the psychopharmacologic medication.

the psychopharmacologic medication.

2 hours ago

ibrahim ibrahim 

Yale-brown obsessive compulsive scale

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Discussion week 2

Post an explanation of the psychometric properties of the assessment tool you were assigned.

Psychotherapy plays a crucial role in aiding clients to express their feeling, emotion, and frustrations. According to Wheeler (2014), “a comprehensive assessment is required in the initial session, and many tools are available to help the therapist” (p.131). Clinician utilizes different types of assessment tools for different diagnosis. The purpose of this paper is to explain the psychometric properties of the Yale-Brown Obsessive-Compulsive scale (Y-BOCS) by providing evidence-based articles. Also, to outline the efficacy of psychopharmacologic medications.

Explain when it is appropriate to use this assessment tool with clients

Obsessive-compulsive disorder (OCD) is defined as “an anxiety disorder in which time people have recurring, unwanted thoughts, ideas or sensations (obsessions) that make them feel driven to do something repetitively (compulsions) (American Psychiatric Association, 2020). For example, a client who washes her hand by going to the restroom repeatedly. These unwanted thoughts are unintentional, and the clinician needs to use the Yale-brown obsessive-compulsive scale to monitor the compulsion rate and obsession rate to determine the severity of the obsessive-compulsive behavior.  According to Rosario-Campos, Miguel,  Quatrano, Chacon,  Ferrao,  Findley, and Leckman (2006), “The DY-BOCS self-report is composed of an 88-item self-report checklist, designed to provide a detailed description of obsessions and compulsions that are divided into six different obsessive-compulsive symptom dimensions”(p.497). Therefore,  it is appropriated for the clinician to use the Yale-brown compulsive scale to identify the severity of the obsessive and compulsive rate.

Explain whether the tool can be used to evaluate the efficacy of psychopharmacologic medications. Support your approach with evidence-based literature.

I believe the Yale-brown obsessive-compulsive scare can determine to evaluate the efficacy of the psychopharmacologic medication. Meng, Han, Luo, Liu, Liu, Tang, Hou, Wei, Shi, Tang, Huang, Sun, & Li (2019) 24-week study showed significantly more patients receiving combined therapy than medication alone had a decrease in symptom severity of at least 35% (based on Y-BOCS total score).  Meng et., al (2019) also concluded that CBT combined with medication may be useful in alleviating symptoms and social functioning impairment associated with OCD, particularly for the treatment of compulsive behavior. In conclusion, the Yale-Brown obsessive-compulsive scale (Y-BOCS) is an assessment tool that helps the clinician evaluate the efficacy of the psychopharmacologic medication.

References

American Psychiatric Association (2020). What is an obsessive-compulsive disorder? Retrieved from https://www.psychiatry.org/patients-families/ocd/what-is-obsessive-compulsive-disorder

Meng, F.-Q., Han, H.-Y., Luo, J., Liu, J., Liu, Z.-R., Tang, Y., Hou, X., Wei, J., Shi, L.-L., Tang, M.-N., Yan, Y.-P., Huang, Y.-Q., Sun, J., & Li, Z.-J. (2019). Efficacy of cognitive-behavioral therapy with medication for patients with obsessive-compulsive disorder: A multicentre randomized controlled trial in China. Journal of Affective Disorders, 253, 184–192. https://doi-org.ezp.waldenulibrary.org/10.1016/j.jad.2019.04.090

Rosario-Campos, M.C., Miguel, E.C., Quatrano, S., Chacon, P., Ferrao, Y., Findley, D., Leckman, J.F., (2006). The Dimensional Yale-Brown Obsessive-Compulsive Scale (DYBOCS): an instrument for assessing obsessive-compulsive symptom dimensions. Mol. Psychiatry 11 (5), 495–504. https://doi.org/10.1038/sj.mp.4001798

Wheeler, K. (Eds.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

 

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