The client’s past psychiatric history includes two psychiatric hospitalizations for manic episodes with psychosis. Medical history includes a previous diagnosis of hypertension (HTN), but that diagnosis was later removed. The
3client never took any medications for HTN diagnosis, and HTN resolved through life modifiers. Currently takes Lithium and Cogentin. The client has no substance use history, and developmental milestones were reached as expected. No family psychiatric history reported. Psychosocial history: She currently lives with her father. Her youngest brother and cousin, who is married, also reside in the same house. She works a full-time minimum wage job and is recently single. She has been in contact with her ex-boyfriend who is trying to ‘hook up’ with her to have sex. She is the mother of fraternal twins, a boy and a girl. No history of abuse or trauma.Psychiatric Review of SystemsClient denies “shortness of breath, heart palpitations, panic attacks, sweating flushing, hyperventilation, sense of doom, fear of death or collapse, cold or clammy skin, and tingling sensations in extremities” (Wheeler, 2014, p. 140). Client denies feeling sad, irritable, tired, h.
1
6
Assignment template
Subjective Section
Chief complainant
The patient starts by saying, "I can't stop crying, all the time." The patient complains that since she gave birth to her child two months ago, she has been experiencing mood disorders and difficulties falling asleep even after the baby is already asleep. She complains that especially when the baby cries, she loses her appetite and is not comfortable with her new body shape and size. She says nothing interests her, even writing, which was one of the things she loved before she gave birth. She does not want to contact her friends, and everything seems to be upsetting her.
History of present illness (HPI)
L.T is a 32-year-old black female who resents for psychiatric evaluation due to mood depression. The patient has not been prescribed any psychotropic drugs recently.
Past psychiatric history
The patient has never been examined or treated for any mental disorders in the past. Recently she was hospitalized for a standard childbirth procedure.
Medication trials and current medication
She has not tried any medications in the past, neither is she under any medication currently.
Psychotherapy or previous psychiatric diagnosis
The patient has no history of psychiatric illness and has not been diagnosed or treated with any mental health disorder.
Pertinent substance use, social, and medical history
The patient denies any use of alcohol or cases of drug abuse in the family. Although she says that her uncle was not an opioid abuser, he committed suicide using GSW. She is married and currently lives with her husband with their two kids. She has been working in the retail business for the past five years, but currently, she is a housewife. The patient grew up with her sister together with her both parents. She has been diagnosed with hypertension recently, and she is taking drugs labelled as labetalol 100mg for HTN, which she says that she sometimes forgets to take them. The patient has no legal history or any issues related to violence.
Allergies
L.T is allergic to codeine. She gave birth two months ago, which automatically means that she is lactating. Currently, she is not using any form of contraceptive, and she has had no desire for sex since she gave birth.
ROS
General: No weight loss, fatigue or chills experienced by the patient.
HEET: Her vision is the same no issues of double vision or jaundice. Her ears, nose and throat are okay.
Skin: Her skin has not changed either is she having rashes.
Cardiovascular: No chest discomfort or pains.
Respiratory: She is not coughing or producing sputum, implying her respiratory is fine.
Gastrointestinal: She has eventually lost her appetite and wants to lose weight, although she is not vomiting or feeling abdominal pain.
Genitourinary: The urine colour or odour has not changed, and she is not experiencing any burns during urination. No headaches, no back or joint pains.
Hematologic: No bleeding realized or enlarged nodes.
Endocri ...
1
6
Assignment template
Subjective Section
Chief complainant
The patient starts by saying, "I can't stop crying, all the time." The patient complains that since she gave birth to her child two months ago, she has been experiencing mood disorders and difficulties falling asleep even after the baby is already asleep. She complains that especially when the baby cries, she loses her appetite and is not comfortable with her new body shape and size. She says nothing interests her, even writing, which was one of the things she loved before she gave birth. She does not want to contact her friends, and everything seems to be upsetting her.
History of present illness (HPI)
L.T is a 32-year-old black female who resents for psychiatric evaluation due to mood depression. The patient has not been prescribed any psychotropic drugs recently.
Past psychiatric history
The patient has never been examined or treated for any mental disorders in the past. Recently she was hospitalized for a standard childbirth procedure.
Medication trials and current medication
She has not tried any medications in the past, neither is she under any medication currently.
Psychotherapy or previous psychiatric diagnosis
The patient has no history of psychiatric illness and has not been diagnosed or treated with any mental health disorder.
