Support your response with at least three peer-reviewed, evidence-based sources and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.
Week 1 discussion
Discussion About Tony’s Case
Tony is a high school male who was referred to a social worker by his medical doctor because of his depression and anxiety symptoms. This video is just part of the assessment, it is hard to tell if the social worker addressed all the necessary factors to do a thorough psychiatric assessment. From what we can see, I think she did pretty well approaching the client. But Tony appears guarded, and he was trying to minimize his symptoms initially, probably because the social worker didn’t introduce herself and the purpose of this conversation to him. Teenagers are very sensitive to their privacy, Tony may feel offended and reluctant to share his feeling with the social worker YMH Boston Vignette 5 video Discussion essay.
In this case, I am mostly concerned about Tony’s safety. He admitted that he lost his interest and motivation to attend school activities, he doesn’t want to be alive anymore, and he even has some ideation of hurting himself in some way. All these symptoms are the warning signs of self-harm and suicide. He needs some professional help.
I would ask for more details about his plan of hurting himself and how they handle it as my next question. Because a thorough psychiatric assessment will include the patient’s behavior and a closer detailed examination including the effect on their life, and how they manage their behavior and symptoms. Discussing suicide will not trigger the patient’s suicide action. According to the discussion, we will know the patient’s plan, so we can set some plans to prevent it from happening in real life. The discussion may let the patient have a better view of his situation and finally change his suicide ideation.
Why a thorough psychiatric assessment is so important for children and adolescents? Because a thorough and detailed psychiatric assessment is the basic information resource to make an acute diagnosis and set an appropriate treatment plan for the patient. It is an essential diagnostic tool employed by psychiatric providers to diagnose mental behavior problems. According to research, a thorough psychotic assessment could improve suicide prevention and affect the child’s future life. (Probert-Lindström, & others, 2021).
Two appropriate symptom rating scales for child and adolescent psychiatric assessment.
There are many useful symptom rating scales for child psychiatric assessment, the Pediatric Anxiety Rating Scale (PARS) and Columbia Depression Scale are two of the most used. PARS is used to rate the severity of anxiety in children and adolescents from ages 6 to 17 years. It determines the anxiety symptoms and the severity of the symptoms during the past week. The Columbia Depression Scale is a screening tool for depression in children ages 11 and up. A separate parent version is available for the parent too (Child Psychiatry Rating Scales for Primary Care Physicians, 2017).
Two psychiatric treatment options for children and adolescents are not used for adults.
Psychological therapy is a very effective treatment option for children with psych mental problems, it includes talking, role-playing, and other activities to help the children to express their feeling and ideations. Also, the child’s parents and teacher can be involved in the treatment team. The therapist could observe the behaviors and interactions between the parents, children, and teachers, and offer suitable treatment options.
Family counseling and support is another treatment option for children with mental health problems. It can help parents to understand their child’s challenges and their struggling, provide new strategies to cope with the children’s difficult behavior positively, coach parents to communicate and work with schools, etc. (National Institute of Mental Health, n.d.).
Guardian and parents’ role in the psychotic assessment
Parents and guardians play an essential the children’s psychotic assessment. It’s natural for guardians and parents to question how they raised the child when the child needs to be evaluated by a psychiatrist or hospitalized in a mental hospital. Their collateral information and point of view about the child’s mental health status are a very important part of the patient history. Sometimes, the patient may minimize, exaggerate, or lie about their symptoms, the parents and guardians could help the practitioner to clarify some information. Their involvement in the treatment plan is very impo
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