Running head: MOCK REPORT 1

Mock Report

Student Name

Course Name

Professor Name

University Name

March 18, 2020

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Mock Report:

Patient: Alice Howland

Date of Birth: Not Available (Age: More than 50 years)

Meeting Date: 12/03/2020

Assessor: Andre Moorie, PsyD, LP

Psychiatric Diagnostic Assessment: 4 hours consumed with the family

Psychological Analysis: None

The patient/client perceived via licensed psychologist, Andre Moorie, Psy.D. The restrictions of

privacy assessed at the beginning of the meeting. Isolated psychosocial consultations were done

with Alice Howland, and her husband, John Howland. Along with the consultation, medicinal

archives evaluated. At the moment, psychological analysis delayed to a future time.

Presenting Problem and History of Presenting Illness

Still Alice is a 50 year old female linguistic instructor who referred via her primary care

clinician, owing to issues concerning premature beginning of Alzheimer’s disorder. Such

assessment was kind of diagnostic interpretation and treatment suggestions. Alice struggles in

abdominal clarity from the heartbreak and fears of the illness. At first, Alice starts to forget

phrases, identities and sites but slowly avoids remembering her own family before she needs full

time treatment. Ultimately, any of the children cannot cope with their mother's emotional distress

and avoid visiting. She offers a film speech that seeks to highlight the misunderstanding of
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Alzheimer's disorder and the desire for both emotional and financial assistance[ CITATION

gam18 \l 1033 ].

At the start of her classes, Alice loses just a word. Yet her health slowly deteriorates. She

loses sight on her way out while doing her regular jogging. The disorder means a memory failure

in short term. She has many examinations to take. Among some of healthier people, it's very

common to neglect or miss stuff. So her issue does not initially give rise to fears among her

primary caregivers. Her situation, however, slowly raises questions that cannot be ignored. Alice

recognizes the prevalence of her illness as she hears about the genetic aspect of the disorder. She

should always face the potential circumstance if she can’t remember her babies[ CITATION

Pac15 \l 1033 ].

She will also move on to her baby, even like she has inherited her family's disease. It's

always a disaster but the executives do not do enough to speak of the personal dimensions of the

catastrophe. Actually, they sought to place the crowd in Alice's shoes. I even note a secondary

feeling of disorientation, namely Alice[ CITATION gam18 \l 1033 ].

Past Treatment History

Mr. John stated that Alice was indistinct in psychiatric practice. Rob's no history of

ambulatory medicine, day care, or hospitalization. But there were signs of Alzheimer's disease at

the onset of the manifestations. Alice speaks about her education, the term "lexicon," therefore

she immediately cannot recall where she is and will navigate her path, while wandering through

the campus of her college. She can still recall thinking about certain things with her friend. She

refers to the neurologist after these encounters to understand what such events can do.

Neurologist raises some specific concerns regarding the factors such as alcohol usage, sleeping
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patterns and head hit, etc. The numerous potential consequences of these incidents must be

minimized by these queries. Mr. John reported that neurologists focus on Alice’s signs of

Alzheimer and start asking questions about her name, age, place, time, pronunciation, and try to

remember an address and phone number. Alice stated that she doesn’t recall the contact number

provided. It would endorse the suggestion that the psychological signs occur right from the

outset[ CITATION Pac15 \l 1033 ].

Development History/Medical History

Mr. John Alice appears otherwise healthy before she is hit too early on in her career by

Alzheimer's. Any such condition usually affects people who are in mid-60s at least. Alice

sacrifices nearly all she has since she has been diagnosed from Alzheimer's Disease (AD)

prematurely. Her psychiatrist states that in educated individuals, the disease cannot be readily

identified. Smart minds are excellent at creating strategies to seem ordinary. Interestingly, the

first indication of her weakness is that she cannot recall the term "lexicon" for a semantic

teacher.

At their wedding party, the night before, she was lost to feelings of her late child, who

overwhelmed her more and more over time. Alice's acceptance and reliance on their mobile may

be both an indication and a tactic for masking her illness her private manager works. Alice is

delighted to learn from the neurologist that she may not have a brain tumor following a series of

visits and other examinations. The very next thing is that for which she is not fully prepared: a

diagnosis of Alzheimer's premature development. Not only this but also DNA analysis shows

that it is a uncommon type of family Alzheimer's disease that results in a 50 percent risk for any

of her three children to have a gene that is expected to contribute to the mental illness.
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Family Psychiatric History

The paternal side of Alice’s family is noteworthy for mental disorder. Alice’s daughter

conveyed that he has not had Alzheimer; however her parents have experienced many such

episodes. They are together relying on medications for the related disorder. Mr. John stated that

his brother likewise has some memory issues; however he can’t approve a medical diagnosis. As

per Mr. John, Alice’s mother has a past of memory loss disorder. He indicated that she has lost

her memory for 6 years due to trauma and that she has being doing really well. He is not sure of

any additional psychiatric past on the paternal side since Alice’s father is isolated from her

family.

