Assessment: What were your differential diagnoses? Provide a minimum of three (3

Assessment: What were your differential diagnoses? Provide a minimum of three (3) possible diagnoses. List them from highest to lowest priority. What was your primary diagnosis, and why?
Reflection notes: What would you do differently in a similar patient evaluation? Reflect on one social determinant of health according to the HealthyPeople 2030 (you will need to research) as applied to this case in the realm of psychiatry and mental health. As a future advanced provider, what are one health promotion activity and one patient education consideration for this patient for improving health disparities and inequities in the realm of psychiatry and mental health? Demonstrate your critical thinking.
Include at least five (5) scholarly resources published less than 5 years to support your assessment and diagnostic reasoning.
Discuss what you learned and what you might
do differently. Also include in your reflection a discussion related to
legal/ethical considerations, social determinates of
health, 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.).
This case is about a 31-year-old
Caucasian female who presents today to the clinic to establish care for moods. The patient stated she has been suffering from depression for more than 2 weeks on most
days. The patient stated she has had a diminished loss of interest and pleasure in
activities for two weeks. She claims that depression has caused impairment in
social function. She has been having a hard time sleeping, increase agitation, and admits to having low energy. The patient stated she feels worthlessness and
excessive guilt. The patient claims she has been unable to think or concentrate.
My diagnosis are: Bipolar disorder, Major depressive disorder,
and Generalized anxiety disorder.

As we are learning, substances can be those that are prescribed by a physician,

As we are learning, substances can be those that are prescribed by a physician, purchased over the counter, found in the kitchen, or bought from the local “dealer.” They may make us feel more “adult”, “cool,” sexy, “to fit in and be one of the guys”, or even to just get high. We use them to wake up in the morning, relax during the day, go off to sleep at night. We take them to feel powerful, to lose weight, to heal our bodies or get relief of pain from a physical condition. We take time to cover up the “truth” from ourselves, to seek comfort from emotional pain, or to be “the life of the party.” And at times, we have experienced the negative effects of these substances with addiction, withdrawal symptoms, feeling intoxicated, having a hangover, getting arrested, causing an automobile accident, being combative, hurting a loved one, or passing out. In some way the use and/or abuse of substances has affected all of us. We may even experience the use or abuse of drugs from others because they are our family or our friends, a co-worker, a driver who ran into your car, or a rowdy person at a baseball game.
In a reflective writing style, address the following in depth and detail:
“How the Use or Abuse of Substances Has Affected Me and My Life”
As you write your paper, discuss at least 4 of the following areas of influence listed below. You may use the questions to help you get started on your reflection; however, these are not meant to be all you might write for each area.
Patterns of use of substances that you have seen in your life. For example, in the case of prescribed medications, were they used in the proper manner or “shared” with others? With alcohol or other types of “recreational” substances), what type(s) of use have you seen: social or recreational use, regular use, abusive use, or dependent (alcoholic) use?
Your family system. How did substance use affect the way in which you were parented? What role did substances play at family gatherings?
Generational use. Did your grandparents use particular substances on a regular basis? For example, your grandfather always smoked a pipe, your father smokes a pipe, and so you do too because you think this is a way to appear masculine. Or, your grandparents always served alcohol at dinner and that carries on in your family.
Your Peer Group. The people you socialize with the most – your friends, acquaintances, co-workers.
Sociocultural factors. These factors related to your social background, your economic level, your educational level, and your culture or ethnicity.
Your Neighborhood and the area in which you live. This is very much a part of sociocultural factors, but be a bit more specific. In your neighborhood for holidays is there something common most of the neighbors do to celebrate? How did you fit in with these activities? Did you join in or avoid certain neighbors’ parties because you knew there would be a certain substance there?
Positive and Negative effects of the substances. Refer to the opening paragraph above for examples of these.
The Social Climate of the Time(s) you are discussing as to the general acceptance/encouragement of the use of certain substances. Is it a time when “everybody does it” regarding a certain substance? What substance? How did you fit in with the group at that time or did you?
Age in which you used certain substances and were these uses expected and looked forward to. How did this affect you later in life?
Vocation/Career Expectations (i.e., using alcohol to entertain clients) – Was use of substances by you or clients expected on the job, when entertaining potential clients, in office parties or other aspects of the job?
Media Influences (advertising, movies, music, books, TV, social media) and the messages you received about substance use.

