Comprehensive Psychiatric Evaluation-Depression and Anxiety Subjective CC (chief complaint): The Patient was a referral case for the treatment of severe depression and anxiety.

Comprehensive Psychiatric Evaluation-Depression and Anxiety

Subjective

CC (chief complaint): The Patient was a referral case for the treatment of severe depression and anxiety. This is not her first time having depressive symptoms, as she was hospitalized twice in the past year. The anxiety and depression symptoms have greatly diminished her social and daily functioning to the extent she has missed her college classes despite being on medication. She, too, has had various instances of suicidal ideation and thoughts.

HPI: Patient XX-AN is a 22-year-old female who presents with depression and anxiety. She was referred to the clinic after having two previous hospitalization cases related to previous episodes of depressive symptoms for further evaluation and treatment. The depressive symptoms and anxiety have impacted her at a functional level, and she has been unable to attend her college classes. She also has severe suicidal ideation and thoughts. Extensive research has shown that anxiety symptoms among university students are high as 24.5%, 26.1% for depressive symptoms, and over 18.8% for suicidal ideation (Paula et al., 2020). She has a fluoxetine prescription; however, she admits she has not been compliant with taking her medication.

Past Psychiatric History:

General Statement: Patient XX-AN has a psychiatric history involving depressive symptoms. This has led her to be admitted twice and put under medication. The anxiety symptoms and suicidal ideation and thoughts had not been identified in her previous hospitalizations or diagnoses prior to this reference. She has been treated with pharmacotherapeutic interventions but is non-compliant. Hire our assignment writing services in case your assignment is devastating you.

Caregivers (if applicable): N/A.

Hospitalizations: She has been admitted twice in the past year with psychiatric diagnoses involving depressive symptoms.

Medication trials: the patient has a prescription of fluoxetine antidepressant of the selective serotonin reuptake inhibitor class.

Psychotherapy or Previous Psychiatric Diagnosis: The Patient has never received any psychotherapy. She was put under pharmacotherapy after she was diagnosed with depressive symptoms from her previous hospitalizations.

Substance Current Use and History: Patient XX-AN does not have a history of substance use. She is also not currently using or abusing any substance.

Family Psychiatric/Substance Use History: The referral did not mention any instances or history of substance use or cases of psychiatric concern in the family. Therefore, it is assumed that there is no history of psychiatric issues or substance use in the family. Further follow-up on family members, especially the mother, father, and immediate grandparents, is needed.

Psychosocial History: Patient XX-AN is currently a college student and has no children of her own nor registration of work. She has had previous episodes of depressive symptoms, which has affected her at a functional level. She has not recorded legal issues or criminal history. Further details will be obtained from the reference.

Medical History: She has had previous episodes of depressive symptoms.

Current Medications: Fluoxetine 20mg

Allergies: Patient XX-AN has not recorded allergies to medications, food, related food substances, environmental allergens, or drug intolerance that are a threat to her well-being and safety.

Reproductive Hx: Patient XX-AN has not expressed any reproductive or sexual health concerns, and no history of contraceptive use has been provided.

ROS:

GENERAL: Slight weight gain. Denies fatigue, fever, or chills. Positive for general weakness.

HEENT: Persistent headaches reported. Eyes: negative for diplopia, blurry vision, yellow sclerae, or visual loss. Instances of photophobia. Ears: Negative for hearing loss, otorrhea, and tinnitus. Nose: No case of epistaxis and sneezing. Throat: Negative for sore throat and dysphagia.

SKIN: Negative for itching and rash

CARDIOVASCULAR: Negative for chest pain, chest pressure, palpitations, tightness, and any chest discomfort. No pedal edema.

RESPIRATORY: Negative for coughing, wheezing, shortness of breath, and sputum.

GASTROINTESTINAL: Patient denies experiencing nausea or vomiting. Negative for diarrhea, abdominal congestion, and constip