Pertinent substance use, social, and medical history
The patient denies any use of alcohol or cases of drug abuse in the family. Although she says that her uncle was not an opioid abuser, he committed suicide using GSW. She is married and currently lives with her husband with their two kids. She has been working in the retail business for the past five years, but currently, she is a housewife. The patient grew up with her sister together with her both parents. She has been diagnosed with hypertension recently, and she is taking drugs labelled as labetalol 100mg for HTN, which she says that she sometimes forgets to take them. The patient has no legal history or any issues related to violence.
Allergies
L.T is allergic to codeine. She gave birth two months ago, which automatically means that she is lactating. Currently, she is not using any form of contraceptive, and she has had no desire for sex since she gave birth.
ROS
General: No weight loss, fatigue or chills experienced by the patient.
HEET: Her vision is the same no issues of double vision or jaundice. Her ears, nose and throat are okay.
Skin: Her skin has not changed either is she having rashes.
Cardiovascular: No chest discomfort or pains.
Respiratory: She is not coughing or producing sputum, implying her respiratory is fine.
Gastrointestinal: She has eventually lost her appetite and wants to lose weight, although she is not vomiting or feeling abdominal pain.
Genitourinary: The urine colour or odour has not changed, and she is not experiencing any burns during urination. No headaches, no back or joint pains.
Hematologic: No bleeding realized or enlarged nodes.
Endocri ...
Comprehensive Client Family Assessment and Genogram The client.docxmccormicknadine86
Comprehensive Client Family Assessment and Genogram
The client is a 24-year-old female, single, African America active duty, service member (SM). SM who resides in the barracks medication, SM MOS is 25U, signal support specialist (IT), SM recently completed basic training and Advanced Individual Training (AIT), before enlisting SM worked as Computer Specialist.
Presenting Problem: I do not know why I am here; I do not need to be here.”
History of Present illness: She appears slightly disheveled, tired, and generally irritable both in the lobby, with nursing staff, and once in the room. She is accompanied by an escort who remains throughout the visit.
Past Psychiatric history: Insomnia.
Medical History: None
Substance use History: denies
Developmental History: She who appears older than stated age, the client is disheveled, with noted body odor
Family Psychiatric history: no familial history
Maternal grandmother marijuana user, paternal grandmother incarcerated no further history. Father Diabetes, Mother HTN, one sister HTN, 1 Brother HTN
Psychosocial History: She states she was homeless before joining the Army National Guard, difficulty to find a job. She wants to go to college for nursing or IT.
History of abuse/Trauma: She reports two episodes of sexual harassment in 2012 in 2013 with no sexual assault but declines to provide more information: no article 15s or negative counseling statements related to her behavior.
Review of Systems:
General: She is alert and oriented x 1 self only B/P 100/60 59, 24, 97.7, 99% room air. Pain 0/10, Weight 153.
HEENT: no discharge intact, moist
Skin: warm and dry
Cardiovascular: no palpitations
Respiratory: no cough or rales or expiratory wheezing was noted neither was any adventitious sounds heard.
GI: No nausea, no vomiting, and no abdominal pain..
Genitourinary: She denies any burning upon urination and dribbling. No obstetrics or gynecology symptoms LMP states 05/01/2019
Neurological: She denies headaches, dizziness, and tingling in all her extremities.
Musculoskeletal: FULL ROM to all extremities
Psychiatric:
Allergies: No known medication/ food allergies
Mental Status Examination
Orientation: Alert and oriented to person
Appearance: in uniform, disheveled, mild body odor
Musculoskeletal: gait and station intact
Behavioral: Irritable/cooperative
Motor activity: appropriate
Speech: pressured, frenzied
Mood: euthymic
Affect: Irritated Restless
Thought content: No suicidal ideation, no homicidal ideation
Perceptions: denies auditory/visual hallucination exaggerated sense of self
Thought Process: illogical and irrational
Attention and Concentration: distracted
Remote and Recent Memory: able to recall the last 5 minutes
Judgment: delayed
Insight and Judgment: fragmented
Differential Diagnosis:
Schizophrenia: a brain disorder that affects how a person reason, feel, and perceive. The hallmark symptom of schizophrenia is psychosis, such as experiencing ...
