Psychiatry
Loading Add to Favorites
Share
Tweet
Cite
[textarea="variable_1" default="PSYCHIATRIC HISTORY:"]
Past Dx: [checkbox name="variable_1" value="None|No known formal diagnoses, treated in the past for|No known diagnoses|Unable to obtain, none noted upon review of available records|depression|anxiety|Major Depression|Bipolar Disorder|with psychotic features|“bipolar depression”|Schizophrenia|Schizoaffective Disorder|“bipolar schizophrenia”|Psychotic Disorder|Psychosis NOS|Generalized Anxiety Disorder|Postpartum Depression|Panic Disorder|hx of panic attacks|ADHD|ADHD-dx’d in adulthood|ADHD- dx’d in childhood|Mood Disorder|Adjustment Disorder|Somatoform Disorder|Somatic Symptom Disorder|hx of pseudoseizures|Factitious Disorder|”R/O Factitious Disorder”|Eating Disorder|Anorexia|Bulimia|Borderline Personality Disorder"]
Past Inpatient Tx: [checkbox name="variable_2" value="None|Unable to obtain, none noted on review of available records|No reported treatment on interview, however, chart review indicates |remote history of |past admission to |multiple admissions-"][checkbox name="varMTMHI" memo="MTMHI" value=""] [conditional field=" varMTMHI" condition="(varMTMHI).is('')"][text size=65 default="MTMHI "][/conditional][checkbox name="varParthenon" memo="Parthenon" value=""] [conditional field="varParthenon" condition="(varParthenon).is('')"][text size=65 default="Parthenon "][/conditional][checkbox name="varSkyline" memo="Skyline" value=""] [conditional field="varSkyline" condition="(varSkyline).is('')"][text size=65 default="Skyline "][/conditional][checkbox name="varVanderbilt" memo="Vanderbilt" value=""] [conditional field="varVanderbilt" condition="(varVanderbilt).is('')"][text size=65 default="Vanderbilt "][/conditional][checkbox name="varRollingHills" memo="Rolling Hills" value=""] [conditional field="varRollingHills" condition="(varRollingHills).is('')"][text size=65 default="Rolling Hills "][/conditional][checkbox name="varTrustpoint" memo="Trustpoint" value=""] [conditional field="varTrustpoint" condition="(varTrustpoint).is('')"][text size=65 default="Trustpoint "][/conditional][checkbox name="varMoccasinBend" memo="Moccasin Bend" value=""] [conditional field="varMoccasinBend" condition="(varMoccasinBend).is('')"][text size=65 default="Moccasin Bend "][/conditional][checkbox name="varWesternState" memo="Western State" value=""] [conditional field="varWesternState" condition="(varWesternState).is('')"][text size=65 default="Western State "][/conditional][checkbox name="varOther" memo="Other" value=""] [conditional field="varOther" condition="(varOther).is('')"][text size=65 default=""][/conditional]
Past Residential/Partial Hospitalization:[textarea name="variable_15" default=" None reported"]
Past Outpatient Tx: [checkbox name="past1" memo="Psychiatric provider for medication" value=""] [conditional field="past1" condition="(past1).is('')"][text size=65 default="Psychiatric provider for medication "][/conditional][checkbox name="past2" memo="Psychotherapy/Counseling" value=""] [conditional field="past2" condition="(past2).is('')"][text size=65 default="Psychotherapy/Counseling "][/conditional][checkbox name="past3" memo="Community Mental Health Center" value=""] [conditional field="past3" condition="(past3).is('')"][text size=65 default="Community Mental Health Center "][/conditional][checkbox name="past4" memo="Mental Health Case Management" value=""] [conditional field="past4" condition="(past4).is('')"][text size=65 default="Mental Health Case Management "][/conditional]
