mental health

Part 1

One reason it is important to gather detailed and extensive information from any patient before you counsel him/her or make medication suggestions is to gather as much data as possible to properly diagnose the patient. The more data that is gathered and documented, the more likely a proper diagnosis will be made.

A second reason it is important to gather detailed and extensive information from any patient before you counsel him/her or make medication suggestions is to establish a baseline for future evaluation of the patient. Gathering information on the history of the disorder will help determine if progress in being made or if additional treatment should be considered.

A third reason it is important to gather detailed and extensive information from any patient before you counsel him/her or make medication suggestions is to determine if there are non-pharmalogical interventions that could be used as an alternative or in addition to medications. This may include therapy, nutritional changes, exercise programs, etc.

Part 2

Malingering is the deliberate fabrication or exaggeration of physical or psychological symptoms. Malingering can be found in a variety of settings, including hospital wards and workers’ compensation claims. The presentation of malingering varies depending on the goal of the malingerer. For example, in a hospital setting a patient may feign physical symptoms in order to obtain pain medication or to get out of school or work. In contrast, in a forensic setting a defendant may feign amnesia for the purpose of avoiding a conviction for murder.

Malingering can be differentiated from other mental disorders by evaluating an individual’s motives and goals, as well as by evaluating external incentives for deception. For example, an individual facing criminal charges for insurance fraud would have an incentive to exaggerate their symptoms, whereas an individual who was diagnosed with major depressive disorder would not have such an incentive.

Reference:

Salgado-Somoza, A., Teijeira-Fernández, E., Fernández, Á. L., González-Juanatey, J. R., & Eiras, S. (2010). Proteomic analysis of epicardial and subcutaneous adipose tissue reveals differences in proteins involved in oxidative stress. American Journal of Physiology-Heart and Circulatory Physiology, 299(1), H202-H209.

Roehr, B. (2013). American psychiatric association explains DSM-5. Bmj, 346.

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It is very important for all mental health professionals to take very detailed and thorough historical information from their patients. This information should include an adequate social history, complete medical history, and a full mental status examination with a probable treatment plan.

• Describe three reasons it is important to gather      detailed and extensive information from any patient before you counsel      him/her or make medication suggestions.  Use evidence-based research      to support your position.
• Define malingering.  Discuss two ways to      differentiate between malingering and a DSM5 diagnosis.  Use      evidence-based research to support your position.
• Your initial post should be at least 500      words, formatted, and cited in current APA style with support from at      least 2 academic sources.

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