2Assessing ClientsA comprehensive assessment of the patient who p.docxBHANU281672
2Assessing Clients“A comprehensive assessment of the patient who presents for psychotherapy is necessary to develop an appropriate treatment plan. This assessment is a relational process that sets the tone for subsequent sessions” (Wheeler, 2014, p. 131). As a future Psychiatric Mental Health Nurse Practitioner, it is essential to be able to accurately assess clients to determine whether yourtherapeutic approach would contribute to improved clinical outcomes. The purpose of this assignment is to select a client that was observed or counseled at my practicum site and completea comprehensive client assessment and genogram for the client selected.Comprehensive Client AssessmentDemographic information for the client chosen is as follows: The client is a 27-year-old African female who resides in Maryland. She is a single, heterosexual, mother of fraternal twins,a boy and a girl. She was referred by her psychiatrist to the current counselor for psychotherapy and is primarily followed by the psychiatrist for medication management. The client has been receiving psychotherapy for the past two years. Her presenting problem revolves around learning how to be independent while coping with her mental illness. She stated, “I need help with figuring out my finances.” History of present illness: Client has a history of bipolar and presented to the office with complaints about her “baby daddy” not wanting to help her out with their children and about how difficult it’s going to be when her cousin stops keeping her twins because daycare is expensive. She also expressed discontent towards her father interfering in herpsychiatric care because he shares the same Nigerian ethnicity as her psychiatrist and she wants to be on less medication and receives more psychotherapy. The client’s past psychiatric history includes two psychiatric hospitalizations for manic episodes with psychosis. Medical history includes a previous diagnosis of hypertension (HTN), but that diagnosis was later removed. The
3client never took any medications for HTN diagnosis, and HTN resolved through life modifiers. Currently takes Lithium and Cogentin. The client has no substance use history, and developmental milestones were reached as expected. No family psychiatric history reported. Psychosocial history: She currently lives with her father. Her youngest brother and cousin, who is married, also reside in the same house. She works a full-time minimum wage job and is recently single. She has been in contact with her ex-boyfriend who is trying to ‘hook up’ with her to have sex. She is the mother of fraternal twins, a boy and a girl. No history of abuse or trauma.Psychiatric Review of SystemsClient denies “shortness of breath, heart palpitations, panic attacks, sweating flushing, hyperventilation, sense of doom, fear of death or collapse, cold or clammy skin, and tingling sensations in extremities” (Wheeler, 2014, p. 140). Client denies feeling sad, irritable, tired, h.
1
6
Assignment template
Subjective Section
Chief complainant
The patient starts by saying, "I can't stop crying, all the time." The patient complains that since she gave birth to her child two months ago, she has been experiencing mood disorders and difficulties falling asleep even after the baby is already asleep. She complains that especially when the baby cries, she loses her appetite and is not comfortable with her new body shape and size. She says nothing interests her, even writing, which was one of the things she loved before she gave birth. She does not want to contact her friends, and everything seems to be upsetting her.
History of present illness (HPI)
L.T is a 32-year-old black female who resents for psychiatric evaluation due to mood depression. The patient has not been prescribed any psychotropic drugs recently.
Past psychiatric history
The patient has never been examined or treated for any mental disorders in the past. Recently she was hospitalized for a standard childbirth procedure.
Medication trials and current medication
She has not tried any medications in the past, neither is she under any medication currently.
Psychotherapy or previous psychiatric diagnosis
The patient has no history of psychiatric illness and has not been diagnosed or treated with any mental health disorder.
Pertinent substance use, social, and medical history
The patient denies any use of alcohol or cases of drug abuse in the family. Although she says that her uncle was not an opioid abuser, he committed suicide using GSW. She is married and currently lives with her husband with their two kids. She has been working in the retail business for the past five years, but currently, she is a housewife. The patient grew up with her sister together with her both parents. She has been diagnosed with hypertension recently, and she is taking drugs labelled as labetalol 100mg for HTN, which she says that she sometimes forgets to take them. The patient has no legal history or any issues related to violence.
Allergies
L.T is allergic to codeine. She gave birth two months ago, which automatically means that she is lactating. Currently, she is not using any form of contraceptive, and she has had no desire for sex since she gave birth.
ROS
General: No weight loss, fatigue or chills experienced by the patient.
HEET: Her vision is the same no issues of double vision or jaundice. Her ears, nose and throat are okay.
Skin: Her skin has not changed either is she having rashes.
Cardiovascular: No chest discomfort or pains.
Respiratory: She is not coughing or producing sputum, implying her respiratory is fine.
Gastrointestinal: She has eventually lost her appetite and wants to lose weight, although she is not vomiting or feeling abdominal pain.
Genitourinary: The urine colour or odour has not changed, and she is not experiencing any burns during urination. No headaches, no back or joint pains.
Hematologic: No bleeding realized or enlarged nodes.
Endocri ...
