wk9pt
rosychap1
patient_Logs.docx.pdf
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Patient Logs
Name
Institution
Course
Professor’s Name
Date
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Anxiety Disorder
Student
Notes
CC: “One minute, I'm really happy, and the next, I'm really down.”
A 38-year-old female complains of persistent mood swings, feeling of being on an
emotional rollercoaster, and difficulty regulating emotions. The Patient has been
feeling this way for the past three months and reports that the feeling started shortly
after a stressful job change. The Patient is diagnosed with Bipolar Disorder and is
started on 10mg of Lithium once daily. A follow-up appointment is in four weeks.
Mood Disorder
Student
Notes
CC: “I do not care about anything.”
A 25-year-old female complains of persistent apathy, lack of motivation, and feeling
disconnected from life. The Patient has been feeling this way for the past two months
and reports that the feeling started shortly after a divorce. The Patient is diagnosed
with Major Depressive Disorder and is started on 10mg of Sertraline once daily. A
follow-up appointment is in four weeks.
Personality Disorder
Student
Notes
CC: “I'm constantly worrying about people watching me or plotting against me.”
An 18-year-old male complains of persistent paranoid thoughts and constantly
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feeling on edge. The Patient has been feeling this way for the past three months and
reports that the feeling started shortly after an argument with a friend. The Patient
is diagnosed with Paranoid Personality Disorder and is started on 10mg of
Olanzapine once daily. A follow-up appointment is in four weeks.
Anxiety Disorder
Student
Notes
CC:” I feel like I can't do anything, and I don't want to be around anyone.”
A 49-year-old female complains of persistent low mood, lack of energy, and difficulty
getting out of bed. The Patient has been feeling this way for the past two months and
reports that the feeling started shortly after the death of a family member. The Patient
is diagnosed with Major Depressive Disorder and is started on 15mg Fluoxetine once
daily. A follow-up appointment is in two weeks.
Anxiety Disorder
Student
Notes
CC: “I can't focus on anything, and my mind keeps racing all the time.”
A 23-year-old male complains of racing thoughts, difficulty concentrating, and feeling
overwhelmed. The Patient has been feeling this way for the past three months and
reports that the feeling started shortly after a traumatic incident. The Patient is
diagnosed with Generalized Anxiety Disorder and is started on 10mg of Escitalopram
once daily. Follow up in two weeks.
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Anxiety Disorder
Student
Notes
CC: “I'm so tired all the time.”
A 27-year-old female complains of persistent fatigue, difficulty concentrating and
feeling overwhelmed. The Patient has been feeling this way for the past three months
and reports that the feeling started shortly after a breakup. The Patient is diagnosed
with Major Depressive Disorder and is started on 10mg of Fluoxetine once daily.
Follow up in two weeks.
Eating Disorder
Student
Notes
CC: “I just can’t seem to control my eating.”
A 26-year-old female complains of binge eating episodes for the past several months.
The Patient believes the condition began after a stressful event of breakup. The
Patient is diagnosed with Bulimia Nervosa and is started on Naltrexone 50mg po qd.
Follow up in two weeks.
Personality Disorder
Student
Notes
CC: “I just can’t seem to make any decisions.”
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A 23-year-old male reports difficulty making decisions and feeling overwhelmed
for the past several weeks. The Patient believes the condition began after an
argument with his parents. The Patient is diagnosed with Avoidant Personality
Disorder and is started on Fluoxetine 20mg po qd. Follow up in two weeks.
Sexual Disorder
Student
Notes
CC: “I am losing it.”
A 29-year-old male report increased sexual urges and difficulty controlling his
behaviour for the past three weeks. The Patient reports that the symptoms began
shortly after he started a new job. The Patient is diagnosed with hypersexuality and is
started on Bupropion 150mg PO daily and Prazosin 5mg PO daily. Follow up in 2
weeks.
Psychotic Disorder
Student
Notes
Cc: “I hear voices telling me what to do.”
A 39-year-old male reports hearing voices and seeing things that aren’t there for the
past two weeks. The Patient reports that the symptoms began shortly after his
divorce. The Patient is diagnosed with Schizophrenia and is started on Olanzapine
10mg PO daily and Quetiapine 50mg PO daily. Follow up in 1 month.
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Sleep Disorder
Student
Notes
CC: “I’m always tired and can never get enough sleep.”
A 25-year-old female reports difficulty falling and staying asleep for the past two
weeks. The Patient reports that the symptoms began after she started a new job. The
Patient is diagnosed with Insomnia and is started on Zolpidem 10mg PO daily and
Trazodone 25mg PO daily. Follow up in four weeks.
Personality Disorder
Student
Notes
CC: “I get too angry too quickly, and it’s hard to stop.”
A 24-year-old male complains of difficulty controlling his emotions and increased
irritability for the past month. The Patient reports that the symptoms began shortly
after his breakup with his girlfriend. The Patient is diagnosed with borderline
personality disorder and is started on Escitalopram 20mg PO daily and Quetiapine
50mg PO daily. Follow up in 1 month.
Eating Disorder
Student
Notes
CC: “I'm always anxious and can't stop myself from overeating.”
A 26-year-old female complains of feeling anxious, having difficulty with
concentration, and overeating for the past three weeks. Upon further questioning, the
Patient reports that the symptoms began shortly after her father's death. The Patient is
diagnosed with a binge eating disorder and is started on Escitalopram 10mg PO daily
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and Lisdexamfetamine 30mg PO daily. Follow up in 2 weeks.
Impulse Control Disorder
Student
Notes
“I can't control my impulse.”
A 24-year-old female reported having difficulty controlling his impulses; she has
been having difficulty controlling his impulses for the past year, starting after a
traumatic breakup with his partner. The Patient is diagnosed with Impulse Control
Disorder and is started on SSRI at 25mg per day. Follow up in two weeks.
Obsessive-Compulsive Disorder
Student Notes
CC: “I’m constantly comparing myself to others. I can’t help it.”
A 33-year-old female reports feelings of inadequacy and insecurity when
comparing themselves to others. They report this has been going on for two
months and that it began after a stressful period at work. The Patient is
diagnosed with Body Dysmorphic Disorder and is started on Fluoxetine 20 mg
PO QD. Follow up in four weeks.
Stress & Trauma-Related Disorder
Student Notes CC: “I’m constantly worried about dying.”
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56-year-old female reports feeling anxious and worried about death and dying.
She reports that this has been going on for six months and began after a road
accident. The Patient is diagnosed with Adjustment Disorder with Anxiety and is
started on Fluoxetine 20 mg PO QD. Follow up in three weeks.
Anxiety Disorder
Student
Notes
CC: “I cannot control my body.”
A 43-year-old female reports feeling out of control of their body and mind. She
reported this had been going on for four months and that it began after an accident.
She also reports difficulty concentrating and difficulty making decisions. The Patient
is diagnosed with Dissociative Disorder and is started on Sertraline 50 mg PO QD.
Follow up in two weeks.
Anxiety Disorder
Student
Notes
CC: “I can’t seem to make any decisions.”
A 33-year-old male reports difficulty making decisions and feeling overwhelmed by
choices. He reported this has been going on for four months and that it began after a
stressful period at work. The Patient is diagnosed with Decisional Paralysis and is
started on Fluoxetine 10 mg PO QD. Follow up in two weeks.
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Sexual Disorder
Student
Notes
CC: “I can’t control my sexual urges.”
A 32-year-old male reports experiencing strong, uncontrollable sexual urges and urges
to engage in risky sexual behaviours. He reported this has been going on for three
months and that it began after an argument with his family. The Patient is diagnosed
with Hypersexual Disorder and is started on Paroxetine 20 mg PO QD. Follow up in
two weeks.
Psychotic Disorder
Student
Notes
Cc: “I hear voices that aren’t there.”
A 53-year-old male reports hearing voices that no one else can hear and feeling
confused and disoriented. The Patient also has difficulty concentrating. He reported
that this had been going on for six months and that it began after a tragic road
accident. The Patient is diagnosed with Schizophrenia and is started on Olanzapine
5 mg PO QHS. Follow up in two weeks.
Sleep Disorder
Student
Notes
CC: “I haven’t been able to sleep for days.”
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A 24-year-old female reports difficulty falling asleep and staying asleep. She reported
that this has been going on for three weeks and that it began after a stressful period at
work. The Patient is diagnosed with Insomnia and is started on Zolpidem 10 mg PO
QHS. Follow up in two weeks.
Personality Disorder
Student
Notes
CC: “I can’t seem to connect with people.”
