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Asked by DrMoonRook8

Create patient logs for individual psychotherapy, this is a very short note that summarizes a soap note. Examples will be provided below, no reference or in-text citation needed. just a short note for psychiatric diagnosis.

Example 1

56 year old male seen with primary diagnosis of substance abuse disorder. History of anxiety disorder and depression. Session focused on coping mechanisms with stress and anxiety with goals to improve mood, decrease outburst and decrease substance abuse

Example 2

28 year old female presenting with complains of sadness, sleep disturbances and weight gain. Patient is diabetic and on daily metformin. previous hospitalizations for suicidal ideations. History of abuse. Renal panel and HgbA1c ordered. Tx plan: psychotherapy and medication therapy to address depression.

SCIENCE
HEALTH SCIENCE
NURSING
NURS 6001

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