1
6
Assignment template
Subjective Section
Chief complainant
The patient starts by saying, "I can't stop crying, all the time." The patient complains that since she gave birth to her child two months ago, she has been experiencing mood disorders and difficulties falling asleep even after the baby is already asleep. She complains that especially when the baby cries, she loses her appetite and is not comfortable with her new body shape and size. She says nothing interests her, even writing, which was one of the things she loved before she gave birth. She does not want to contact her friends, and everything seems to be upsetting her.
History of present illness (HPI)
L.T is a 32-year-old black female who resents for psychiatric evaluation due to mood depression. The patient has not been prescribed any psychotropic drugs recently.
Past psychiatric history
The patient has never been examined or treated for any mental disorders in the past. Recently she was hospitalized for a standard childbirth procedure.
Medication trials and current medication
She has not tried any medications in the past, neither is she under any medication currently.
Psychotherapy or previous psychiatric diagnosis
The patient has no history of psychiatric illness and has not been diagnosed or treated with any mental health disorder.
Pertinent substance use, social, and medical history
The patient denies any use of alcohol or cases of drug abuse in the family. Although she says that her uncle was not an opioid abuser, he committed suicide using GSW. She is married and currently lives with her husband with their two kids. She has been working in the retail business for the past five years, but currently, she is a housewife. The patient grew up with her sister together with her both parents. She has been diagnosed with hypertension recently, and she is taking drugs labelled as labetalol 100mg for HTN, which she says that she sometimes forgets to take them. The patient has no legal history or any issues related to violence.
Allergies
L.T is allergic to codeine. She gave birth two months ago, which automatically means that she is lactating. Currently, she is not using any form of contraceptive, and she has had no desire for sex since she gave birth.
ROS
General: No weight loss, fatigue or chills experienced by the patient.
HEET: Her vision is the same no issues of double vision or jaundice. Her ears, nose and throat are okay.
Skin: Her skin has not changed either is she having rashes.
Cardiovascular: No chest discomfort or pains.
Respiratory: She is not coughing or producing sputum, implying her respiratory is fine.
Gastrointestinal: She has eventually lost her appetite and wants to lose weight, although she is not vomiting or feeling abdominal pain.
Genitourinary: The urine colour or odour has not changed, and she is not experiencing any burns during urination. No headaches, no back or joint pains.
Hematologic: No bleeding realized or enlarged nodes.
Endocri ...
Comprehensive Client Family Assessment and Genogram The client.docxmccormicknadine86
Comprehensive Client Family Assessment and Genogram
The client is a 24-year-old female, single, African America active duty, service member (SM). SM who resides in the barracks medication, SM MOS is 25U, signal support specialist (IT), SM recently completed basic training and Advanced Individual Training (AIT), before enlisting SM worked as Computer Specialist.
Presenting Problem: I do not know why I am here; I do not need to be here.”
History of Present illness: She appears slightly disheveled, tired, and generally irritable both in the lobby, with nursing staff, and once in the room. She is accompanied by an escort who remains throughout the visit.
Past Psychiatric history: Insomnia.
Medical History: None
Substance use History: denies
Developmental History: She who appears older than stated age, the client is disheveled, with noted body odor
Family Psychiatric history: no familial history
Maternal grandmother marijuana user, paternal grandmother incarcerated no further history. Father Diabetes, Mother HTN, one sister HTN, 1 Brother HTN
Psychosocial History: She states she was homeless before joining the Army National Guard, difficulty to find a job. She wants to go to college for nursing or IT.
History of abuse/Trauma: She reports two episodes of sexual harassment in 2012 in 2013 with no sexual assault but declines to provide more information: no article 15s or negative counseling statements related to her behavior.
Review of Systems:
General: She is alert and oriented x 1 self only B/P 100/60 59, 24, 97.7, 99% room air. Pain 0/10, Weight 153.
HEENT: no discharge intact, moist
Skin: warm and dry
Cardiovascular: no palpitations
Respiratory: no cough or rales or expiratory wheezing was noted neither was any adventitious sounds heard.
GI: No nausea, no vomiting, and no abdominal pain..
Genitourinary: She denies any burning upon urination and dribbling. No obstetrics or gynecology symptoms LMP states 05/01/2019
Neurological: She denies headaches, dizziness, and tingling in all her extremities.
