Psychiatry
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[comment memo="SUBJECTIVE:"]
Counselor met with [text memo="CLT'S NAME"] on this date. The client reported sleeping [select value="good|fair|poor"], eating [select value="good|fair|poor"]. When asked to rate how things have been over the last week the client reported, [select value="OK|good|bad|"]. When asked to [select value="elaborate|expand|explain|be specific"]. [text memo="CLT'S NAME"] responded having difficulties with
[select value="teacher|peer|parent|sibling|grades|homework|test|fear of"]

[comment memo="OBJECTIVE:"]
[text memo="CLT'S NAME"] was observed [select value="tearful|cheerful|downcast|quiet|tense|fidgety"]. The client progress has been [select value="minimal|limited |fair|good "] as [select value="evidenced by|manifested by|demonstrated by|"] [textarea memo="DESCRIPTION OF EVIDENCED/FACTUAL INFO" rows="4"].
[text memo="CLT'S NAME"] was [select value="assisted in |demonstrated|encouraged to|guided to|provided with |"] [textarea memo="DESCRIPTION OF INTERVENTION" rows="4"]. The client [select value="reacted well|was resistant|was reluctant|attempted to gain control of the session by|"] [textarea memo="DESCRIPTION OF CLT'S PARTICIPATION" rows="4"].

[comment memo="ASSESSMENT:"]
[text memo="CLT'S NAME"] is currently displaying [select value="symptoms of|well managed |moderately managed|poorly managed|"]
[select value="depression|anxiety|sleep disturbance|psychosis|anger|cognitive impairment|impulsivity|mood lability|inattentiveness|autism spectrum disorder"]
which is [select value="likely caused by|likely exacerbated by|likely the result of"] [select value="recent changes in family dynamics|unmanaged ADHD|interpersonal conflicts|family conflicts|lack of coping skills|lack of study skills|not compliance with psychopharmacological treatment."]

Prognosis is [select value="good|fair |poor"] considering [text memo="CLT'S NAME"] [select value="remains adherence to|actively engages in |is not currently responding to"] medication/therapy to address [textarea memo="DX OR GOALS" rows="4"].

[comment memo="PLAN:"]
[textarea memo="WHAT THE CLT WILL DO" rows="4"]
[textarea memo="F/U W/; WILL FOCUS ON " rows="4"]
SUBJECTIVE:
Counselor met with CLT'S NAME on this date. The client reported sleeping , eating . When asked to rate how things have been over the last week the client reported, . When asked to . CLT'S NAME responded having difficulties with


OBJECTIVE:
CLT'S NAME was observed . The client progress has been as DESCRIPTION OF EVIDENCED/FACTUAL INFO.
CLT'S NAME was DESCRIPTION OF INTERVENTION. The client DESCRIPTION OF CLT'S PARTICIPATION.

ASSESSMENT:
CLT'S NAME is currently displaying

which is

Prognosis is considering CLT'S NAME medication/therapy to address DX OR GOALS.

PLAN:
WHAT THE CLT WILL DO
F/U W/; WILL FOCUS ON
Result - Copy and paste this output: