Assessing, Diagnosing, and Treating Adults with Mood Disorders
Mood disorders are a category of psychiatric illnesses that typically affect a person’s psychological state of well-being (Sadock et al., 2015).Although mood disorders can negatively impact an individual’s life, relationships, and employment, they can be successfully treated with the proper use of psychotropic medications and psychotherapy.The purpose of this assignment is to develop a SOAP note based on the evaluation of the client in case study for this week’s assignment.A comprehensive assessment will be provided, along with a diagnosis, and a designed treatment plan based on best-evidence-based practice standards and clinical guidelines. Focused SOAP Note Subjective: CC:The client presents today for a mental health assessment complaining of having a history of taking medications, then stopping them, because she does not think she needs them.She reports that the feels as if the medications “squashes” who she is (Walden University, 2021). HPI:Petunia Park is a 25-year-old white female who presents today for a mental health assessment. The client reports that she has been admitted to the hospital four times for mental health issues. The client reports that she was first hospitalized as a teenager by her mother because she had gone 4-5 days without sleeping. In 2017, the client was hospitalized for an attempted suicide when she overdosed on Benadryl, at which time she reports hearing voices.The client reports that she was hospitalized after being found by the cops dancing around in a field in her nightgown with her guitar. Although she feels as if her mom made up this story to force her to go back to live with her boyfriend. The client reports that she has been diagnosed with depression, anxiety, and bipolar disorder in the past. She has been prescribed Zoloft in the past and reports that it made her feel really “high” and she couldn’t sleep due to racing thoughts. Risperdal and Seroquel caused her to gain weight which she did not like. The medication Klonopin she reports slowed her down some which she did not like either. The client reports that four to five times a year she has times where she does not want to get out of bed, has no energy, no motivation to do anything, loss of interest in things she enjoys, and feels worthless.
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