Assessing and Diagnosing Patients With Mood Disorders

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Accurately diagnosing depressive disorders can be challenging given their periodic and, at times, cyclic nature. Some of these disorders occur in response to stressors and, depending on the cultural history of the client, may affect their decision to seek treatment. Bipolar disorders can also be difficult to properly diagnose. While clients with a bipolar or related disorder will likely have to contend with the disorder indefinitely, many find that the use of medication and evidence-based treatments have favorable outcomes.

TO PREPARE:
Review this week’s Learning Resources. Consider the insights they provide about assessing and diagnosing mood disorders.
Download the Comprehensive Psychiatric Evaluation Template, which you will use to complete this Assignment. Also review the Comprehensive Psychiatric Evaluation Exemplar to see an example of a completed evaluation document.
By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.
Consider what history would be necessary to collect from this patient.
Consider what interview questions you would need to ask this patient.
Identify at least three possible differential diagnoses for the patient.
By Day 7 of Week 3
Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate a 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?
Objective: What observations did you make during the psychiatric assessment?
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 diagnostic criteria for each differential diagnosis and explain what DSM-5 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.).

Sample Solution

be done in good faith : a lender who manages a business to fulfil some dishonest or improper motive; some element of bad faith which is distinct from mere negligence will be in breach of their duty to act in good faith; see Medforth v Blake.
As such when a mortgagee takes possession of the mortgage property they are entitled to rents and profits generated . A mortgagee has the right to receive rents from existing tenants or grant new leases.
Section 99(2) LPA gives a Lender the right to grant new leases unless it is expressly excluded. On the other hand, a mortgagee will be bound by an existing tenancy if:
(a) The tenancy was granted before the mortgage; or
(b) It is an express term of the mortgage deed that the mortgagor could grant tenancies; or
(c) In a separate agreement the mortgagee agreed to the mortgagor granting a tenancy for the property.
If the mortgagee is not bound by an existing tenancy they may still choose to receive rents from the existing tenant. Once in possession, there is no duty on the Lender to consider the interests of the Borrower. However, ‘a mortgagee will be restrained from getting possession except when it is sought bona fide and reasonably for the purpose of enforcing the security and then only subject to such conditions as the court thinks fit to impose.
In Quennell v Maltby, the lender refused to bring proceedings against the tenants of the borrower because the borrower wanted to sell his house with vacant possession. The Borrower’s wife paid the full sum owing to the bank and became the Lender’s successor. When she sought possession of the property from the tenants, the court held that it was entitled to investigate the purpose of the legal relationship formed between the lender and borrower before granting a lender possession. It held that a lender must only enforce its security in good faith and that the bank was correct not to bring the action against the tenants.
A mortgagee who takes possession, leaves the mortgagor without control over the property. The mortgage property itself or the business being carried out generates rents and profits that the Borrower would use to repay the secured debt to the Lender.

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