ADHD follow up HPI

Patient states, "[text]". Patient has a history of inattentiveness, distractibility, impulsivity, over activity, and irritability. Currently prescribed, and report taking [text]. Reports an improved mood and increased duration of focus with this regimen. Reports improved thought processing, decreased pressured speech, and improved abilities to return to tasks. Also    reports decreased over activity, decreased irritability, and decreased impulsivity. Denied symptoms of mania or psychosis. No obsessive thoughts or ritualistic behaviors. Denied suicidal thoughts or ideation. No symptoms of PTSD or unresolved grief. Denies nightmares or separation issues. There is no history of    current substance abuse. Currently eating [text] meals per day and sleeping [text] hours per night. Patient reports [text] side effects. Denied any other somatic complaints. Patient is encouraged to maintain a balanced diet and regular exercise regimen. Discussed medication regimen, and patient agrees to continue taking [text]. RVBSE discussed, and patient verbalizes understanding. 
Patient states, "". Patient has a history of inattentiveness, distractibility, impulsivity, over activity, and irritability. Currently prescribed, and report taking . Reports an improved mood and increased duration of focus with this regimen. Reports improved thought processing, decreased pressured speech, and improved abilities to return to tasks. Also reports decreased over activity, decreased irritability, and decreased impulsivity. Denied symptoms of mania or psychosis. No obsessive thoughts or ritualistic behaviors. Denied suicidal thoughts or ideation. No symptoms of PTSD or unresolved grief. Denies nightmares or separation issues. There is no history of current substance abuse. Currently eating meals per day and sleeping hours per night. Patient reports side effects. Denied any other somatic complaints. Patient is encouraged to maintain a balanced diet and regular exercise regimen. Discussed medication regimen, and patient agrees to continue taking . RVBSE discussed, and patient verbalizes understanding.

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0, 6 form elements, 138 boilerplate words, 6 text boxes, 6 total clicks
Questions/General site feedback · Help Ticket

Send Feedback for this SOAPnote

Your email address will not be published. Required fields are marked *

More SOAPnotes by this Author: