Discuss Assessment and Diagnosis in Psychotherapy

Discuss Assessment and Diagnosis in Psychotherapy
Nurs 6640 week 2 discussion – Sheehan Disability Scale (SDS) Essay examples

The Sheehan Disability Scale

Assessment tools such as the Sheehan Disability Scale (SDS) are important in helping the PMHNP in assessing the functional status and functional impairment of their clients (Wheeler, 2014). The impact of mental disorders on the clients’ life does not only depend on the diagnosis of the condition but on the disability that the disorder causes (Luciano et al., 2010, p. 896). The SDS is an assessment tool that can be done in the waiting room that focuses on three groups of activities including home management, work abilities, the ability to form and maintain relationships and social life (Luciano et al., 2010, p. 897). Nurs 6640 week 2 discussion – Sheehan Disability Scale (SDS) Essay examples.

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In the case of major depressive disorder (MDD) there are associations between the mental illness and functional impairments in the affected client (Sheehan et al., 2015). The impairment associated with MDD have strong social and economic impacts causing clients to miss work, have a reduction in quality relationships, and an increase in family disruption (Sheehan et al., 2015). The SDS is a validated and accepted measure of functional outcome in clients with MDD with higher scores indicating a greater functional impairment (Sheehan et al., 2015).

Sheehan Disability Tool and Psychopharmacology

Psychopharmacology can be an important part in the client’s recovery process. The prescribing of medications for clients with mental illness is a difficult task because medications could exacerbate symptoms or even mask symptoms. It is important to be able to use a reliable assessment tool such as the SDS to determine if the medications prescribed are effective. It is important to monitor the client’s progress early in the course of antidepressant treatment using a functional assessment such as the SDS can help clinicians determine whether or not medication adjustments are needed (Soares, Zhang, & Boucher, 2017). Mental health recovery does not only mean symptom remission but the restoration of functional ability and that is where SDS plays a major rule in medication management. Nurs 6640 week 2 discussion – Sheehan Disability Scale (SDS) Essay examples. The SDS is among the most commonly used function scales in clinical trials of antidepressant treatment of MDD (Soares, Zhang, & Boucher, 2017). The SDS shows great potential to enhance the quality of care for mental health clients and may help clinicians determine sooner than later whether treatment adjustments are needed.

It is important for the PMHNP to understand the assessment tools that are used and their limitations. SDS may help clinicians determine sooner than later whether treatment adjustments are needed (Soares, Zhang, & Boucher, 2017). The SDS can not only be used as a primary assessment tool but can also be used to determine the efficacy of the medications being prescribed. Nurs 6640 week 2 discussion – Sheehan Disability Scale (SDS) Essay examples.

Reference

Luciano, J. V., Bertsch, J., Salvador-Carulla, L., Tomás, J. M., Fernández, A., Pinto-Meza, A., … Serrano-Blanco, A. (2010). Factor structure, internal consistency and construct validity of the Sheehan Disability Scale in a Spanish primary care sample. Journal of Evaluation in Clinical Practice, 16(5), 895-901. doi:10.1111/j.1365-2753.2009.01211.x

Sheehan, D. V., Mancini, M., Wang, J., Berggren, L., Cao, H., Dueñas, H. J., & Yue, L. (2015). Assessment of functional outcomes by Sheehan Disability Scale in patients with major depressive disorder treated with duloxetine versus selective serotonin reuptake inhibitors. Human Psychopharmacology: Clinical and Experimental, 31(1), 53-63. doi:10.1002/hup.2500

Soares, C. N., Zhang, M., & Boucher, M. (2017). Categorical improvement in functional impairment in depressed patients treated with desvenlafaxine. CNS Spectrums, 1-11. doi:10.1017/s1092852917000633

Wheeler, K. (2014). Psychotherapy for the Advanced Practice Psychiatric Nurse, Second Edition. Springer Publishing Company. Nurs 6640 week 2 discussion – Sheehan Disability Scale (SDS) Essay examples.

NURS 6640 Week 2: Assessment and Diagnosis in Psychotherapy Assignment
“A sensitively crafted intake assessment can be a powerful therapeutic tool. It can establish rapport between patient and therapist, further the therapeutic alliance, alleviate anxiety, provide reassurance, and facilitate the flow of information necessary for an accurate diagnosis and appropriate treatment plan.”

