Comprehensive Integrated Psychiatric Assessment discussion essay examples – YMH Boston Vignette 4 video 1 Based on the YMH Boston Vignette 4 video, post answers to the following questions:

 

•What did the practitioner do well? The practitioner built report with the client and informed Sean of his right to privacy and confidentiality. By building trust with the client, it allows the client to be honest and more open during the evaluation process. The practitioner also asked questions that lead to the client stating what he felt the problem at hand was before giving feedback. During the evaluation process, the practitioner was able to aid the client into revealing his prospective of the current situation such as his mother’s nagging behaviors and the client revealing that he does not feel comfortable opening up to his mother. Further on in the evaluation process, the practitioner identified what makes the client feel comfortable talking to others such as his coach giving him advice, someone being there to listen, and not feeling pressured into following the advice. Comprehensive Integrated Psychiatric Assessment discussion essay examples – YMH Boston Vignette 4 video.

•In what areas can the practitioner improve? In the evaluation process, I didn’t observe any information given on the parents/family health or psychiatric history.  More information should have been given about the adolescent’s health, illness, treatment, and current medications.

•At this point in the clinical interview, do you have any compelling concerns? If so, what are they? No, there are no compelling concerns. Since the problem was identified during the evaluation, a treatment plan can be established.

•What would be your next question, and why? The next question would be if the client or parents have any concerns regarding the evaluation. “Parents are often worried about how they will be viewed during the evaluation. Child and adolescent psychiatrists are there to support families and to be a partner, not to judge or blame. They listen to concerns, and help the child or adolescent and his/her family define the goals of the evaluation” (American Academy of Child and Adolescent Psychiatry, 2018). By asking questions about any concerns, it helps to address any worries that might hinder treatment Comprehensive Integrated Psychiatric Assessment discussion essay examples – YMH Boston Vignette 4 video.

American Academy of Child and Adolescent Psychiatry. (2018).

Comprehensive Psychiatric Evaluation. Retrieved from https://www.aacap.org/aacap/families_and_youth/facts_for

_families/fff-guide/Comprehensive-Psychiatric-Evaluation-052.aspx

Comprehensive Integrated Psychiatric Assessment discussion essay examples – YMH Boston Vignette 4 video Response 1

A concern that I had after watching the scenario was the patient’s anger.  The reason for referral was that the patient’s mother thinks that he has an anger management problem and the patient confirmed that he“loses his temper” (YMH Boston, 2013). The initial session is identified as a key time to focus on specific problems and previous interventions ( Nichols, 2014). My next question regarding his anger would be what does it look like when he loses his temper? How does his mother respond? The practitioner helped to identify persons with whom the patient was comfortable talking to. The patients identified hid coach as “ Yoda” this was also mildly concerning related to the” myth of the hero” ( Nichols, 2014).

 

References

Nichols, M (2014). The Essentials of Family Therapy (6th ed).  Upper Saddle River, NJ: Pearson Education

YMH Boston. (2013c, May 22). Vignette 4 – Introduction to a Mental Health Assessment [Video file]. Retrieved from https://www.youtube.com/watch?v=JCJOXQa9wcE