Psychiatric Evaluation Note And Patient Case Presentation
Assessment
The patient shared that she was stressed. She had some medical challenges that she is currently under a doctor’s care for. The patient stated that she has an inflammation around her ribs that she was told was the result of stress. Psychiatric Evaluation Note And Patient Case Presentation
The patient shared that she was happy that her son was accepted into his aftercare program and was doing well that the wanted him to join their full martial arts program. However, the patient stated that she cannot afford the full program. She asked her son’s father for financial assistance and he reported he could only contribute $100. The cost of the program per the patient is $600.00 a month which she states that she cannot afford. Besides the cost, the patient stated that her son is doing well and blossoming in the program.
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At school, the patient stated that she learned that someone was hitting on her son. The patient stated that her son did not tell her anything that was happening at school, she learned from the teacher.
Self-care / stress reducing interventions was discussed with the patient. The patient stated that she would try to incorporate it. However, small deep breathing, meditation, timeout interventions were discussed that can be incorporated daily to help reduce stress.
Plan
The patient will incorporate small selfcare stress reducing interventions in her daily activities. Psychiatric Evaluation Note And Patient Case Presentation
The patient will follow up with her medical doctor for medical interventions.
The patient will continue to discuss her feelings, emotions and what self-care interventions she utilized.
The patient will continue to do well mentally. She will continue to take her medication as prescribed and note any adverse side effects.
To follow up in 2-4 weeks.
To call 911 if feeling suicidal and/or homicidal ideation. Psychiatric Evaluation Note And Patient Case Presentation