A 33-year-old male reports feeling isolated and unable to make meaningful
connections with others. He reported this has been going on for six months and that
it began after moving to a new city. The Patient is diagnosed with Schizoid
Personality and is started on Venlafaxine 150 mg PO QD. Follow up in three
weeks.
Eating Disorder
Student
Notes
CC:” I can’t stop eating.”
A 17-year-old female reports binge eating and feeling out of control when it comes to
their food intake. She reported that this behaviour has been going on for five months
and that it began after her friends started isolating themselves from her. The Patient is
overweight and has a poor body image. She is diagnosed with Binge Eating Disorder
and is started on Fluoxetine 20 mg PO QD. Follow up in two weeks.
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Anxiety Disorder
Student
Notes
CC: “I cannot control my life .”
A 27-year-old female reports feeling detached from their own decisions and that they
are unable to make progress in their life. They report this has been going on for two
months and that it began after a breakup with their significant other. The Patient is
diagnosed with Depressive Disorder and is started on Citalopram 20 mg PO QD.
Follow up in two weeks.
Impulse Control Disorder
Student
Notes
CC: “I can't seem to control my temper, and I just feel like exploding all the time.”
A 19-year-old female complains of persistent feelings of anger, irritability, and
difficulty controlling emotions. The Patient has been feeling this way for the past
three months and reports that the feeling started shortly after a traumatic incident.
During the assessment, the Patient was alert and oriented. The Patient has been
diagnosed with Intermittent Explosive Disorder and is started on 10mg of
Olanzapine once daily. A follow-up appointment is in four weeks.
Post-Traumatic Stress Disorder
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Student
Notes
CC: “I can't seem to get over my ex-partner.”
A 26-year-old female complains of persistent intrusive thoughts about their ex-
partner, difficulty controlling thoughts, and feeling overwhelmed. The Patient has
been feeling this way for the past two months and reports that the feeling started
shortly after a breakup. The Patient is diagnosed with Post-Traumatic Stress
Disorder and is started on 10mg of Sertraline once daily. Follow up in four weeks.
Anxiety Disorder
Student
Notes
CC: “I feel so disconnected from the world.”
A 25-year-old female complains of persistent feelings of disconnection, difficulty
forming relationships, and worrying excessively about other people's opinions. The
Patient has been feeling this way for the past three months and reports that the feeling
started shortly after a family dispute. The Patient is diagnosed with Social Anxiety
Disorder and is started on 10mg of Escitalopram once daily. A follow-up appointment
is in four weeks.
Obsessive-Compulsive Disorder
Student Notes CC: “I cannot control my thoughts.”
A 24-year-old male complains of persistent intrusive thoughts, difficulty
controlling thoughts, and feeling overwhelmed. The Patient has been feeling this
way for the past two months and reports that the feeling started shortly after a
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traumatic event. The Patient is diagnosed with Obsessive-Compulsive Disorder
and is started on 10mg of Fluoxetine once daily. Follow-up appointment in four
weeks.
Adjustment Disorder
Student
Notes
CC: “I just don't feel like myself anymore.”
A 31-year-old female reports feeling anxious and irritable and having difficulty
sleeping. The Patient reports the condition started a few months ago following a
breakup with their partner. The Patient was alert, oriented, and cooperative during
the session. The Patient is diagnosed with Adjustment Disorder and is started on
Citalopram 20mg daily to be taken at bedtime. Follow up in two weeks.
Eating Disorder
Student
Notes
CC: “I eat, but I don't feel satisfied.”
A 37-year-old male reports excessive eating and feelings of guilt afterwards. The
Patient reports the condition started a few months ago following a move to a new city.
The Patient was diagnosed with Binge Eating Disorder and is started on Vyvanse
30mg daily to be taken in the morning. Follow up in three weeks.
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Impulse Control Disorder
Student
Notes
CC:” I'm always angry and don't know why.”
A 77-year-old female reports episodic outbursts of anger and difficulty controlling
emotions. The Patient reports the condition started a few months ago following a
dispute with a family member. The Patient is diagnosed with Intermittent Explosive
Disorder and is started on Lamotrigine 50mg daily to be taken in the morning.
Follow up in two weeks.
Psychotic Disorder
Student
Notes
CC: “I keep having these strange thoughts that don't make sense.”