Musculoskeletal: FULL ROM to all extremities
Psychiatric:
Allergies: No known medication/ food allergies
Mental Status Examination
Orientation: Alert and oriented to person
Appearance: in uniform, disheveled, mild body odor
Musculoskeletal: gait and station intact
Behavioral: Irritable/cooperative
Motor activity: appropriate
Speech: pressured, frenzied
Mood: euthymic
Affect: Irritated Restless
Thought content: No suicidal ideation, no homicidal ideation
Perceptions: denies auditory/visual hallucination exaggerated sense of self
Thought Process: illogical and irrational
Attention and Concentration: distracted
Remote and Recent Memory: able to recall the last 5 minutes
Judgment: delayed
Insight and Judgment: fragmented
Differential Diagnosis:
Schizophrenia: a brain disorder that affects how a person reason, feel, and perceive. The hallmark symptom of schizophrenia is psychosis, such as experiencing ...
Running head: Depression disorder 1
2
Depression disorder
Screening, Diagnosis and Treatment of Depression Disorder
August 6, 2019
Screening, Diagnosis and Treatment of Depression Disorder
Depression is a mental disorder that has both social and health effects to individuals worldwide. Reports from the WHO suggest that depressive disorders form a significant percentage of the total number of deaths reported in both developed and developing countries. Depressive disorders are also a major cause of disability (U.S. Department of Health, 2017). Depression is treatable. The commonly used treatments of depression include psychotherapy and drugs. Studies suggest that there are various effective strategies available for use to improve the depression symptoms such as the integration between specialist and primary health care. The severity of depression varies from patient to patient. DSM-5 is the commonly used diagnostic criteria used to differentiate depressive disorders from sadness (Gore & Widiger, 2013). The criterion was developed in the United States and has been used extensively in psychiatric research. The model stipulates the threshold that the signs and symptoms of depression must meet to justify a diagnosis. This research analyzes Eliza Doolittle’s psychosocial assessment and treatment plan.
Intake
Eliza Doolittle is an eighteen years old girl. Her residence at the time of the visit was a school dormitory where she lived with her friends. Eliza stated the reason for her visit was due to being sent home from school. The depressive symptoms that Eliza experienced were anxiety or stress and low self-esteem. Eliza is the only child in her family. Her father is Burt, and her mothers name is Joan. She denied being on any medication for mental health at this time. She also added that she had not encountered any stressful experiences in her life.
Eliza completed the DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure (CCM-1) for adults, which is a questionnaire with the various depressive symptoms. This questionnaire enables the healthcare professional to identify the depressive symptoms that Eliza might have had in the last two weeks before her visit. According to the DSM-5 diagnostic criteria, Eliza must have experienced at least five symptoms of depression in the same two weeks period. Eliza must have at least one of the following symptoms to warrant a diagnosis. These include: loss of pleasure in usual activities, loss of self-worth or suicidal, fatigue, weight loss, tiredness, inability to think correctly, loss of energy and loss of appetite.
Biopsychosocial Assessment
Eliza was identified as a Caucasian female who was a first-year college student studying engineering. Eliza’s parents live in a town, which is about two hours away from the health center. Eliza was sent to counseling because she was found with alcohol in the dormitory although she claimed she w ...
Running head: Depression disorder 1
2
Depression disorder
Screening, Diagnosis and Treatment of Depression Disorder
August 6, 2019
Screening, Diagnosis and Treatment of Depression Disorder
Depression is a mental disorder that has both social and health effects to individuals worldwide. Reports from the WHO suggest that depressive disorders form a significant percentage of the total number of deaths reported in both developed and developing countries. Depressive disorders are also a major cause of disability (U.S. Department of Health, 2017). Depression is treatable. The commonly used treatments of depression include psychotherapy and drugs. Studies suggest that there are various effective strategies available for use to improve the depression symptoms such as the integration between specialist and primary health care. The severity of depression varies from patient to patient. DSM-5 is the commonly used diagnostic criteria used to differentiate depressive disorders from sadness (Gore & Widiger, 2013). The criterion was developed in the United States and has been used extensively in psychiatric research. The model stipulates the threshold that the signs and symptoms of depression must meet to justify a diagnosis. This research analyzes Eliza Doolittle’s psychosocial assessment and treatment plan.
Intake
Eliza Doolittle is an eighteen years old girl. Her residence at the time of the visit was a school dormitory where she lived with her friends. Eliza stated the reason for her visit was due to being sent home from school. The depressive symptoms that Eliza experienced were anxiety or stress and low self-esteem. Eliza is the only child in her family. Her father is Burt, and her mothers name is Joan. She denied being on any medication for mental health at this time. She also added that she had not encountered any stressful experiences in her life.
