Introduction
Determining correct diagnoses, medications, and other interventions is the key to success in mood disorder treatment in psychiatry. These disorders can either happen or not happen later. The late stage may undoubtedly cause someone to suffer. By developing a focused SOAP Note, this essay is oriented to interpret the case study in Petunia Park using the information provided in different sources. This case will take us into the extensive difficulty with regard mood disorders, highlighting the relevance of the complete approach for the process of psychiatric evaluation as well as treatment.
Subjective Component
According to the report of Petunia Park, he had an emotional experience of deep sorrow and a reduced interest in things he previously found amusing. This situation persisted for more than six months. In sync with these emotional characteristics are the physiological symptoms of mental exhaustion and disrupted sleeping cycle, as well as cognitive difficulties like difficulty concentrating and being unable to make decisions. Petunia’s family background suggests a possible “depressive disorder” link because the same depressive condition seavers to pregnant Petunia’s multiple family members. Besides, according to her diagnosis, the doctor indicated the patient not only has psychiatric disorders with which hypothyroidism, a potential complication, could overlay, implying a comprehensive diagnostic and therapeutic approach (Khalid & Hirst-Winthrop, 2022).
Objective Component
During Petunia Park’s physical examination, her vital signs were recorded as follows: temperature of 98.2°F, pulse rate of 90 beats per time, breathing rate of 18 times per minute, and blood pressure of 138/88 mmHg. Laboratory tests disclosed a full metabolic profile (CMP) and a complete blood count (CBC), which was within a normal range (Angerame et al., 2021). Also, the reviewed lipid panel does not reflect any anomalies, clarifying that there were no obvious health-related issues at that time. The urine sample came back clear, with no presence of drugs or alcohol, which ruled out substance use as a probable cause. Though the TSH level could be the greatest baggage of 6.3, this could likely depict the potential thyroid problems,
Assessment
The MSE of Petunia Park Ally indicated that Petunia showed depression, indicating that her affect was exceptionally flat (MONICA, 2023). Her seized logic showed through, although the thoughts were rather gloomy, and there were no elements of delusions or hallucinations. Cognitive screenings showed poor decision-making skills and a decline in the ability to focus. The suggested differential diagnosis options include such conditions as MDD, dysthymia (Persistent Depressive Disorder), and hypothyroidism-related Mood Disorder. Firstly, depression (MDD) is the most plausible diagnosis, which is implied by the criteria of persistent sadness and loss of interest as well as functional impairment according to the DSM-5-TR, aside from no records of manic episodes, which are in agreement with Petunia’s present condition.
Plan
CBT is Petunia’s viable choice for treatment because of its track record in the management of depression in that it identifies and resolves negative thought patterns (Drossman, 2022). SSRIs, e.g., sertraline, are recommended by doctors because it has a high success rate in treating depression with little side effects. One can acquire endurance, besides a better frame of mind and dress reduction e, by establishing the role of exercise and meditation as helpful nonpharmacologic interventions. Regular checkups that start bi-weekly will be used to check if symptoms are getting better and if any other side effects from the treatment are happening. Educating Petunias on the burden of depression, the importance of treatment continuity, as well as lifestyle modifications like diet and exercise will help her strategize better and lead them to improvement in the management of her condition. Useful nonpharmacologic interventions. Regular checkups that start bi-weekly will be used to check if symptoms are getting better and if any other side effects from the treatment are happening. Educating Petunias on the burden of depression, the importance of treatment continuity, as well as lifestyle modifications like diet and exercise will help her strategize better and lead them to improvement in the management of her condition.
Reflection Notes
This instance has provided me with enriched knowledge regarding the complexity of diagnosing and treating mood disorders, pinpointing the necessity of comprehensive medical care (Grant, 2023). An obstacle was the inability of the doctor to distinguish between physical health problems and the psychiatric condition. In the coming circumstances, it would be great if these cases were handled using an all-inclusive approach, providing cooperation across specialties. By addressing legal and ethical aspects, namely patients’ autonomy and the common stigma people connect with mental health, prompt action has been taken. The knowledge about the impact of the social determinants on Petunia health was an instrument that stressed the necessity of individualized preventive activities.
Conclusion
Given the Focused SOAP Note for Petunia Park that highlights the fatalistic, research-based design for managing disorders, it is clear that this work. Comprehensive psycho-social and multi-dimensional psychosomatic evaluation, including not only clinical aspects and patient-reported symptoms w, was undertaken, and the treatment plan was organized, targeting psychotropic drugs and changes to the patient’s lifestyle. This case proves how clinical input can merge and become one with stories told by a patient in order to receive personalized care.
References
Angerame, M. R., Holst, D. C., Phocas, A., Williams, M. A., Dennis, D. A., & Jennings, J. M. (2021). The usefulness of perioperative laboratory tests in total hip and knee arthroplasty: Are they necessary for all patients? Arthroplasty Today, 7, 136-142.
Drossman, D. (2022). Gut Feelings: The Patient’s Story (Vol. 2). Drossman Care.
Grant, K. W. (2023). Fundamentals of Psychological Diagnosis (Volume 2): DSM-5-TR Essentials for Clinicians. Kevin William Grant.
Khalid, F., & Hirst-Winthrop, S. (2022). ‘Mammy’s supposed to be strong and supportive–not sitting in a corner rocking and crying’: an interpretative phenomenological analysis of British mothers’ experiences of postnatal depression. Journal of reproductive and infant psychology, 40(3), 299–310.
MONICA, C. (2023). Show Me Where It Hurts: Manifesting Illness and Impairment in Graphic Pathography. Penn State Press
write