A 47-year-old male reports experiencing auditory hallucinations and disorganized
thoughts. The Patient reports the condition started a few months ago following a
traumatic life event. The Patient is diagnosed with Schizophrenia and is started on
Risperidone 4mg daily to be taken in the morning. Follow up in two weeks.
Stress & Trauma-Related Disorder
Student
Notes
CC: “I can't seem to shake this feeling of dread and sadness.”
A 26-year-old female reports feeling overwhelmed and having difficulty
concentrating. The Patient reports the condition started a few weeks ago following
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a death in the family. The Patient is diagnosed with Post-Traumatic Stress
Disorder and is started on Escitalopram 20mg daily to be taken in the morning.
Follow up in two weeks.
Substance Use Disorder Disorder
Student Notes
CC: “I can't seem to stop myself from using drugs.”
A 36-year-old male reports feeling the urge to use drugs and difficulty controlling
the urge. The Patient reports the condition started a few months ago following a
move to a new city. The Patient is diagnosed with Substance Use Disorder and is
started on Naloxone 2mg daily to be taken in the morning. Follow up in two
weeks.
Impulse Control Disorder
Student
Notes
CC: “I keep making decisions that I know aren't good for me.”
A 26-year-old female reports making impulsive decisions without considering the
consequences. The Patient reports the condition started a few months ago following
a disagreement with a friend. The Patient is diagnosed with Impulse Control
Disorder and is started on Fluoxetine 20mg daily to be taken in the morning. Follow
up in two weeks.
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Personality Disorder
Student
Notes
CC: “I feel like I have to act a certain way to fit in.”
A 13-year-old male reports feeling the need to conform to certain social norms and
difficulty expressing their own feelings. The Patient reports the condition started a
few years ago following a move to a new school. The Patient is diagnosed with
Avoidant Personality Disorder and is started on Fluoxetine 20mg daily to be taken
in the morning.
Sexual Disorder
Student
Notes
CC: “I can't seem to control my sexual urges.”
A 23-year-old male reports feeling the urge to engage in sexual activities and
difficulty controlling the urge. The Patient reports the condition started a few years
ago following a traumatic life event. The Patient is diagnosed with Hypersexual
Disorder and is started on Bupropion 150mg daily to be taken in the morning.
Eating Disorder
Student
Notes
CC: “I cannot control my eating.”
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A 23-year-old female complains that she cannot control her excessive eating habits.
The Patient states that the condition started two months ago after a breakup. The
Patient has gained 15 pounds in the last two months. The Patient is diagnosed with
Binge Eating Disorder and is started on Sertraline 50mg daily. Follow up in four
weeks.
Personality Disorder
Student
Notes
CC: “I feel like I can’t trust anyone and constantly suspicious of people.”
A 27-year-old male reports feelings of mistrust, paranoia, and suspiciousness. The
Patient states that the condition started three months ago after experiencing a
traumatic event of mistreatment by his friends. The Patient is diagnosed with
Paranoid Personality Disorder and is started on Fluoxetine 20mg daily. Follow up
in three weeks.
Sleep Disorder
Student
Notes
CC: “I can’t seem to get enough sleep, no matter how much I try.”
A 34-year-old female reports difficulty falling asleep, waking up frequently
throughout the night, and feeling tired during the day. The Patient states that the
condition started two weeks ago after experiencing a stressful period at work. The
Patient is diagnosed with Insomnia and is started on Zolpidem 10 mg. Follow up in
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two weeks.
Anxiety Disorder
Student
Notes
CC: “I’m so tired and can’t get motivated to do anything. I just want to sleep.”
A 12-year-old male reports that he has been experiencing increased levels of fatigue
and low motivation for the past five months. The patient has difficulty getting out of
bed and difficulty completing tasks. This condition started after being punished at
school. The patient is diagnosed with Depressive disorder and is started on Fluoxetine
10mg PO daily. Follow up in four weeks.
Psychotic Disorder
Student
Notes
CC: “I’m hearing voices that aren’t there, and I’m seeing things that don’t exist.”
A 22-year-old female reports auditory and visual hallucinations. The Patient states
that the condition started two months ago after experiencing a traumatic event. The
Patient is diagnosed with Psychotic Disorder and is started on Aripiprazole 15mg
daily. Follow up in two weeks.
