Part I: Diagnostic Summary and MSE

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Part I: Diagnostic Summary and MSE

Provide a diagnostic summary of the client, Carl. Within this summary include:

· Identifying Data/Client demographics

· Chief complaint/Presenting Problem

· Present illness

· Past psychiatric illness

· Substance use history

· Past medical history

· Family history

· Mental Status Exam (Be professional and concise for all nine areas)

· Appearance

· Behavior or psychomotor activity

· Attitudes toward the interviewer or examiner

· Affect and mood

· Speech and thought

· Perceptual disturbances

· Orientation and consciousness

· Memory and intelligence

· Reliability, judgment, and insight

Part II: Analysis of MSE

After completing Part I of the Assignment, provide an analysis and demonstrate critical thought (supported by references) in your response to the following:

· Identify any areas in your MSE that require follow-up data collection.

· Explain how using the cross-cutting measure would add to the information gathered.

· Do Carl’s answers add to your ability to diagnose him in any specific way? Why or why not?

· Would you discuss a possible diagnosis with Carl at this point in time? Why?

Support Part II with citations/references. The DSM 5 and case study do not need to be cited. Utilize the other course readings to support your response.