Suicide Attempts: [checkbox name="variable_99" value="Denies hx of attempts|No known history|Unable to obtain, none noted upon review of available records|Hx of intentional OD|hx of cutting wrist|hx of attempted hanging|hx of intentional poisoning|hx of attempt with gun|hx of attempt by jumping in front of car"]
Non-Suicidal Self Injurious Behx: [checkbox name="variable_18" value="Denies hx|No known hx|Unable to obtain, none noted upon review of available records|Hx of cutting for tension-release|Hx of|"]
Hx of Violence/Assaultive Behx: [checkbox name="variable_19" value="Denies hx|None reported|Unable to obtain, none noted upon review of available record|Hx of"]
Past psychiatric medication trials include: [checkbox value="Has taken psych meds before, cannot recall name| Alprazolam (Xanax)| amitriptyline (Elavil)| amoxapine (Asenden)| aripiprazole (Abilify)| Aripiprazole (Abilify Maintena Injectable)| Aripiprazole lauroxil (Aristada Injectable)|asenapine (Saphris)|atomoxetine (Strattera)|benzotropine (Cogentin)| brexpiprazole (Rexulti )| bupropion (Wellbutrin)| buspirone (BuSpar)| carbamazepine (Tegretol)| clonidine for ADHD (Catapres)| chlordiazepoxide (Librium)| chlorpromazine (Thorazine)| citalopram (Celexa)| clomipramine (Anafranil)| clonazepam (Klonopin)| clorazepate (Tranxene)| clozapine (Clozaril)| diphenhydramine (Benadryl)| desipramine (Norpramin)| desvenlafaxine (Pristiq)| dextroamphetamine (Adderall)/Dexedrine)| dexmethylphenidate (Focalin)| diazepam (Valium)| donepezil (Aricept)|doxepin (Sinequan)| duloxetine (Cymbalta)| escitalopram (Lexapro)| folic acid| fluoxetine (Prozac)|fluoxetine + olanzapine (Symbyax)| fluphenazine (Prolixin)| fluphenazine (Prolixin Injectable)| fluvoxamine (Luvox)| gabapentin (Neurontin) for anxiety/mood| galantamine (Razadyne)| guanfacine for ADHD (Intuniv/Tenex)| haloperidol (Haldol)| Haldol Decanoate Injectable| hydroxyzine (Atarax/Vistaril)| imipramine (Tofranil)| L-methylfolate (Deplin)| lamotrigine (Lamictal)| lisdexamfetamine (Vyvanse)| lithium (Lithobid)| Lorazepam (Ativan)| loxapine (Loxitane)| lurasidone (Latuda)| maprotiline (Ludiomil)| melatonin (OTC)| memantine (Namenda)| mesoridazine (Serentil)| methylphenidate (Ritalin/Concerta/Metadate/Daytrana)|milnacipran (Savella)| mirtazapine (Remeron)| modafinil (Provigil)| molindone (Moban)| nefazodone (Serzone)| nortriptyline (Pamelor)| olanzapine (Zyprexa)| Olanzapine pamoate (Zyprexa Relprevv Injectable)| oxazepam (Serax)| oxcarbazepine (Trileptal)| Paliperidone (Invega Sustenna Injectable)| Paliperidone (Invega Trinza Injectable)| paroxetine (Paxil)| pemoline (Cylert)| perphenazine (Trilafon)| phenelzine (Nardil)| prazepam (Centrax)| prazosin (for nightmares)| prochlorperazine (Compazine)| protriptyline (Vivactil)| quetiapine (Seroquel)| risperidone (Risperdal)| Risperidone (Risperdal Consta Injectible)| rivastigmine (Exelon)| selegiline(Emsam)| sertraline (Zoloft)| temazepam (Restoril)| derealization (Mellaril)| topiramate (Topamax)| tranylcypromine (Parnate)| trazodone (Desyrel)| trifluoperazine (Stelazine)| trimipramine) or multiple)| valproic acid (Depakene/Depakote)| venlafaxine (Effexor)| vilazodone (Viibryd)| vortioxetine (Trintellix)| zaleplon (Sonata)| ziprasidone (Geodon)| zolpidem (Ambien)| zopiclone (Lunesta)|"]
[textarea rows="3"]

Past Dx:
Past Inpatient Tx: MTMHI Parthenon Skyline Vanderbilt Rolling Hills Trustpoint Moccasin Bend Western State Other
Past Residential/Partial Hospitalization:
Past Outpatient Tx: Psychiatric provider for medication Psychotherapy/Counseling Community Mental Health Center Mental Health Case Management
Suicide Attempts:
Non-Suicidal Self Injurious Behx:
Hx of Violence/Assaultive Behx:
Past psychiatric medication trials include:

Result - Copy and paste this output:

Send Feedback for this SOAPnote

More SOAPnotes by this Author: