A 33-year-old Caucasian male with Alcohol Use Disorder and Generalized Anxiety Disorder returned for follow-up. He reports continued cravings for alcohol, especially during stressful situations, and describes increased anxiety when unable to use alcohol as a coping mechanism. He notes feeling nervous and restless throughout the day, which exacerbates his urge to drink. Preceptor Plans…

As an advanced practice provider, you may encounter situations where your clinical judgment differs from your colleagues. For this reflective assignment, you will begin to gain experience in recognizing Clinical Practice Guidelines (CPG) for Standards of Care from evidence-based practices. You will critically evaluate a treatment plan you feel your preceptor may have deviated from…

Neurodevelopmental disorders begin in the developmental period of childhood and may continue through adulthood. They may range from the very specific to a general or global impairment, and often co-occur (APA, 2022). They include specific learning and language disorders, attention deficit hyperactivity disorder (ADHD), autism spectrum disorders, and intellectual disabilities. Neurocognitive disorders, on the other…

1. Introduction Neurocognitive disorders (NCDs): Conditions characterized by decline in cognitive function compared to a previous level of performance. Neurodevelopmental disorders (NDDs): Conditions with onset in the developmental period, typically manifesting before age 18, involving deficits in personal, social, academic, or occupational functioning. Clinical Importance: Both categories significantly impact quality of life, independence, and family…

Training Title 50 Name: Harold Brown Gender: male Age:60 years old T- 98.8 P- 74 R 18 134/70 Ht 5’10 Wt 170lbs Background: Has bachelor’s degree in engineering. He dates casually, never married, no children. Has one younger brother. Sleeps 7 hours, appetite good. Denied legal issues; MOCA 28/30 difficulty with attention and delayed recall;…

Training Title 48 Name: Sarah Higgins Gender: female Age: 11 years old T- 97.4 P- 58 R 14 98/62 Ht 4’5 Wt 65lbs Background: no history of treatment, developmental milestones met on time, vaccinations up to date. Sleeps 9-10hrs/night, meals are difficult as she has hard time sitting for meals, she does get proper nutrition…

Training Title 151 Name: Daniela Petrov Gender: female Age:47 years old T- 98.8 P- 84 R 20 B/P 132/90 Ht 5’8 Wt 128lbs Background: Moved to Everett, Washington from Russia with her parents when she was 16 years old. Currently lives in Boise, Idaho. She has younger 1 brother, 3 older sisters. Denied family mental…

Training Title 114 Name: Ally Chen Gender: female Age: 44 years old Background: Only child, raised by parents in Philadelphia, PA. Has PhD in biology and master’s degree in high school education (8–12). Her supervisor has asked the school EAP counselor to intervene with concerns regarding potential substance use in effort to facilitate getting her…

Training Title 82 Name: Lisa Tremblay Gender: female Age: 33 years old T- 100.0 P- 108 R 20 180/110 Ht 5’6 Wt 146lbs Background: Lisa is in a Naples, FL detox facility thinking about long term rehab. She is considering treatment for her Hep C+ but needs to get clean first. She has been abusing…

Training Title 134 Name: Mrs. Patricia Warren Gender: female Age: 42 years old Background: Patricia was brought in under a emergency evaluation order after her best friend, Felicia, after the police for Patricia locking herself in a closet and screaming loudly for over an hour. EMS was able to calm her with a small dose…