Stress & Trauma-Related Disorder
Student Notes CC: “I’m constantly feeling anxious and overwhelmed, even if there’s nothing to
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be worried about.”
A 57-year-old female reports feelings of anxiety, stress, and panic. The Patient
states that the condition started one month ago, after the death of her husband.
The Patient is diagnosed with Stress & Trauma-Related Disorder and is started
on Lorazepam 2mg. Follow up in four weeks.
Alcohol Use Disorder
Student
Notes
Cc: “I can’t seem to stop drinking even though I know it’s bad for me.”
A 43-year-old female reports excessive consumption of alcohol and an inability to
stop drinking. The Patient states that the condition started three months ago, after a
divorce. The Patient is diagnosed with alcohol use disorder and is started on
Naltrexone 50mg daily. Follow up in four weeks.
Impulse Control Disorder
Student
Notes
CC: “I can’t seem to resist the urge to gamble, even though I know it’s not good for
me.”
A 28-year-old male reports an inability to resist the urge to gamble. The Patient
states that the condition started three months ago after a stressful period at work.
The Patient appears anxious and has difficulty concentrating. The Patient is
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diagnosed with Gambling Disorder and is started on Naltrexone 50mg daily. Follow
up in four weeks.
Sexual Disorder
Student
Notes
CC: “I can’t stop engaging in unsafe sexual behaviours, even though I know it’s
dangerous.”
A 19-year-old female reports an inability to stop engaging in unsafe sexual
behaviours. The Patient states that the condition started two months ago after failing
her final exams. The Patient appears anxious and disconnected. The Patient is
diagnosed with Hypersexual Disorder and is started on bupropion 150mg daily.
Follow up in two weeks.
Impulse Control Disorder
Student
Notes
CC: “I can’t seem to control my anger, and I lash out at people around me.”
A 21-year-old male reports difficulty controlling anger and an inability to maintain
relationships. The Patient states that the condition started three months ago after
experiencing a traumatic event. The Patient is diagnosed with Intermittent
Explosive Disorder and is started on Sertraline 50mg daily. Follow up in two
weeks.
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Mood Disorder
Student
Notes
“I can’t seem to focus or concentrate on anything, and I’m constantly distracted.”
A 25-year-old female reports difficulty focusing, concentrating, and staying on task.
The Patient states that the condition started two months ago after experiencing a
stressful period at work. The Patient is diagnosed with Attention Deficit Hyperactivity
Disorder and is started on Methylphenidate 10mg daily. Follow up in two weeks.
Anxiety Disorder
Student
Notes
CC: “I’m really anxious around people, and I don’t know why.”
A 23-year-old male complains of feeling anxious and uncomfortable around other
people for the past month. The Patient is exhibiting signs of panic and avoidance of
social situations. The Patient reported not knowing what caused the condition. The
Patient is diagnosed with Social Anxiety Disorder and is started on Sertraline 25mg
once daily. Follow-up in two weeks.
Sexual Disorder
Student
Notes
CC: “I can’t stop thinking about sex.”
A 26-year-old female complains of an increase in her thoughts and fantasies about sex
for the past two months. The Patient reported not knowing what caused the condition.
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The Patient is diagnosed with Hypersexual Disorder and is started on Paroxetine
20mg once daily. Follow up in four weeks.
Impulse Control Disorder
Student
Notes
CC: “I can’t stop myself from gambling.”
A 21-year-old male reports an increase in gambling activities for the past two
weeks. The Patient reported not knowing what caused the condition. The Patient is
exhibiting signs of financial distress. The Patient is diagnosed with Impulse Control
Disorder and is started on Fluoxetine 20mg once daily. Follow up in two weeks.
Alcohol and Substance Use Disorder
Student Notes
CC: “I can’t stop drinking alcohol.”
A 26-year-old male reports an increase in their alcohol consumption for the past
month. The Patient reported not knowing what caused the condition. The Patient
is exhibiting signs of intoxication and impaired speech and coordination. The
Patient is diagnosed with Alcohol Use Disorder and is started on Naltrexone
0.5mg twice daily. Follow up in two weeks.
Psychotic Disorder
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Student
Notes
CC: “I hear voices in my head telling me to do bad things.”
A 45-year-old male complains of hearing auditory hallucinations for the past two
weeks. The Patient reported not knowing what caused the condition. The Patient is
exhibiting signs of paranoia and fear. The Patient is diagnosed with a Psychotic
disorder and is started on Aripiprazole 10mg once daily. Follow up in two weeks.
