risk for suicide in adults
PLEASE I NEED A RESPONSE TO THIS ASSIGNMENT
ZERO PLAGIARISM
THREE REFERENCES
Three Questions I might ask the client
Have you had any thoughts of suicide or causing harm to yourself or others in the past month? I am asking this question because if the client has major depressive disorder and the client is currently taking Paxil which can increase the risk for suicide in adults (Wiese, 2011).
How would you describe your sleeping patterns? The client stated she was abused as a child, therefore I want to establish if she is having nightmares or trouble sleeping related to the memories and flashbacks. This question can also help me establish if the client may have a sleeping disorder as well.
Do you have friends or close family members that you spend time with? Or friends that you go out with? Depression can have an impact on the client’s daily lifestyle which means she may not participate in her usual activities. The client may also withdraw from social activities and become uninterested in spending time with people.
Identify People in the client’s life I need to speak to
The client’s family history includes having family members with major depressive disorder (MDD) which means that her family members are the first people to interview to gain better insight about her behavior and patterns. The interviews can focus on past psychiatric history and if they are aware of anything she may have left out from her statements or medical history. I think it may be beneficial to interview the attending physician to see if he has something to add to her initial evaluation notes. The primary care physician can help if she has pre-existing conditions that may contribute to her current psychiatric symptoms. The client also mentioned attending psychotherapy sessions. I would want to interview the therapists to know if the patient is compliant with therapy goals and medication regimen during treatment. The purpose of the interviews it to develop an effective treatment plan for the client.
Diagnostic Tests and Physical Exams
The client has a history of substance abuse and has been attending support groups but it is still important to get a urine drug screen. The thyroid stimulating hormone (TSH) levels should be checked due to the thyroid gland being linked to having an influence on the brain with impacting the mood (Pilhatsch, Marxen, Winter, Smolka, & Bauer, 2011). The client should also receive a mental health examination considering we are trying to rule out different diagnosis and it is our first time with the client. The mental health examination will help establish a baseline like an
