Saturday, March 30, 2019
Major Depressive Disorder Assessment Strategies
major(ip) Depressive Disorder perspicacity StrategiesIntroductionThe mental health problem that I have selected is Major Depressive Disorder.This can be know by low mood, low self-esteem and loss of pleasure in normal activities. This is known by many names such as clinical effect, unipolar depression and major depressive disorder. The symptoms interfere with whole areas of a persons life- personal, social and economic and are experienced nigh days and have been present for at least two weeks. mental picture can be described as mild, moderate or operose melancholic or psychotic. (BeyondBlue, 2014)Depression has a high lifetime preponderance one in seven Australians will experience depression in their lifetime. (ABS, 2009). Ranked 13.3%, depression has the third highest burden of all diseases in Australia (AIHW, 2007).Assessment FrameworkThe purpose of a directing a clinical appraisal is to cope with information enabling the clinician to determine what is likely to be causi ng scathe in the singles functioning. I would develop a dead reckoning and proceed to rule in/ rule out associated disorders while progressing through the process. Each individual gaffe would require ingestation for options regarding, query, symptoms checklists and behavioral sound judgments. (Goldfinger Pomerantz, 2010)The incorporated process of assessment would includeFile Review Collateral infoI would check the GP referral and conduct a file critical review, valuate historical information and copies of broods and notes from previous interviews. (Week2, Weekly Notes). I would likewise rumple collateral information from significant others to assist in the overall assessment of the individualClinical AssessmentTo determine what symptoms the individual is presenting I would conduct a face-to-face initial interview. I would establish parameters of assessment (e.g. inform consent and confidentiality) and build rapport with the individual through the acceptance, under standing and respect. (Phares Trull, 1997). This would enable the individual to feel comfortable and gain trust in the process. Groth-Marnat (2003) cover the benefit of the face-to-face interview as enabling the clinician to make behavioural observations and note the idiosyncrasies and reaction to their current challenges and difficulties including the risk of harm to self and others. I would take note of the history of the presenting difficulties and note the onset of symptoms. I would also conduct a psychosocial evaluation. (Wright, 2011).Psychological Testing Selection, administration and interpretationA psychological test uses standardised materials, administration instructions, time limits and scoring procedures for all test takers.(Cohen et al, 1996). This step in the process would assess the individuals appearance, behaviour, speech, mood, thought processes, attention, memory and level of consciousness through the use of the kind experimental condition Examination (Daniel Crider, 2003). I would also assess the presence of symptoms lucid with diagnostic criteria for depression. As outlined in Wright (2011), to support the hypothesis of depression I would use self-report, symptom focused measure such as Structured Clinical Interview for DSM Disorders (SCID) or Beck Depression Inventory (BDI) during the interview phase. In selecting the diagnostic tools I would review validated assessment tools in line with major international classification for depressive conditions such as DSM-IV-TR Criteria for Major Depressive Episode and Major Depressive Disorder (APA, 2000). I could use the Minnesota Multiphasic spirit Inventory (MMPI-2) to help develop treatment plans and differential diagnosis (Butcher et al, 1989).A trained professional with the expertise in depressive disorders should administer, score and interpret the information. The digest of test scores would be transformed into a standardized mensurable and compared to various sets of norms.Psychol ogical tests are only one element of the assessment and should never be used alone as the sole tooshie for a diagnosis. A detailed history of the individual and a review of psychological, medical, educational, or other relevant records are required to lay the tail end for interpreting the results of any psychological measurement. (FAQS, 2014)Psychological Assessment Report FeedbackIn the writing of the report I would first determine who the audience would be- i.e. referring GP, case manager or individual and include background information that had been garner during the semi- organise interview. The outline of each test conducted and the results of the symptom and behavioral checklists, along the results from structured interview and behavioral assessment would be included in the report. (Goldfinger Pomerantz, 2010) limiting of approach for different individual populationsCultural and language differences in the individual may affect test performance and may result in inaccurat e test results. There is also the potential for the standardized examen to exhibitcultural bias (Goldstein Hersen, 2000). I would need to be sensitive before psychological testing begins if the individual is not fluent in English and/or belongs to a minority culture. I would need to consider the inclusion of an interpreter or cultural support person during the assessment. (ACAP, 2013) contrasting tests would also need to be considered that were age specific i.e. Child, Adolescent or Elderly.ConclusionOverall, the psychological assessment holds avitalrole in counseling and clinical practice. Without the useof psychological testing, the treatment of thepatientwould not be as effective and fewer the great unwashed wouldreceivethe necessaryhelpthey need to live a healthy life.ReferencesAmerican Psychiatric draw (2000). Diagnostic and statistical manual of mental disorders. (4th Text Revision ed.) Washington, DC American Psychiatric Association.Australian Bureau of Statistics (2009) . National Survey of psychogenic Health and Wellbeing Summary of Results, 4326.0, 2007. ABS Canberra.Australian College of Applied Psychology (2013) palliate the Counselling ProcessAustralian Institute of Health and Welfare (2007). The tear of Disease and Injury in Australia. AIHW Canberra.Beyond Blue (2014) Sign and Symptoms. Retrieved 20/08/14 from Beyond Blue website http//www.beyondblue.org.au/the-facts/depression/signs-and-symptomsButcher, J. N., Dahlstrom, W. G., Graham, J. R., Tellegen, A, Kaemmer, B. (1989).The Minnesota Multiphasic Personality Inventory-2 (MMPI-2) manual(a) for administration and scoring. Minneapolis, MN University of Minnesota Press.Cohen, R.J., Swerdlik, M.E., Phillips, S.M. (1996) Psychological testing and assessment An cornerstone to tests and measurement (3rd ed.). Mountain View, CA, US Mayfield Publishing Co. (1996). xxviii 798 pp.Daniel, M. S., Crider, C. J. (2003). Mental Status Examination.Diagnostic interviewing (3rd ed.).FAQS (2014) Psycho logical tests Retrieved 20th August 2014 from FAQS.org website http//www.faqs.org/health/topics/56/Psychological-tests.htmlixzz3AvfH5RMRGoldfinger, K., Pomerantz, A. M. (2010).Psychological assessment and report writing. Los Angeles, CA SAGE.Goldstein, G. Hersen, M. (Eds.). (2000).Handbook of Psychological Assessment (3rd ed.). New York PergamonGroth-Marnat, G. (2003).Handbook of psychological assessment(4th ed.). Chapter 3,Laureate Online knowledge (2011) Week 2, Weekly notes Assessments in mental health https//elearning.uol.ohecampus.com/bbcswebdav/institution/UKL1/ correspond/201480_AUGUST/APPTRE/readings/APPTRE_Week02_weeklyNotes.htmlPhares, E.J. Trull, T.J (1997) Clinical psychology concepts, methods, and professionWright, A. J. (2011).Conducting psychological assessment A attract for practitioners. Hoboken, NJ John Wiley Sons.
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