—Pamela Bjorklund, clinical psychologist

Whether you are treating patients for physical ailments or clients for mental health issues, the assessment process is an inextricable part of health care. To properly diagnose clients and develop treatment plans, you must have a strong foundation in assessment. This includes a working knowledge of assessments that are available to aid in diagnosis, how to use these assessments, and how to select the most appropriate assessment based on a client’s presentation. Nurs 6640 week 2 discussion – Sheehan Disability Scale (SDS) Essay examples.

This week, as you explore assessment and diagnosis in psychotherapy, you examine assessment tools, including their psychometric properties and appropriate use. You also develop diagnoses for clients receiving psychotherapy and consider legal and ethical implications of counseling these clients. NURS 6640 – Assessment and Diagnosis in Psychotherapy Essay Assignment Papers.

NURS 6640 Week 2: Assessment and Diagnosis in Psychotherapy Assignment
NURS 6640 – Assessment and Diagnosis in Psychotherapy Essay Assignment Papers Learning Resources
NURS 6640 Week 2: Assessment and Diagnosis in Psychotherapy Assignment Required Readings
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

Chapter 3, “Assessment and Diagnosis” (pp. 95–168)
Chapter 4, “The Initial Contact and Maintaining the Frame” (pp. 169–224)
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. NURS 6640 – Assessment and Diagnosis in Psychotherapy Essay Assignment Papers. Nurs 6640 week 2 discussion – Sheehan Disability Scale (SDS) Essay examples

Note: It is highly recommended that you use this resource as a reference guide throughout the course. You will access this text from the Walden Library databases.

American Academy of Child and Adolescent Psychiatry. (1995). Practice parameters for the psychiatric assessment of children and adolescents. Washington, DC: Author. Retrieved from https://www.aacap.org/App_Themes/AACAP/docs/practice_parameters/psychiatric_assessment_practice_parameter.pdf

American Psychiatric Association. (2016). Practice guidelines for the psychiatric evaluation of adults (3rd ed.). Arlington, VA: Author. Retrieved from http://psychiatryonline.org/doi/pdf/10.1176/appi.books.9780890426760

Walden Library. (2017). NURS 6640 week 2 discussion guide. Retrieved from http://academicguides.waldenu.edu/nurs6640week2discussion

Walden University. (n.d.). Tests & measures: Home. Retrieved February 6, 2017, from http://academicguides.waldenu.edu/library/testsmeasures

Note: This database may be helpful in obtaining assessment tool information for this week’s Discussion. Nurs 6640 week 2 discussion – Sheehan Disability Scale (SDS) Essay examples

NURS 6640 Week 2: Assessment and Diagnosis in Psychotherapy Assignment Required Media
Laureate Education (Producer). (2015a). Counseling competencies—The application of ethical guides and laws to record keeping [Video file]. Baltimore, MD: Author.

Provided courtesy of the Laureate International Network of Universities.

Note: The approximate length of this media piece is 23 minutes.

NURS 6640 Week 2: Assessment and Diagnosis in Psychotherapy Assignment Discussion: Assessment Tools
Assessment tools have two primary purposes: 1) to measure illness and diagnose clients, and 2) to measure a client’s response to treatment. Often, you will find that multiple assessment tools are designed to measure the same condition or response. Not all tools, however, are appropriate for use in all clinical situations. You must consider the strengths and weaknesses of each tool to select the appropriate assessment tool for your client. For this Discussion, as you examine the assessment tool assigned to you by the Course Instructor, consider its use in psychotherapy. Nurs 6640 week 2 discussion – Sheehan Disability Scale (SDS) Essay examples.

Learning Objectives
Students will:
Analyze psychometric properties of assessment tools
Evaluate appropriate use of assessment tools in psychotherapy
Compare assessment tools used in psychotherapy
Note: By Day 1 of this week, the Course Instructor will assign you to an assessment tool that is used in psychotherapy.

To prepare:

Review this week’s Learning Resources and reflect on the insights they provide.
Consider the asessment tool assigned to you by the Course Instructor.
Review the Library Course Guide in your Learning Resources for assistance in locating information on the assessment tool you were assigned.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click Submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking Submit! Nurs 6640 week 2 discussion – Sheehan Disability Scale (SDS) Essay examples

By Day 3
Post an explanation of the psychometric properties of the assessment tool you were assigned. Explain when it is appropriate to use this assessment tool with clients, including whether the tool can be used to evaluate the efficacy of psychopharmacologic medications. Support your approach with evidence-based literature. NURS 6640 – Assessment and Diagnosis in Psychotherapy Essay Assignment Papers.

