See attached instructions and use the link to complete the assignment 

link: https://www.youtube.com/watch?v=Gm3FLGxb2ZU


Instructions:

Respond to your colleagues by offering additional insights or alternative perspectives on their analysis of the video, other rating scales that may be used with children, or other treatment options for children not yet mentioned. Be specific and provide a rationale with evidence.

**minimum of three (3) scholarly references are required for each reply cited within the body of the reply & at the end**


Reply #1

Lauranne Brown 

Discussion-Initial Post

Top of Form

Depression in children and adolescents is a significant problem that involves multiple dimensions and treatment options. In this evaluation of depression and anxiety in an adolescent male, several aspects of the practitioner’s intervention techniques will be explored in addition to various aspects of depression assessments and treatment.

 


Practitioner Analysis

 

The practitioner did an adequate job in asking specific questions to pinpoint the patient’s symptoms of depression and/or anxiety. This was evidenced by the practitioner asking about the client’s mood, feelings about school, substance abuse and eliciting the trigger for the client’s depression (YMH Boston, 2013). Particularly important was the clinician’s assessment for suicidal symptoms which was completed during the interview (YMH Boston, 2013). The practitioner could improve by developing a rapport with the client initially that includes getting to know the patient by asking about hobbies, interests, support systems, strengths and exploring any other concerns from the client’s perspective (Thapar et al., 2015). Moreover, additional questions regarding the patient’s sleep and eating patterns should be ascertained during the interview (Hilt & Nussbaum, 2016). Compelling concerns were raised towards the end of the video when the patient expressed, “I don’t even want to be alive” then admitted to thoughts of wanting to hurt himself (YMH Boston, 2013). The next question that should be asked would be if the client has developed a specific plan on how he would hurt himself, if he has had self-harm behaviors currently, and if he has ever had a suicide attempt or self-harm behaviors in the past (Hilt & Nussbaum, 2016). If the answer is yes, the methods used and how long ago would be important to determine (Hilt & Nussbaum, 2016). The reason for these questions is to determine the current and past level of suicide risk (Hilt & Nussbaum, 2016).

 


The Psychiatric Assessment

 

A thorough psychiatric assessment is important for a variety of reasons. According to Bernaras et al. (2019), many factors may contribute to a child’s feelings of depression or anxiety and includes b


Instructions:

Respond to your colleagues by offering additional insights or alternative perspectives on their analysis of the video, other rating scales that may be used with children, or other treatment options for children not yet mentioned. Be specific and provide a rationale with evidence.

**minimum of three (3) scholarly references are required for each reply cited within the body of the reply & at the end**


Reply #2

Abigail Penichet 

Week 1 Abby Initial Post 
Attachment




COLLAPSE

Top of Form

When evaluating the video by YMH Boston 
Vignette 5 there are many things to consider with this patient’s care. When taking care of children and adolescents it is important to be able to differentiate the care plan differences between them and adults. The purpose of this discussion is to discuss this patient’s case but also how the care between children and adults differs.

Video

The practitioner I felt like listened to the patient very well. She asked a question and then followed up the answers he gave. She also repeated back the answers he gave and allowed him to elaborate further on the answers he gave. Sadock, et al. (2015) explains that it is important to establish the child or adolescents’ hobbies, relationships with family and friends and any recent events that precepted changes that lead to the interview. The practitioner did a good job or asking questions about what had been happening in his life and if he was still finding joy in the things he must do. I do not think there was much she could have improved on during the short interview I saw. The questions about his mood she came back to in a different line of questioning that he ultimately opened up more with.

Concerns

The most compelling concern would be that he expressed the feelings of not wanting to be alive. When pushed further on if he is having thoughts of hurting himself, he stated yes. It would be important to explore further if he has a plan or has made an active attempt of suicide recently or ever in the past. Moon, et al. (2020) explains that death by suicide is the second leading cause of death for youth and adolescents in the United States with a continued trend up. Being diligent about the comments the patient makes is important because we as the providers need to gauge the ser