Management of Mental Illness - Essay Example

Assessing Client Progress

Progress Notes

In the management of mental illness experienced by patient M.S, the patient was prescribed medication to aid in managing the major depressive disorder, bipolar disorder, depression, insomnia, and hip ache.

Treatment modality.

The patient's treatment modality involves the use of medications that she was prescribed. Therefore, the patient is currently taking Seroquel, for the cure of bipolar disorder, insomnia and, depression, trazodone to treat the major depressive disorder, Olanzapine for the management of depression and bipolar disorder. Also, she takes Ambien for the cure of insomnia. To reduce hip pain, she has also been prescribed Gabapentin. The patient reports being smoking tetrahydrocannabinol due to her suicidal ideations (Iversen, 2018).

Progress or lack of progress towards the patient's goal.

All these medications have highly aided in the management of her condition. All these modalities are effective except for the reduction of hip pain, which reoccurred after the use of Gabapentin. In the use of medications in her management, the patient is progressing well to achieve her goals of being able to control situations, particularly without being anxious. However, cognitive behavioral therapy (CBT), will effectively help achieve her goals (Cognitive behavioral therapy applied to depression. 2018).

Modifications of the treatment plan.

She will get involved in group therapy to help her understand her condition and manage feelings and fear to effectively reduce anxiety levels, insomnia, and depression to improve her quality of life. The modalities needed to strengthen the plan will be that the therapist will have to encourage her to have multiple sessions, inject Triamcinolone hexacetonide 20mg/ml on the hip joint to ease the pain, and in the reduction of inflammation at the hip area due to psoas tendinitis. The patient will also be encouraged to join support groups, which will provide emotional support and help her cope with her mental condition. These modalities will help achieve her goals since hip ache will be reduced, and she will have additional emotional support with social interactions.

Clinical impressions.

In the medical field, there are several clinical impressions made from mental illness and its symptoms. These conditions are noted to alter the nervous system affecting neurological functions. According to this case scenario, some clinical impressions would have been made from her condition.

Firstly, Anxiety disorder due to her levels of anxiety, and since she had been diagnosed with depression because depression and anxiety disorder are comorbidities. Secondly, osteoarthritis is another impression because the patient suffered from pain and inflammation at the hip in conjunction with her age of 61 because osteoarthritis occurs more to aging women. Thirdly, suicidal ideations because she often gets suicidal thoughts and lastly panic disorder because she gets sudden attacks of fear, which is a response to stressful situations, for instance, fear of getting treatment to her hip ache.

Psychosocial information

Psychosocial information will aid in the mental status exam, give an overview of her condition, and manage her condition efficiently. The vital information will include: how she copes with suicidal thoughts, how she manages anxiety, how she deals with circumstantiality disorder, and what she does when she misses her husband. This information will be vital on how to manage her condition effectively.

The information should also include the relationship she has with her children, grandchild, and husband. Enquire about her social interactions with her neighbors and if she has close friends. Enquire for how long she been living in her current home to assess if the anxiety is because of her new neighborhood or well organization in her house.

Clinical emergency.

In this case, the patient M.S was taken to the emergency room after several suicidal attempts. She was admitted to the hospital and prescribed to smoke tetrahydrocannabinol for the management of suicidal ideations.

Medications used by the patient.

In this scenario, the patient has been prescribed several medications, which include: Trazodone for the treatment of the major depressive disorder (Lam, 2018), Seroquel for the cure of insomnia, depression and, bipolar disorder, Olanzapine for the management of depression and bipolar disorder and also she takes Ambien for the treatment of insomnia. She has also been prescribed Gabapentin reduce hip pain, although later prescribed Triamcinolone hexacetonide 20mg/ml injection for the pain and inflammation of the hip joint (Starkweather, 2019). Lastly, smoking tetrahydrocannabinol due to her suicidal ideations.

Treatment compliance and collaboration with other professions.

The patient is well compliant with the medications and takes them as prescribed, and she is well ad versant with the adverse reactions. In the management of mental illness, a variety of health workers collaborate to manage the patient effectively. The health workers play an essential role. They include a clinician, nurse, pharmacist, psychiatrist, therapist, and a community social worker.

Therapist recommendations, consent, abuse, and Referral.

The therapist recommended the patient to have multiple sessions for therapy, and the patient voluntarily agreed. In this scenario, the patient has not reported any abuse or discontinuation of the management process. At some point, the patient was taken to a significant psychiatric center when she was overwhelmed with suicidal ideations. She was prescribed for smoking tetrahydrocannabinol to reduce the symptoms.

Therapist's exercise.

The therapist's exercise dealt with the improvement of her mental status and neurological function. The management was to help her have self-awareness of her condition and learn to cope with her feelings and fears.

Privileged Notes

The privileged note includes the therapist's Observation, hypothesis, questions of concern to ask the supervisors and thoughts and feelings felt during the therapy sessions. In this scenario, the therapist noticed that the patient is at a high risk of having more suicidal ideations, which could even terminate her life. The therapist felt that she could also refuse her management and therapy sessions after some time and noted that her personality is toxic due to her facial expressions in the therapy sessions. The hypothesis of her management could be a failure to achieve her goal. This information was not included in the progress note because it is confidential, and it protects the patient's condition. My preceptor utilizes privilege notes in the management plan. This consists of the observation he observed during the therapy session, hypothesis, and any thoughts or feelings he perceived during the therapy sessions.

In conclusion, progress notes and privilege notes are vital in completing a patient's mental health records. However, to ensure that the information is kept protected, the completion of Privileged notes is critical.