Discussion Question 1
A comprehensive psychiatric evaluation will require information for five major axes. Discuss the five different axes and provide an example of each.

Discussion Question 2
Primary care is often the first provider that patients seek out when experiencing problems with stress, anxiety, and/or depression. The Diagnostic and Statistical Manual of Mental Disorders (DSM) lists twelve different anxiety disorders. Choose one of these disorders (except otherwise not specified) and discuss signs, symptoms, and diagnostic tests that you would use to rule out an underlying disease process. Please list the medical problem that you are ruling out through diagnostic testing.

Discussion Question 3
Substance abuse is a growing problem in today’s society. At what age would you begin to screen for substance abuse and why? Which screening tool would you use and why? Give an overview of the screening tool and cite your references. The screening tool must come from an evidence-based practice source. Give specificity, reliability, and sensitivity for your chosen tool.

Discussion Question 4
Depression is a potential problem for almost every patient, no matter the age. What screening tool would be most effective for a child of 10 years? A 16-year-old adolescent? A 30-year-old mother who is 1 month postpartum? A 67-year-old male who has retired from a job of 40 years? An 80-year-old male who has recently become a widower? The screening tool must be valid, proven, and from an evidence-based practice source. Which one of these patients is at highest risk for suicide attempt and why?

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