Eliza completed the DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure (CCM-1) for adults, which is a questionnaire with the various depressive symptoms. This questionnaire enables the healthcare professional to identify the depressive symptoms that Eliza might have had in the last two weeks before her visit. According to the DSM-5 diagnostic criteria, Eliza must have experienced at least five symptoms of depression in the same two weeks period. Eliza must have at least one of the following symptoms to warrant a diagnosis. These include: loss of pleasure in usual activities, loss of self-worth or suicidal, fatigue, weight loss, tiredness, inability to think correctly, loss of energy and loss of appetite.
Biopsychosocial Assessment
Eliza was identified as a Caucasian female who was a first-year college student studying engineering. Eliza’s parents live in a town, which is about two hours away from the health center. Eliza was sent to counseling because she was found with alcohol in the dormitory although she claimed she w ...
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
Honest Reviews of Tim Han LMA Course Program.pptxtimhan337
Personal development courses are widely available today, with each one promising life-changing outcomes. Tim Han’s Life Mastery Achievers (LMA) Course has drawn a lot of interest. In addition to offering my frank assessment of Success Insider’s LMA Course, this piece examines the course’s effects via a variety of Tim Han LMA course reviews and Success Insider comments.
Safalta Digital marketing institute in Noida, provide complete applications that encompass a huge range of virtual advertising and marketing additives, which includes search engine optimization, virtual communication advertising, pay-per-click on marketing, content material advertising, internet analytics, and greater. These university courses are designed for students who possess a comprehensive understanding of virtual marketing strategies and attributes.Safalta Digital Marketing Institute in Noida is a first choice for young individuals or students who are looking to start their careers in the field of digital advertising. The institute gives specialized courses designed and certification.
for beginners, providing thorough training in areas such as SEO, digital communication marketing, and PPC training in Noida. After finishing the program, students receive the certifications recognised by top different universitie, setting a strong foundation for a successful career in digital marketing.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
Normal Labour/ Stages of Labour/ Mechanism of LabourWasim Ak
Normal labor is also termed spontaneous labor, defined as the natural physiological process through which the fetus, placenta, and membranes are expelled from the uterus through the birth canal at term (37 to 42 weeks
Comprehensive Psychiatric Evaluation Essay Example Paper.docx
1. Comprehensive Psychiatric Evaluation Essay Example Paper
Comprehensive Psychiatric Evaluation Essay Example PaperJames is a 40-year old African
American male who works as a high school teacher. He is non-denominational Christian and
is heavily involved in her church community. He attends scripture classes, worship
meetings, and serves as a mentor of her church's community group on a daily basis. He
claims to have a strong peer circle that are compassionate, positive, and nice to be
around.He has never been with his family since the start of the COVID pandemic. His
parents separated when she was ten years-old, he never seen his father since then. She is
married with three children, a girl and two boys. His family dos not have a background of
mental health illness. James presents to the facility since his symptoms are conflicting with
his life and career. He claims that he is uninterested in usual ambitions and that he does not
want to do anything. He started isolating himself, refusing to attend church meetings or
hangouts planned by his friends. His bond with his family has deteriorated; he is quickly
irritated by them and has a tendency to hit out at them, despite the fact that he does not
define himself as being patient in the past. His friendships have become compromised as a
result of him not having as much time with them, avoiding hangouts, and asking them about
his problems. James seems to be crying a lot, sadder than usual, and overeating. In addition,
he has trouble sleeping Comprehensive Psychiatric Evaluation Essay Example Paper.ORDER
A PLAGIARISM-FREE PAPER HERESubjective:CC (chief complaint): “I am depressed, and I
cannot even sleep. I am embarrassed about myself and my condition. I just want to bask in
the balcony and do nothing. I feel so weak and do not have the energy to do things with my
family members. I feel pain in my arm and the back . I cry most of the time. I feel nervous, I
prefer to drive since I can let my daughter or wife drive because I was hit by a car by a
woman and I fear that will happen if they drive. I get angry easily. I am irritated and
stressed. I haven’t been close with my family due to the corona virus pandemic and it does
not feel right that I cannot assist my wife with the children and chores at home”.HPI: A 40-
year old African American male presents to the facility alone complaining of depressive
