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.

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
Psychiatric Association [APA] (2013). Diagnostic and Statistical Manual of Mental Disorders
(DSM-5), 5th ed. Author.Belujon, P., & Grace, A. A. (2017). Dopamine system dysregulation
in major depressive disorders. International Journal of Neuropsychopharmacology, 20(12),
1036-1046. https://doi.org/10.1093/ijnp/pyx056Clarkson, P., Davies, L., Jasper, R., Loynes,
N., Challis, D., in Dementia, H. S., & Group, P. M. (2017). A systematic review of the economic
evidence for home support interventions in dementia. Value in Health, 20(8), 1198-1209.
https://doi.org/10.1016/j.jval.2017.04.004Cristea, I. A., Gentili, C., Cotet, C. D., Palomba, D.,
Barbui, C., & Cuijpers, P. (2017). Efficacy of psychotherapies for borderline personality
disorder: a systematic review and meta-analysis. Jama psychiatry, 74(4), 319-328.
doi:10.1001/jamapsychiatry.2016.4287David, D., Cristea, I., & Hofmann, S. G. (2018). Why
cognitive behavioral therapy is the current gold standard of psychotherapy. Frontiers in
Psychiatry, 9. https://doi.org/10.3389/fpsyt.2018.00004Fathi, S., Ahmadi, M., Birashk, B., &
Dehnad, A. (2020). Development and use of a clinical decision support system for the
diagnosis of social anxiety disorder. Computer Methods and Programs in Biomedicine, 190,
105354. https://doi.org/10.1016/j.cmpb.2020.105354Forsberg, K.O.N., Lydholm, C.,
Hjorthoj, C., Nordentoft, M., Mors, O., & Benros, M. E. (2019). Efficacy of anti-inflammatory

5. treatment on major depressive disorder or depressive symptoms: meta-analysis of clinical
trials. Acta Psychiatrica Scandinavica, 139(5), 404-419.
https://doi.org/10.1111/acps.13016Goldstein-Piekarski, A. N., Williams, L. M., &
Humphreys, K. (2016). A trans-diagnostic review of anxiety disorder comorbidity and the
impact of multiple exclusion criteria on studying clinical outcomes in anxiety disorders.
Translational Psychiatry, 6(6), e847-e847. https://doi.org/10.1038/tp.2016.108Kuga, A.,
Tsuji, T., Hayashi, S., Fujikoshi, S., Tokuoka, H., Yoshikawa, A., . . . Azekawa, T. (2017). An
observational study of duloxetine versus SSRI monotherapy in japanese patients with major
depressive disorder: Subgroup analyses of treatment effectiveness for pain, depressive
symptoms, and quality of life. Neuropsychiatric Disease and Treatment, 13, 2115-2124.
doi:http://dx.doi.org.lopes.idm.oclc.org/10.2147/NDT.S136448Comprehensive Psychiatric
Evaluation Essay Example Paper