Social History

Alice lives with her three biological kids and her husband and has grand kids. She works

as an actress and her husband is a part-time employee in a small firm. She mentioned in the

interview that she flourished both personally and in marriage, with husbands and children loving

her home life. She indicated that her kids Tom, Anna and Lydia, her grand babies, and John,

husband have wonderful friendship. She reported that she really cares for her daughter Lydia,

who has opted to avoid higher schooling in order to battle as an actress. Mr. John explained “She

liked New York but I had to move from New York to Minnesota. He reported that he tented to

shift because Alice isn't the same Alice anymore after her illness. John indicated he senses guilty

he has been so selfish at that time to her and his family. He clarified that he used to go swimming

with them. They also spent hours watching films and computer games. John said she was rarely

complained and conveyed any type of arrogance to him.

Employment/School History
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Around the outset of her life, Alice discovers that her expressions that came naturally to

her are difficult to recall. She found some loss in executive control in her mind slowly. One day

when on a school, she loses her path and learns that something occurs than a "natural" lack of

memory. Alice's psychiatrist suspects her early diagnosis with Alzheimer's family disorder after

she's missed a term during her speech and losing her on a sprint on campus. As a visiting

presenter in a language seminar, Alice hopes to be admitted to UCLA. In her profession she is

internationally renowned. She continues learning about the way children learn to talk and about

the past. She fails to mention what she said abruptly, apparently missing her thinking

ride[ CITATION Pac15 \l 1033 ].

Assessment/Diagnosis

Alice is a fifty year old teacher offering with memory loss and cognitive issues and strange

memory related problems. Her husband addressed issues associated to hypersomnia, low mood,

memory loss, difficulty understanding and thinking, mental decline, misunderstanding in the

evening hours, disorientation, delusion, forgetfulness, mental slipup, making things up, trouble

concentrating, incapability to make different memories. Alice presented as dementia agitation,

and mental retardation, and aggression. Alice’s signs have been existed for around three months.

Built on the reported signs, Alice fulfills standards for a key memory loss illness. Alice likewise

endorsed with extreme neurocognitive disorders display defects that mess with their freedom as

per the DSM-5. John reported that Alice is clear, as she has trouble with doing basic activities,

not more autonomous. John presented that one of the extraordinary qualities displayed by the

lead character is to forget her children's names and fail to say' October.' She even discovers it's a

inherited disease. Any early  symptoms and signs include memory loss, place and timing

uncertainty, vision and space challenges, detachment from social engagements, fatigue and
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attitude transition, complications managing or focused issues and challenges performing daily

tasks. Laboratory and cognitive perception experiments are carried out to diagnose or remove the

disorder[ CITATION may \l 1033 ].

Recommendations

 For Alice, it is recommended to carry out basic work to establish the causes of ADRD

and the associations between hereditary influences, climate and ageing.

 Enhanced diagnostics for interpreting and clinical studies into ADRD include

visualization and therapies are also recommended.

 The creation of reliable diagnostics for the early phases of illness and progression of

the disease must be targeted in specific[ CITATION Mon14 \l 1033 ].

Differential

It is reported that medications and non-drug interventions are effective for Alice when coping

with behavioural and mental problems. Medicines are required to reduce the effects or

discourage any Alzheimer's development. Such medications have been authorized by the FDA to

treat symptoms such as depression, memory loss and thought difficulties. These medications

perform well early to mid. Additional therapies are required for improvements in the actions and

sleep. Alternative therapies do not benefit from comprehensive medical study. John considered

that she requires performing routine diagnostic examinations for any potential sources of the

issue, along with other blood checks and urine tests. Alice might conduct brain scans for

instance, MRI, PET (Positron Emission Tomography) or CT scan to remove any potential

symptom triggers brain scans..

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Works Cited

gamzoles. (2018, July). Still Alice — Psychological Analysis of the Movie. Retrieved from

medium: https://medium.com/@gamzoles/still-alice-psychological-analysis-of-the-

movie-11ac461ce76d

Knight, B. G., & Pachana, N. A. (2015). Psychological assessment and therapy with older

adults. Oxford University Press.

Koedam, E. L., Lauffer, V., Vlies, A. V., & Flier, W. M. (2010). Early-Versus Late-Onset

Alzheimer's Disease: More than Age Alone. Journal of Alzheimer's disease: JAD, 19(4),

1401-1408.

mayoclinic. (2019, April). Diagnosing Alzheimer's: How Alzheimer's is diagnosed. Retrieved

from mayoclinic: https://www.mayoclinic.org/diseases-conditions/alzheimers-disease/in-

depth/alzheimers/art-20048075

mayoclinic. (n.d.). Alzheimer's disease. Retrieved from mayoclinic:

https://www.mayoclinic.org/diseases-conditions/alzheimers-disease/care-at-mayo-

clinic/mac-20350458

Montine, T., Koroshetz, W., & Babcock, D. (2014). Recommendations of the Alzheimer's

Disease–Related Dementias Conference. Neurology, 83(9), 851–860.

Packer, S. (2015). Still Alice. Psychiatric Times, 32(4).

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