Sleep Disorder
Student
Notes
Cc: “I have difficulty concentrating.”
A 56-year-old female reports having difficulty falling asleep, staying asleep, and
waking up excessively early for the past month. The Patient reported that this
condition started after she had a disagreement with her daughter. The Patient is
diagnosed with Insomnia and is started on Zolpidem 10mg once daily at bedtime.
Follow up in two weeks.
Anxiety Disorder
Student
Notes
CC: “I don’t care about anything anymore.”
A 31-year-old female complains of feeling apathetic and indifferent to their
environment, relationships, and activities for the past two months. The Patient
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reported that this condition started after she lost her savings to conmen. The Patient is
diagnosed with Depressive Disorder and is started on Fluoxetine 20mg once daily.
Follow-up in two weeks.
Eating Disorder
Student
Notes
CC: “I feel like I’m eating too much and can’t stop.”
A 28-year-old female reports an increase in appetite and compulsive eating habits for
the past two months that have caused them to gain 10 pounds. The Patient did not
report any specific trigger that caused the condition. The Patient is diagnosed with a
Binge eating disorder and is started on Naltrexone 0.5mg twice daily. Follow up in
one week.
Sexual Disorder
Student
Notes
CC: “I can’t control my urges and desires. I feel like I’m constantly looking for
something new.”
A 30-year-old female reports that they have been feeling an uncontrollable urge to
seek out new sexual experiences for the past six months and feels it has become a
problem. The Patient reports that they believe the onset of the condition was due to
stress. The Patient is diagnosed with Hypersexual Disorder and is started on
Fluoxetine 20mg, taken once daily. Follow up in two weeks.
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Anxiety Disorder
Student
Notes
CC:” I feel so anxious all the time like I need to constantly be doing something.”
A 33-year-old female reports that they have been feeling anxious and restless for the
past two months and feels it has become a problem. The Patient reports that they
believe the onset of the condition was due to stress caused by financial strains. The
Patient is diagnosed with Generalized Anxiety Disorder and is started on Alprazolam
0.5mg, taken twice daily. Follow up in two weeks.
Anxiety Disorder
Student
Notes
CC: “I feel so hopeless and down all the time. I can’t seem to find any joy.”
A 21-year-old male reports that he has been feeling depressed and hopeless for the
past six months and feels it has become a problem. The Patient reports that they
believe the onset of the condition was due to a traumatic event caused by the death of
his brother. The Patient is diagnosed with major depressive disorder. Follow up in
three weeks.
Anxiety Disorder
Student
Notes
CC: “I'm always so anxious and can't seem to relax.”
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A 30-year-old female reports feeling anxious and uneasy in social situations and
having difficulty sleeping. This has been going on for approximately two months and
is believed to be caused by the recent death of her grandmother. The Patient is
diagnosed with Generalized Anxiety Disorder and is started on Escitalopram 10mg
PO daily. Follow up in two weeks.
Mood Disorder
Student
Notes
CC: “I have no interest or pleasure in anything.”
A 42-year-old female reports feeling low in mood and having no interest in activities
she previously enjoyed. This has been going on for approximately one month and is
believed to be caused by the stress of her job. The Patient is diagnosed with Major
Depressive Disorder and is started on Sertraline 50mg PO daily. Follow up in three
weeks.
Impulse Control Disorder
Student
Notes
CC:” I'm always so angry, and I can't control it.”
A 28-year-old male reports having sudden bursts of anger and difficulty controlling
his temper. This has been going on for approximately three months and is believed
to be caused by a recent divorce. The Patient is diagnosed with Intermittent
Explosive Disorder and is started on Fluoxetine 20mg PO daily. Follow up in two
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weeks.
Psychotic Disorder
Student
Notes
CC: “I hear voices and see things that aren't there.”
24-year-old male reports hearing voices and seeing things that aren't there. This has
been going on for approximately three weeks and is believed to be caused by severe
stress. The Patient is diagnosed with Schizophrenia and is started on Olanzapine
10mg PO daily. Follow up in two weeks.
Eating Disorder
Student
Notes
CC: “I'm obsessed with my body and can't seem to stop dieting.”
