Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and
critical-thinking process to formulate primary diagnosis.
Incorporate the following into your responses in the template:
Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive
your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms
impacting their functioning in life?
What observations did you make during the psychiatric assessment?
Discuss the patient’s mental status examination results. What were your differential diagnoses?
Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to
lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what
DSM-5-TR 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.
Reflection notes: What would you do differently with this client if you could conduct the session over? 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.).
Age: 11 years old
T- 97.4 P- 58 R 14 98/62 Ht 4’5 Wt 65lbs
Background: no history of treatment, developmental milestones met on time, vaccinations up to
date. Sleeps 9-10hrs/night, meals are difficult as she has hard time sitting for meals, she does get
proper nutrition per PCP. she has a younger brother. lives with her parents in Washington,
D.C. No hx of head trauma.
Symptom Media. (Producer). (20