Psychotic Disorders Comprehensive Nursing Paper Example
Psychotic disorders are characterized by domains such as hallucinations, delusions, negative symptoms, disorganized speech, abnormal motor activity, or a combination of these domains (American Psychiatric Association, 2013). A definitive diagnosis is vital in ascertaining a client’s conditions and creating an appropriate treatment plan. Accurate and timely diagnosis provides clients with an opportunity for better health outcomes since clinical decisions are tailored to solve their health problems (Balogh et al., 2015). Although there are no specific medical tests for psychiatric diagnosis, mental health research contributed to the development of clinical guidelines to support early diagnosis in children and adolescents. The DSM5, an American Psychiatric Association diagnostic manual, outlines various psychotic disorders and critical features that define them. (Psychotic Disorders Comprehensive Nursing Paper Example)
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Moreover, various screening tools have been validated by research to screen for psychotic disorders. Some screening tools such as the Positive and Negative Syndrome Scale (PANSS), Structured Interview for Prodromal Syndromes (SIPS), Prodromal Questionnaire (PQ), Brief Psychiatric Rating Scale (BPRS), Composite International Diagnostic Interview (CIDI), Scale for the Assessment of Positive Symptoms (SAPS), and Psychotic Symptom Rating Scale (PSYRATS) are used for diagnosing children and adolescents’ psychotic disorders (Seiler et al., 2020). These tools determine the severity of the psychotic conditions and inform consequent intervention. Antipsychotic medicines are usually recommended as the first line of medication for psychotic disorders. However, non-pharmacological interventions such as cognitive behavioral therapy, social cognition training, or cognitive remediation are equally recommended. (Psychotic Disorders Comprehensive Nursing Paper Example)
Screening tools make use of the DSM5 diagnostic manual for symptoms associated with various psychotic disorders. Psychotic disorders are diverse and with overlapping symptoms. Therefore, determining symptom severity can indicate significant aspects of the mental illness crucial for definitive diagnosis (APA, 2013). Parents, caregivers, and teachers also play a crucial role in facilitating definitive mental health diagnoses because of children’s impaired cognition. Equally, mental health professionals use more than one screening tool and source of information to inform a definitive diagnosis. (Psychotic Disorders Comprehensive Nursing Paper Example)
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References
American Psychiatric Association. (2013). (Psychotic Disorders Comprehensive Nursing Paper Example) Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596
Balogh, E. P., Miller, B. T., & Ball, J. R. (2015). Improving diagnosis in health care. (Psychotic Disorders Comprehensive Nursing Paper Example)https://www.ncbi.nlm.nih.gov/books/NBK338593/
Seiler, N., Nguyen, T., Yung, A., & O’Donoghue, B. (2020). Terminology and assessment tools of psychosis: A systematic narrative review. Psychiatry and clinical neurosciences, 74(4), 226-246. (Psychotic Disorders Comprehensive Nursing Paper Example)https://doi.org/10.1111/pcn.12966
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