symptoms. He is alert and oriented x4 with little eye contact, he has cooperative attitude,
depressive mood, thought content is normal, the patient denies hallucinations, denies
suicidal/homicidal, and insight judgment is intact. The patient complains that he is
depressed and cannot sleepPast Psychiatric History: The patient denies hallucination,
denies suicidal/homicidal thoughts.General Statement: The patient was admitted at the
hospital two years ago after experiencing panic attacks.Caregivers (if applicable): the
patient do not have a caregiverHospitalizations: The patient was hospitalized two years ago
2. for panic attack and was discharged after four days.Medication trials: The patient has
underwent a Mini-Mental State Exam (MMSE, in which he scored 19 points and was
considered as hving mild dementia) Comprehensive Psychiatric Evaluation Essay Example
Paper.Psychotherapy or Previous Psychiatric Diagnosis: the patient has been diagnosed
with mild dementia using the Mini-Mental State Exam (MMSE scale).Substance Current Use
and History: the patient states that he takes alcohol and smokes a packet of cigarette in a
day.Family Psychiatric/Substance Use History: The patient’s parents, wife and kids are
healthy and has no past substance abuse or psychiatric illnessPsychosocial History: The
patient is married and has three kids, one teenage daughter and two young boys. He has a
degree I literature and is a highschool teacher.Medical History: the patient has ahistory of
dementia and panic attacks Current Medications: The patient is currently under no
medicationsAllergies: The patient has no known drug or environmental
allergiesReproductive Hx: The patient is sexually active and reports no reproductive
complications.Review of SystemsGENERAL: Patient complains of difficulty in sleeping and
depression.HEENT: Denies hearing difficulties, blurred vision, sore throat, sinus, and nasal
congestion,.SKIN: Denies itching or rashes.CARDIOVASCULAR: Denies chest pressure,
palpitations or edema.RESPIRATORY: Denies breathing difficulties or
congestion.GASTROINTESTINAL: Denies abdominal pains, diarrhea ,nausea, or vomiting
.GENITOURINARY: Denie polyuria. Normal urine patternsNEUROLOGICAL: No seizuires,
falls r memory loss.MUSCULOSKELETAL: Denies history of diabetes or gout.HEMATOLOGIC:
Denies history of blood disorder.LYMPHATICS: Denies swollen or painful lymph
nodes.ENDOCRINOLOGIC: Denies excessive thirst or sweating Comprehensive Psychiatric
Evaluation Essay Example Paper.Objective:Diagnostic results:The patient was put through a
variety of examinations to see if the panic attacks and dementia had intensified. In the
MMSE examination, the client answered a variety of questions (Fathi et al., 2020). According
to the MMSE, the client scored 17 out of a maximum of 30 points. The individual has
moderate dementia, according to the findings (Goldstein-Piekarski et al., 2016). When
compared to previous results, it is clear that the situation is worsening. The panic disorder
examination also revealed that the patient was experiencing one withdrawal symptom that
had been present for the previous month. The client, for instance, discovered that he had
disturbing flashbacks and traumatic experiences from a previous
accident.Assessment:Mental Status Examination: He is a 40-year-old African-American man
with an appearance that matches his age. During the discussion, he was friendly and
attentive. He's dressed well for the day, clean and organized. There are no signs of impaired
motor function in him. He retains a natural tone and volume when speaking in a simple and
concise manner. He acts in a logical manner. Throughout the discussion, he is in a negative
mood and frowns most of the time. He admits having sensory and visual hallucinations, as
well as having suicidal thoughts. He is alert and aware of his surroundings. His thoughts,
both old and new, are intact. His perception and focus are natural Comprehensive
Psychiatric Evaluation Essay Example Paper.Differential Diagnoses:Major depressive
disorder F32.2 (ICD-10):The primary diagnosis for this patient is major depressive disorder
(MDD). MDD is a psychiatric illness that causes depression and a lack of interest in everyday
tasks. MDD has a negative impact on one's quality of life. The primary diagnosis aligns with
3. the DSM-5 criteria because gives a description of a sad and feeling every day (APA, 2013).
She also isolates himself from people-and does not help in house chores and the kids. Have
feelings of no weakness to leave the bed and he just sits on the sun and do nothing. Altered
sleep rhythms, body fatigue, loss of focus, and low self-esteem are among the symptoms
(Forsberg et al., 2019). Suicidal ideation can be triggered by MDD. Patients can undergo
unintended weight gain or loss in some instances. The Beck Depression Inventory (BDI) and
the Hamilton Rating Scale for Depression (HAM-D) are significant in the clinical diagnosis
(Forsberg et al., 2019). MDD is treated with medication, psychotherapy, or a mixture of the
two. According to reports, a blend of pharmacological and non-pharmacological methods is
important for achieving positive outcomes (Belujon & Grace, 2017). According to surveys,
17 million people have at least one MDD, accounting for 7.1 percent of the population.
