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Discussion Impulsivity and Compulsivity

ASSIGNMENT 1

Unit 12: Discussion Impulsivity and Compulsivity

Instructions

It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed.

Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.

Initial Response

Instructions:

  1. Please describe the role of the mesolimbic dopamine pathway in the development or continuation of impulsive/compulsive behaviors.
  2. Please provide two examples of current research on interventions to reduce or eliminate compulsive/impulsive behavior related to addiction.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

ASSIGNMENT 2

Unit 3 Discussion – ICD-10 Codes

Discussion: Unit 3, Due Wednesday by 11:59 pm CT

ICD-10 Codes

Instructions:

It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling.

Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.

Initial Discussion Question/Prompt

Consider the following questions in your initial discussion post:

Initial Post

  • Use your lecture materials to determine what ICD-10 Codes to assign for this patient encounter.
  • In paragraph form, construct a discussion that supports the Codes you identified.
  • In the discussion explore how the ICD-10 Codes that you assigned impact third party payor reimbursement for this visit.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

ASSIGNMENT 3

Instructions

Each week you will be given a prompt to write a reflective journal assignment that will allow you to investigate areas for clinical preparation in psychiatric mental health.  The reflective journal should be substantive, containing a minimum of 250 words.  Supporting evidence for your thoughts and ideas should come from a minimum of one scholarly source.  Sources should have in-text citations where appropriate and be referenced on a reference page according to APA 7th Edition standards.

Review the video showcasing the mental status exam:

https://www.youtube.com/watch?v=14s9jMf4vR8&t=1s

Give a brief summary of the components of the mental status exam.  Why is this critical to the care of the mental health patient?

Instructions

Choose one diagnosis from the Bipolar and Related Disorders group.

  • American Psychiatric Association. (2013).  Diagnostic and statistical manual of mental disorders(5th ed.). American Psychiatric Publishing, Inc.
  • Scan pages 123 through 188

Overview

As you will learn throughout the program, the diagnosis of a variety of psychiatric illnesses is not always an easy or straightforward process. Multiple observations and assessment methods are often employed to reach a diagnosis. This approach can include the use of standardized assessment instruments.  This then aids you in defining a treatment plan and choosing specific treatment plans to use in the care of your clients.

You are tasked with identifying a standardized assessment instrument/tool to measure the disorders listed for each week. You will keep these instruments in the form of a “portfolio” that you can use in your clinical practice to assess clients who present with a variety of symptoms.

Instructions:

Instrument/ Tool criteria:

For each assessment, you are tasked with selecting, you will identify an instrument and:

  1. List what DSM diagnosis the tool/instrument is used for.
  2. Identify an assessment/diagnosis instrument.
  3. Appraise a scholarly, peer-reviewed article that addresses the use of the instrument to support your choice as an evidence-based instrument for practice.
  4. Evaluate the instrument’s appropriateness for diagnosing the condition it is designed to assess or if the developers of the instrument reported that the instrument is only part of a comprehensive assessment for the disorder.
  5. Describe whether or not the instrument can be used to measure patient response to therapy/treatment or if it is strictly for assessment and diagnosis.
  6. Discuss the psychometrics/scoring of the instrument, including reliability and validity.
  7. Discuss any limitations associated with the use of the instrument.
  8. Include a link to view the assessment if possible.

Use the following template in completing your portfolio assignments. Your information can be in bulleted format or just a couple of sentences for each criterion listed above. However, you must use APA citations.  You are NOT required to write this in a paper format.  Turn in one document for each week’s topics.  (However, create a file on your desktop to compile your portfolio as you move through the term.)  This will ensure you can have easy access to show the full portfolio and once you begin clinicals and practice.  Throughout the program, you will continue to add to the portfolio in each course.

ASSIGNMENT 5

Medications for Pain Management

Instructions

It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.

Initial Response

Instructions:

  1. Why are many parties, including the U.S. Government, concerned about the use of opioids for pain management?
  2. Which mental health disorders are commonly associated with patients who also need pain relief?
  3. What is an MME and how is it calculated?

Assessment Instruments

Unit 3 Discussion – ICD-10 Codes

Discussion: Unit 3, Due Wednesday by 11:59 pm CT

ICD-10 Codes

Instructions:

It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.

Initial Discussion Question/Prompt

Consider the following questions in your initial discussion post:

Initial Post

  • Use your lecture materials to determine what ICD-10 Codes to assign for this patient encounter.
  • In paragraph form, construct a discussion that supports the Codes you identified.
  • In the discussion explore how the ICD-10 Codes that you assigned impact third party payor reimbursement for this visit.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Student Example Anxiety and Related Disorders

Week 7

 

Instrument: Social Phobia Inventory (SPIN)

 

Article: Psychometric properties of the Social Phobia Inventory

 

Appropriateness for Dx: This tool is meant for screening of individuals with social phobia and assignment of a severity score (Connor et al., 2000). The tool was created in congruence with DSM-4 but is consistent with the DSM-5 diagnosis of social anxiety disorder, minus some minor changes (Substance Abuse and Mental Health Service Administration [SAMHSA], 2016). Although the study is outdated, Duke University School of Medicine (2020) acknowledges that the tool is still relevant and utilized by their Anxiety and Traumatic Stress Program.

 

Response to Therapy/Treatment: The SPIN is appropriate for testing treatment response and through studies has proven sensitive to symptom changes over time. Changes in scores are able to determine treatment efficiency (Connor et al., 2000).

 

Psychometrics: The tool is self-administered and consists of 17 separate statements regarding problems a patient may exhibit if they have social phobia. The statement is then rated on how much it has bothered the individual in the last week, from ‘not at all’ (0) to ‘extremely’ (4). Any score over 21 is considered clinically significant. In the study, the assessment tool was able to effectively separate individuals with and without social phobia. Validity is strong in regard to detecting the severity of illness and is sensitive to symptom reductions during treatment. The scale shows significant correlation with the Liebowitz Social Anxiety Scale Test, The Brief Social Phobia Scale and The Fear Questionnaire social phobia subscale (Connor et al., 2000).

 

Limitations: Limitations exist in the tool’s alignment with DSM-4 instead of the more recent edition, although differences are very minor (SAMHSA, 2016). With a cutoff score of 19, sensitivity and specificity were good, but some individuals consider the cutoff score to be 15, in which these measures are weaker (Connor et al., 2000).

 

References

 

Connor, K., Davidson, J., Churchill, E., Sherwood, A., Foa, E., & Wisler, R. (2000).

Psychometric properties of the Social Phobia Inventory. British Journal of Psychiatry, 176, 379-386.

Last Updated on July 26, 2023

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