WEEK 12 ASSIGNMENT 1: BIPOLAR CASE STUDY

 

WEEK 12 ASSIGNMENT 1: BIPOLAR CASE STUDY

Value: 100 Points

Due: Day 7

Grading Category: Case Studies

Instructions

Review the Week 12 Case Study. Complete a Psychiatric SOAP Note Template (Word) for the patient in this case. (Note: The template is meant to be a guide. You can change the formatting of your SOAP note if the table style does not work for you.)

Your SOAP note should be no more than five pages long.

Use academic sources, cited in APA format, to support your rationale in your assessment and plan.

Upload your completed note.

Please refer to the Grading Rubric for details on how this activity will be graded.

To Submit Your Assignment:

  1. Select the Add Submissions button.
  2. Drag or upload your file to the File Picker.
  3. Select Save Changes.

Introduction

The Psychiatric SOAP (Subjective, Objective, Assessment, and Plan) Note is a fundamental tool in clinical psychiatric practice, designed to document a comprehensive yet concise account of a patient’s mental health evaluation and ongoing care. It serves not only as a legal and professional record but also as a critical communication framework among interdisciplinary healthcare teams. By systematically organizing clinical findings, differential diagnoses, and treatment strategies, the SOAP note enables Psychiatric-Mental Health Nurse Practitioners (PMHNPs) to deliver patient-centered, evidence-based, and ethically sound care.

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The Week 12 Case Study provides an opportunity to apply advanced psychiatric assessment skills to a realistic clinical scenario. Through the completion of this SOAP note, the student will integrate key components of psychiatric evaluation—including a detailed mental status examination, comprehensive history taking, and formulation of a differential diagnosis consistent with DSM-5-TR criteria. Furthermore, the exercise emphasizes the development of a well-supported treatment plan that incorporates psychopharmacologic, psychotherapeutic, and lifestyle interventions, along with appropriate safety, ethical, and follow-up considerations.

In crafting this SOAP note, academic and peer-reviewed sources should be used to substantiate clinical judgments and guide treatment planning. Research-based evidence supports the rationale behind medication choices, therapeutic approaches, and risk assessments, ensuring that clinical decisions align with current best practices and regulatory standards (Sadock et al., 2023; Stahl, 2021). In doing so, this assignment reinforces the critical role of PMHNPs as autonomous and accountable providers within the broader mental health care system.

Ultimately, the completion of this case-based SOAP note cultivates diagnostic reasoning, therapeutic planning, and documentation proficiency—core competencies essential for effective psychiatric practice. By synthesizing clinical knowledge with ethical and legal principles, the PMHNP develops the confidence and precision necessary to deliver safe, high-quality, and holistic mental health care.

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