Family assessment and psychotherapeutic approaches

The Assignment

Document the following for the family in the video, using the Comprehensive Evaluation Note Template:

Chief complaint

History of present illness

Past psychiatric history

Substance use history

Family psychiatric/substance use history

Psychosocial history/Developmental history

Medical history

Review of systems (ROS)

Physical assessment (if applicable)

Mental status exam

Differential diagnosis—Include a minimum of three differential diagnoses and include how you derived each diagnosis in accordance with DSM-5-TR diagnostic criteria

Case formulation and treatment plan

Include a psychotherapy genogram for the family

Note: For any item you are unable to address from the video, explain how you would gather this information and why it is important for diagnosis and treatment planning.

A MOTHER and A DAUGHTER:

00:00:35

A CULTURAL TALE

00:00:35

AN INTERVIEW WITH

00:00:35

GONZALO BACIGALUPE, PhD

00:00:35

Produced by

00:00:35

Andrews & Clark

00:00:35

Explorations, Inc.

00:00:35

copyright 2003

00:00:35

GONZALO BACIGALUPE When I’m asked to do a consultation, one of the first things I ask is, what will be the most benefit for the client and the therapist and in the case that you’re going to see I’m basically asked to have a reflecting team and what we did was first have an interview with the therapist and the family and ask them what they will find useful for the interview and basically to ask them about the history of the therapy and the history of what are the kinds of things that they have been working on. I ask the reflecting team to come in and I instructed them to think of themselves as so let the god mothers of the therapist, who in a way, put them, himself, or in this case herself at risk in front of her peers and another people. So, I wanted them, the reflecting team to address the therapeutic system as a whole not just to address the family, I wanted them to talk also about the therapist and to be protective of them. I also ask the reflecting team not to be too much of clinician, but to really react on a more personal level around the family. I sometimes reflected on what they were saying to clarify or to expand the idea or how I understood it to give voice to other possibilities, but respecting the personal peace, and then, I ask I ask the family to come back to, in a classical way, to respond to those comments what strike them. In the case that we watch, it seems that the family was dealing with sort of like two forms of trauma and/or three forms of trauma; one is, history of battering the domestic violence, child sexual abuse, a history of immigration that in some ways we lay it to that trauma getting away from it and basically the mother of five children deciding that they need to move out of the home, but in the process leaving one behind who is later on sexually, I mean, raped by the father. And then at the present moment mother dealing with a fairly traumatic illness that have her, very disable, unable to walk and to work. So, it’s sort of like the interview trying to address this different forms of trauma and the way in which the young adults are trying to make sense of their bicultural life and how the whole family is trying to make sense of being bicultural and being immigrants. The session doesn’t end with a need or incredible intervention of my part because I feel that this is the part of the therapist to try to decide, this is the family that’s been working this therapist for year and half. Therefore, they have a relationship I feel that I need to respect and so those are the basic inter comments. So tell me how is it that you came out

NRNP/PRAC 6645 Comprehensive Psychiatric

Evaluation Note Template

INSTRUCTIONS ON HOW TO USE EXEMPLAR AND TEMPLATE—READ CAREFULLY

If you are struggling with the format or remembering what to include, follow the
Comprehensive Psychiatric Evaluation Template

AND
the Rubric
as your guide. It is also helpful to review the rubric in detail in order not to lose points unnecessarily because you missed something required. Below highlights by category are taken directly from the grading rubric for the assignments. After reviewing full details of the rubric, you can use it as a guide.

In the
Subjective section, provide:

· Chief complaint

· History of present illness (HPI)

· Past psychiatric history

· Medication trials and current medications

· Psychotherapy or previous psychiatric diagnosis

· Pertinent substance use, family psychiatric/substance use, social, and medical history

· Allergies

· ROS

·
Read rating descriptions to see the grading standards!

In the
Objective section, provide:

· Physical exam documentation of systems pertinent to the chief complaint, HPI, and history

· Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses.

·
Read rating descriptions to see the grading standards!

In the
Assessment section, provide:

· Results of the mental status examination,

presented in paragraph form.

· At least three differentials with supporting evidence. List them from top priority to least priority. Compare the
DSM-5 diagnostic criteria for each differential diagnosis and explain what
DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis.

Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case

.

·
Read rating descriptions to see the grading standards!

Reflect on this case. Include what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations (


demonstrate critical thinking beyond confidentiality and consent for treatment

!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

(The comprehensive evaluation is typically the

·

·

·

Genograms for Psychotherapy

I.

What is a Genogram?

II.

How to Create a Genogram

a.
Gender

b.
Family Relationships

c.
Emotional Relationships

d.
Children

e.
Lifespan

f.
Additional Information

g.
Putting it All Together

III.

Using Genograms in Psychotherapy

a.
Assessment

b.
Individual Therapy

c.
Family Therapy

d.
Don’t Forget Strengths

IV.

References

Every generation, families pass a piece of themselves to their kin. The things that are passed down can be beautiful or valuable, like stories, culture, knowledge, and belongings. Or, they can be mostly insignificant, like a cowlick and green eyes from one’s grandfather.

Other times, more insidious traits can be passed through generations. Sometimes there’s a genetic predisposition to addiction or depression. Other times, unhealthy ways of thinking and behaving are passed down socially, through example.

Genograms provide a way for us to examine these patterns. They bring a family’s strengths and weaknesses out into the open. Genograms set the foundation for nurturing generational strengths and overcoming weaknesses.

Why work with us?

Authenticity:

All of our papers are authentic, as each paper of ours is composed according to your unique requirements. Confidentiality: We value you data. Our company is extremely efficient in guarding the privacy of our clients. 100% Money Back Guarantee: In the event you cancel your order, you get your money back as soon as possible, we give a 100% refund. 24/7 Support: Our team members are available via email, live chat, and phone. Revision Policy: You can apply for a revision if you think your paper could be better. In this case, your paper will be revised either by the specialist assigned to you or by another writer.

How the Platform Works

• Click on 'Place Your Order' tab on the menu or click on 'Order Now' tab at the bottom and a new order page will appear
• Fill in your requirements depending on your needs under the 'PAPER DETAILS' area
• In the next section, fill in the academic level, required number of pages, paper deadline as provided in the drop-down menus.
• To enter your registration details, click on 'CREATE ACCOUNT & SIGN IN'. This step allows you to create an account with us for purposes of record-keeping. Click on 'PROCEED TO CHECK OUT' at the bottom of the page
• The next section requires you to fill in the payment details. Follow the guided process and soon your order will be available for our team to work on.