A 20-year-old female reports having an extreme preoccupation with her body weight
and shape. This has been going on for approximately one year and is believed to be
caused by a traumatic experience. The Patient is diagnosed with Anorexia Nervosa
and is started on Fluoxetine 20mg PO daily. Follow up in two weeks.
Impulse Control Disorder
Student
Notes
CC: “I can't seem to stop gambling.”
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A 35-year-old male reports having difficulty controlling his urge to gamble. This
has been going on for approximately six months and is believed to be caused by a
recent job loss. The Patient is diagnosed with Gambling Disorder and started on
Naltrexone 50mg PO daily. Follow up in two weeks.
Personality Disorder
Student
Notes
CC: “I have a hard time trusting people, and I'm always suspicious.”
A 32-year-old female reports having difficulty trusting people and feeling
suspicious of others. This has been going on for approximately two years and is
believed to be caused by a betrayal from a close friend. The Patient is diagnosed
with Paranoid Personality Disorder and is started on Venlafaxine 10mg po qd.
Follow up in two weeks.
Stress and Trauma-Related Disorder
Student
Notes
CC: “I'm constantly on edge and can't seem to relax.”
A 37-year-old male reports feeling on edge and having difficulty sleeping. This
has been going on for approximately six months and is believed to be caused by a
recent car accident. The Patient is diagnosed with Post-Traumatic Stress Disorder
and is started on Escitalopram 10mg PO daily. Follow up in two weeks.
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Alcohol and Substance Use Disorder
Student Notes
CC: “I have difficulties quitting alcohol.”
A 46-year-old male reports having difficulty controlling his urge to drink
alcohol. This has been going on for approximately one year and is believed to be
caused by the death of his father. The Patient is diagnosed with Alcohol Use
Disorder and is started on Naltrexone 50mg PO daily. Follow-up in four weeks.
Alcohol and Substance Use Disorder
Student Notes
CC: “I can't seem to stay away from drugs.”
A 25-year-old male reports having difficulty controlling his urge to use drugs.
This has been going on for approximately six months and is believed to be
caused by the stress of his job. The Patient is diagnosed with Substance Use
Disorder and is started on Bupropion 150mg PO daily. Follow up in four weeks.
Mood Disorder
Student
Notes
CC: “I don’t feel like doing anything anymore. I can’t seem to sleep, and I’m not that
hungry.”
A 25-year-old male complains of feeling sad, having difficulty concentrating and
sleeping, and having loss of appetite since the death of her mother five months ago.
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The Patient is diagnosed with Major Depressive Disorder and is started on Fluoxetine
20 mg po daily. Follow up in three weeks.
Anxiety Disorder
Student
Notes
CC: “I'm really confused.”
A 34-year-old female reports that his difficulty calming down started six months ago
after he was involved in a car accident. He also reports that he has been having
difficulty sleeping and has been feeling anxious and overwhelmed. The Patient is
diagnosed with Acute Stress Disorder and is started on Escitalopram 10 mg orally
once daily. Follow up in two weeks.
Alcohol and Substance Use Disorder
Student Notes
CC: “I can’t seem to stop myself from drinking and using drugs.”
A 22-year-old male reports that his difficulty controlling his alcohol and
substance use started three months ago and that it is causing him distress. He
also reports that he has been engaging in risky behaviours while under the
influence. The Patient is diagnosed with Alcohol and Substance Use Disorder
and is started on Naltrexone 50 mg orally once daily. Follow up in two weeks.
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Stress & Trauma-Related Disorder
Student
Notes
CC: “I can’t seem to stop thinking about the accident that happened to me last
year.”
A 46-year-old female reports that his difficulty controlling his intrusive thoughts
started two months ago after he was involved in a car accident. He also reports
that he has been having difficulty sleeping and has been feeling anxious and
overwhelmed. The Patient is diagnosed with Stress & Trauma-Related Disorder
and is started on Paroxetine 20 mg orally once daily. Follow up in four weeks.
Personality Disorder
Student
Notes
Cc: “I feel like I’m constantly angry, and I can’t seem to control it.”
A 43-year-old male reports that his difficulty controlling his anger started six
months ago and that it is causing him distress. He also reports that he has been
engaging in aggressive behaviours. The Patient is diagnosed with Antisocial
Personality Disorder and is started on Lamotrigine 25 mg orally once daily. Follow
up in four weeks.
Impulse Control Disorder
Student CC: “I am misusing the money I have.”