Read a selection of your colleagues’ responses.

By Day 6
Respond to at least two of your colleagues by comparing your assessment tool to theirs.

Submission and Grading Information
Grading Criteria
To access your rubric:

Week 2 Discussion Rubric

Post by Day 3 and Respond by Day 6
To participate in this Discussion:

Week 2 Discussion

The assessment tool that I will use for assessing my client will be the Sheehan Disability Scale (SDS). This tool important for the PMHNP to assess the functional status and functional impairment for the clients during assessment (Wheeler, 2014). In client’s life, the impact that the mental illness cause does not just depend on the diagnosing of the condition but also on the disorder that causes disability. This tool can also be useful in the waiting room for assessment which depends on three different groups of programing such as management at home, abilities to work, and ability for a client to have a relationship and maintain it and social life. With clients with major depressive disorder (MDD), the client is effected by the mental illness and functional impairments (Sheehan et al., 2015). These impairments are associated client with MDD have impact on their social and economic affecting their work, having low quality of friendship, and has an increase in disrupting their family.

Sheehan Disability Scale and Psychopharmacology

Psychopharmacology is necessary during client’s process of recovery as a part of treatment for mental illness. For providers to prescribe medications for a mental illness client is very difficult because some medications can cause the illness to be worst or even mask the symptoms. SDS tool plays a very important part in making sure the medications prescribed by the provider will be effective. The provider needs to monitor the progress of the client’s antidepressant regimen by using the functional assessment such as the SDS to find out if the medication is working or need to be adjusted (Soares, Zhang, & Boucher, 2017). SDS plays an important role in medication management for mental illness recovery not only to symptom remission but also to restore the functional ability of the client. This tool is the only tool used in clinical trials for function scales of the antidepressant regimen and it showed a great potential in enhancing the quality of care the providers care for mental illness clients and helps the clinician in determining treatment sooner if it needs to be adjusted or not than waiting for later.

The PMHNP needs to know the and understand the assessment tools used, also know their limit but can be used the primary tool use to determine the efficacy of the medications that the provider is prescribing.

References;

Hodgins, D. C. (2013). Reliability and validity of the Sheehan Disability Scale modified for pathological gambling. BMC Psychiatry, 13177. doi:10.1186/1471-244X-13-177

Luciano, J. V., Bertsch, J., Salvador-Carulla, L., Tomás, J. M., Fernández, A., Pinto-Meza, A., … Serrano-Blanco, A. (2010). Factor structure, internal consistency and construct validity of the Sheehan Disability Scale in a Spanish primary care sample. Journal of Evaluation in Clinical Practice, 16(5), 895-901. doi:10.1111/j.1365-2753.2009.01211.x

Sheehan, D. V., Mancini, M., Wang, J., Berggren, L., Cao, H., Dueñas, H. J., & Yue, L. (2015). Assessment of functional outcomes by Sheehan Disability Scale in patients with major depressive disorder treated with duloxetine versus selective serotonin reuptake inhibitors. Human Psychopharmacology: Clinical and Experimental, 31(1), 53-63. doi:10.1002/hup.2500

Soares, C. N., Zhang, M., & Boucher, M. (2017). Categorical improvement in functional impairment in depressed patients treated with desvenlafaxine. CNS Spectrums, 1-11. doi:10.1017/s1092852917000633

Wheeler, K. (2014). Psychotherapy for the Advanced Practice Psychiatric Nurse, Second Edition. Springer Publishing Company. Nurs 6640 week 2 discussion – Sheehan Disability Scale (SDS) Essay examples

SHEEHAN, D. V., GASIOR, M., MCELROY, S. L., RADEWONUK, J., HERMAN, B. K., & HUDSON, J. (2018). Effects of Lisdexamfetamine Dimesylate on Functional Impairment Measured on the Sheehan Disability Scale in Adults With Moderate-tosevere Binge Eating Disorder: Results from Two Randomized, Placebo-controlled Trials. Innovations In Clinical Neuroscience, 15(5/6), 22-29. Nurs 6640 week 2 discussion – Sheehan Disability Scale (SDS) Essay examples

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