Females have a higher incidence of MDD than males, with 8.7% versus 5.3 percent
(Forsberg et al., 2019). MDD can strike at any age, but the average age is 32.5
years.Dementia: Dementia is a psychiatric disorder that causes memory, perception,
problem-solving, and communication skills to deteriorate. The psychosocial symptoms
degrade one's quality of life (Clarkson et al., 2017). Because dementia has no remedy,
treatment focuses on reducing the intensity of the symptoms. One way to treating the
disorder is therapy and exercise rehabilitation (Clarkson et al., 2017). Dementia is caused
by disruption to brain cells, which leads to a breakdown of cell signaling. About 6 million
Americans suffer from dementia, with 85 % of those affected being 75 and above
Comprehensive Psychiatric Evaluation Essay Example Paper.Borderline personality
disorder (BPD): BPD is commonly classified as an emotionally dysfunctional personality
disorder and it is a psychiatric illness that influences interactions, self identity, intense
emotional impulses. Emotional depression, low self-esteem, and weak social interactions
are all manifestations (Cristea et al., 2017). The cause of BPD is unexplained, although
biology, behavioral, social, and behavioral causes, as well as brain function, have been
suggested by some studies. Psychotherapy is used as part of the treatment, although drugs
can be added to boost the medication's effectiveness (Cristea et al., 2017). According to
surveys, the disease affects over 1.5 million Americans.ORDER A PLAGIARISM-FREE PAPER
HEREPlanThe treatment plan prescribed for the patient will be Cognitive Behavioral
Therapy and Antidepressant Drug Therapy. Cognitive behavioral therapy and
pharmacotherapy for chronic depression and pharmacotherapy without cognitive
behavioral therapy are efficient (David et al., 2018). In their research, cognitive behavioral
therapy and antidepressant drugs saw a substantial increase in persistent effects compared
than care groups with short-term maintenance and just cognitive behavioral therapy.
Psychotherapy and opioid treatment are important for those with chronic depression
(David et al., 2018). The three objectives of cognitive behavioral therapy for patients are to
treat residual effects of major depressive disorder, lifestyle changes, and modifying beliefs
and habits that are adverse to their well-being. Patients with persistent signs are three
times more likely to progress into major depressive disorder. Residual symptoms such as
continuous low mood, agitation, disrupted function, lack of appetite, irritability, weakness,
decreased libido, and a variety of somatic or physical symptoms are correlated with MDD.
Duloxetine is recommended as the antidepressant drug for the patient (Kuga, et al. (2017)
4. investigated the efficacy of Duloxetine in patients younger than 65 years of age with more
serious and chronic depression. Duloxetine has been found to lead to progress in clients
with chronic and extreme depression. Duloxetine has now been found to show more
progress in populations of various levels of severity due to major depressive disorder. SSRI
therapy has also been proven to provide more impact in depression. If Duloxetine would
not operate for her, the SSRI would be recommended for his since it has shown to have
fewer adverse effects and is generally safe to administer (Kuga, et al., 2017). This form of
therapy will be prescribed for the condition if it has a background of signs of depression.
This mode of therapy empowers him with realistic strategies and coping techniques to
overcome the negative spiral of depression he is undergoing. Identification and evaluation,
patient knowledge and involvement with recovery, implementation of evidence-based
psychotherapy or psychotherapeutic, and appropriate follow-up focused on medication
compliance, treatment efficacy, and therapy adverse effects are all factors in successful
stress control in primary care. Adherence to treatment is a big issue in patient healthcare,
so consistent follow-up is important Comprehensive Psychiatric Evaluation Essay Example
Paper.Reflections:Major Depressive Disorder is a psychiatric illness that has a negative
impact on individuals quality of life. To improve the effectiveness of the results, clinicians
should combine treatment and medicine. To increase efficiency, the patient in the given
scenario will continue to take Duloxetine (Forsberg et al., 2019). I have discovered that
clients should be advised to take their medicine as prescribed because non - compliance will
result in harmful consequences. Although MDD has an impact on patients' quality of life,
psychologists can work to identify and manage the disorder. About the assumption that the
cause remains unclear, I found that behavioral modifications are critical in reducing the
triggers that activate the disease. Alcohol and opioid consumption, thyroid problems,
steroids, and emotional disfunction are some of the causes (Forsberg et al., 2019). Causes
can be minimized by patients because they can contribute to negative effects
Comprehensive Psychiatric Evaluation Essay Example Paper.ReferencesAmerican
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Evaluation Essay Example Paper