Case Study 3: A man who is displaying symptoms of moderate anxiety Your writing

Case Study 3: A man who is displaying symptoms of moderate anxiety
Your writing Assignment should:
follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and;
use APA formatting and citation style.
One reference must be the DSM-5 manual
all references must include doi numbers and must be scholarly
Use the template attached to complete the SOAP note for this assignment
Allen, a university graduate aged 21 years, attends the pharmacy of the campus counseling health center and asks to speak to the pharmacist in private. He states he is worried about heart palpitations that he has been experiencing. He is visibly sweating and looks on edge. The pharmacist calls the provider on duty at the psychiatric clinic for the counseling health center and she arrives.
Assessment
As the PMHNP on duty, you invite Allen into the consultation room and ask him about his symptoms. He states that he has started a new job and that the palpitations start when he is feeling anxious. His symptoms are occurring most days of the week and he says it makes him “feel on edge.” He adds that he does not want to socialize with his co-workers. It is starting to affect his sleep and he does not know what to do. He also states that he has occasional pain in his chest.
Treatment options
Allen is demonstrating symptoms of moderate anxiety, given his desire to avoid socializing, and has a degree of functional impairment. However, as he has potential cardiac symptoms, these issues could be related to another condition.
When questioned, he confirms he has no other problems with his health, but you feel the patient needs further investigation. For example, tests to measure the electrical activity of his heart to rule out underlying cardiac problems should be considered. His presentation concerns you and you feel he needs these tests today to assess the differential diagnosis, as you are worried about his chest pain and palpitations.
Vitals:
138/80
4
20
78
99%
5’10”
188 lbs.
Advice and recommendations
You encourage Allen by saying that it is great that he felt he could talk to a pharmacist about this, but explain that he would benefit from continued management with you as the PMHNP and possibly some additional psychotherapy. You explain that his symptoms could be related to anxiety and that you think he may need something to help him manage. He agrees to let you continue the assessment and design a treatment plan.

Assignment: NIDA Prevention Principles According to the NIDA, “Prevention progr

Assignment: NIDA Prevention Principles
According to the NIDA, “Prevention
programs aimed at general populations at key transition points, such as
the transition to middle school, can produce beneficial effects even
among high-risk families and children” (National Institute on Drug
Abuse, 2003, p. 4). Identifying these key transition points is important
as you develop programs for your local community. Can you think of a
time when a prevention program may reach students before they engage in
dangerous behaviors? Perhaps before prom? Or graduation?
For
this Assignment, review the media in this week’s Learning Resources.
Then, consider the NIDA prevention principles you examined. Based on
these resources, determine which of the NIDA prevention principles were
addressed and how they “enhance(d) protective factors and reverse(d) or
reduce(d) risk factors” (NIDA standards, 2003, p. 2).
For this Assignment, you will complete a 1- to 2-page paper:
Review the media piece Saving lives at Maryville.
Consider the excerpts from Preventing Drug Use Among Children and Adolescents: A Research-Based Guide for Parents, Educators, and Community Leaders.
Explain how the NIDA prevention principles were used by Mike Gimble
in this week’s media. Be specific, and provide examples from the media
piece to support your answers.

You are to write a reflective journal assignment that will allow you to investig

You are to write a reflective journal assignment that will allow you to investigate areas for clinical preparation in psychiatric mental health. The reflective journal should abide by APA writing standards, include a minimum of one reference in APA format, and be a minimum of 250 words.
Review video about Adverse Childhood Experience
COPY & PASTE THIS LINK IN BROWSER TO VIEW: https://www.youtube.com/watch?v=95ovIJ3dsNk
Review the article related to the ACEs study:
Hilgen Bryan, R., DNP, AGNP. (2019, February 01). Getting to why: Adverse childhood experiences’ impact on adult health COPY & PASTE LINK INTO BROWSER TO VIEWThe Journal for Nurse Practitioners, 15(2), p. 153-157. https://www.npjournal.org/article/S1555-4155(18)30843-2/fulltext
Review Tool Kit:
Aces Aware. (2020). Provider toolkit–COPY & PASTE THIS LINK INTO YOUR BROWSER TO VIEW https://www.acesaware.org/provide-treatment-healing/provider-toolkit/
What are the main components of trauma-informed care and why is the ACEs model of screening so important in primary care and psychiatric mental health care for ALL patients? Discuss the ACEs instrument tool as it related to clinical practice.
Proper English, spelling and grammar is required. All refernces must be scholarly and have doi numbers. APA 7th edition formating is required
submit completed assignement with Turnitin Originality report