Psychiatry & Psychology
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This outpatient medication check was conducted[select name="variable_1" value=" via phone appointment.| via telepsychiatry.| in person. |OTHER|"]
[text name="variable_81" default="!!!!!!!!!!!!!!!!!!!"] Patient reports doing[select name="variable_2" value=" better| worse| about the same"] since the last visit.[text name="variable_10953" default=""] Patient states that medication has[select name="variable_21" value=" helped with psychiatric symptoms.| made psychiatric symptoms worse.| not changed psychiatric symptoms.| not helped psychiatric symptoms due to not taking the medication | somewhat of an effect."] [text name="variable_105953" default=""] Patient expressed that anxiety is [select name="variable_34731" value="nonexistent.|mild.|moderate.|severe.|better.|worse."][text name="variable_39921" default=" "] Patient added that depression is [select name="variable_24251" value="nonexistent.|mild.|moderate.|severe.|better.|worse."][text name="variable_3212651" default=""]Patient states[select name="variable_431" value=" No suicidal ideation and contracts for safety.| suicidal ideation but contracts for safety and will not act on it.| suicidal ideation and can not contract for safety."][text name="variable_1" default=""]Patient expressed [select name="variable_69691" value="no self harm.||self harm recently and does not contract for safety.| self harm recently."][text name="variable_1" default=""] Patient states[select name="variable_4561" value=" no homicidal ideation.| homicidal ideation.|"][text name="variable_8231" default=""] When asked about sleep the patient stated[select name="variable_2161" value=" an increase of sleep| that sleep is better | that sleep is worse| a decrease of sleep| no changes to sleep"] and sleeps for about[select name="variable_4521" value=" 8 hour nightly.|1 hour nightly.| 2 hours nightly.| 3 hours nightly. | 4 hours nightly.| 5 hours nightly. | 6 hours nightly.| 7 hours nightly.| 9 hours nightly.| 10 hours nightly| 11+ hours nightly.| 0 hours nightly."][text name="variable_6241" default=""] Patient added since last session their appetite is[select name="variable_45671" value=" about the same.| worse.| better."][text name="variable_5241" default=""] Patient[select name="variable_7891" value=" denies hallucinations.| has hallucinations in the form of |"][text name="variable_52241" default=""] Patient [select name="variable_7791" value=" denies delusions.| has delusions in the form of|"][text name="variable_52141" default=""] Patient states[select name="variable_2561" value=" no mood swings.| decrease in mood swings.| increase in mood swings."][text name="variable_2881" default=""] The patient [select name="variable_2551" value="denied symptoms of mania.|states symptoms of mania.|denied symptoms of mania since last visit.|states decrease in symptoms of mania|states increase in symptoms of mania"][text name="variable_28181" default=""]Patient concentration is[select name="variable_252251" value=" good.| fair. | poor.|"][text name="variable_281811" default=""] At this time[select name="variable_69456" value=" we will continue the medication regimen| we will alter the medication regimen by| the patient is currently not taking any medication so we will"] [text name="variable_21387811" default=""]

[comment memo="Appearance: Unable to assess.
Orientation: Alert and oriented.
Memory: Intact.
Motor: Unable to assess.
Eye contact: Unable to assess.
Attention: Intact.
Speech: Within normal limits.
Mood: Euthymic.
Affect: Appropriate to mood.
Thought process: Linear.
Thought content: No paranoia, delusions or perceptual disturbances.
Suicidal ideations: None.
Homicidal ideations: None.
Insight: Good.
Judgment: Good."]

[comment memo="
General Appearance: Appears stared age.
Behavior/ Attitude: Cooperative.
Psychomotor Activity: Normal.
Speech: All Normals.
Mood: Normal.
Affect: Normal.
Thought Process: Normal.
Thought Content: Normal.
Orientation: Trouble in Communication.
Recent & Remote Memory: Normal.
Concentration: Normal.
Fund of Knowledge: Good.
Insight: Normal.
Judgment: Normal.
Musculoskeletal; Normal.
Grooming: Well Groomed.
Alertness: Alert."]

[comment memo="Pt was called twice and did not return phone call for medication management appointment. At this time the patient needs to reschedule their appointment."]
This outpatient medication check was conducted
Patient reports doing since the last visit. Patient states that medication has Patient expressed that anxiety is Patient added that depression is Patient statesPatient expressed Patient states When asked about sleep the patient stated and sleeps for about Patient added since last session their appetite is Patient Patient Patient states The patient Patient concentration is At this time

Appearance: Unable to assess.
Orientation: Alert and oriented.
Memory: Intact.
Motor: Unable to assess.
Eye contact: Unable to assess.
Attention: Intact.
Speech: Within normal limits.
Mood: Euthymic.
Affect: Appropriate to mood.
Thought process: Linear.
Thought content: No paranoia, delusions or perceptual disturbances.
Suicidal ideations: None.
Homicidal ideations: None.
Insight: Good.
Judgment: Good.



General Appearance: Appears stared age.
Behavior/ Attitude: Cooperative.
Psychomotor Activity: Normal.
Speech: All Normals.
Mood: Normal.
Affect: Normal.
Thought Process: Normal.
Thought Content: Normal.
Orientation: Trouble in Communication.
Recent & Remote Memory: Normal.
Concentration: Normal.
Fund of Knowledge: Good.
Insight: Normal.
Judgment: Normal.
Musculoskeletal; Normal.
Grooming: Well Groomed.
Alertness: Alert.


Pt was called twice and did not return phone call for medication management appointment. At this time the patient needs to reschedule their appointment.

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