32
Notes
A 28-year-old male reports that his difficulty controlling impulse behaviours started
four months ago and is causing him distress. He also reports that he has been
engaging in compulsive gambling and spending behaviours. The Patient is
diagnosed with Impulse Control Disorder and is started on Naltrexone 50mg daily.
Follow up in four weeks.
Eating Disorder
Student
Notes
CC: “I can’t seem to stop myself from binging and purging.”
A 19-year-old female reports that her difficulty controlling her eating behaviours
started two months ago and that it is causing her distress. She also reports that she has
been engaging in binge eating and purging behaviours. The patient appears anxious
and disconnected. The Patient is diagnosed with Bulimia Nervosa and is started on
Fluoxetine 20 mg orally once daily. Follow up in two weeks.
Psychotic Disorder
Student
Notes
CC: “I feel like a group of people is following me, and they’re trying to hurt me.”
A 21-year-old male report that he has been having difficulty sleeping and
concentrating and has been feeling paranoid and anxious. He also reports that he has
been having delusions and hallucinations. The Patient is diagnosed with
Schizophrenia and is started on Risperidone 4 mg orally once daily. Follow up in
33
two weeks.
Mood Disorder
Student
Notes
“I feel like I’m constantly depressed, and nothing makes me happy anymore.”
A 25-year-old male reports that his depressed mood started six months ago after his
father's death. He reports that he has been having difficulty sleeping and concentrating
and has been feeling hopeless and unmotivated. The Patient is diagnosed with Major
Depressive Disorder and is started on Sertraline 50 mg orally once daily. Follow up in
two weeks.
Anxiety Disorder
Student
Notes
CC: “I feel like I’m constantly anxious and on edge, and I can’t seem to shake it.”
A 23-year-old male reports that his anxiety started three months ago and has gradually
increased since then. The patient also reports that he has been having difficulty
sleeping and has been feeling overwhelmed with his day-to-day tasks. The Patient is
diagnosed with Generalized Anxiety Disorder and is started on Escitalopram 10 mg
orally once daily. Follow-up in two weeks.
Sexual Disorder
34
Student
Notes
CC: “I feel like I’m not able to control my sexual urges, and I just can’t stop thinking
about sex.”
A 23-year-old male reports that the difficulty controlling his sexual urges started a few
months ago and that it is causing him distress. He also reports that he has been
engaging in risky sexual behaviours that he didn’t previously engage in. The Patient is
diagnosed with Hypersexual Disorder and is started on Fluoxetine 20 mg orally once
daily. Follow up in four weeks.
Alcohol and Substance Use Disorder
Student Notes
CC: “I’ve been drinking alcohol every day.”
A 21-year-old male reports drinking alcohol every day for the past four months.
The patient reports that the condition started after the death of his sister. The
Patient is diagnosed with Alcohol and Substance Use Disorder and is started on
Naltrexone 50 mg daily. Follow up in two weeks.
Personality Disorder
Student
Notes
CC: “I’ve been having trouble with my relationships, and I find it hard to trust
people.”
A 23-year-old female reports difficulty with relationships and difficulty trusting
35
people for the past six weeks. The patient reports that the condition started after a
difficult breakup. The Patient is diagnosed with Personality Disorder and is started
on Prozac 20 mg daily. Follow up in two weeks.
Impulse Control Disorder
Student
Notes
CC: “I can’t seem to control my urges to gamble, and I’ve been spending a lot of
money lately.”
A 45-year-old male reports difficulty controlling his urges to gamble and spending
excessive amounts of money for the past three months. The patient reports that the
condition started after the death of a close friend. The Patient also has a history of
anxiety. The Patient is diagnosed with Impulse Control Disorder and is started on
Xanax 0.5 mg daily. Follow up in two weeks.
Psychotic Disorder
Student
Notes
Cc: “I’ve been feeling disconnected from reality and having delusions and
hallucinations.”
A 69-year-old male reports feeling disconnected from reality and experiencing
delusions and hallucinations for the past four weeks. The patient reports that the
condition started after the death of his wife. The Patient is diagnosed with Psychotic
36
Disorder and is started on Abilify 2 mg daily. Follow up in two weeks.
Stress & Trauma-Related Disorder
Student
Notes
CC: “I’ve been having trouble concentrating, and I’m having difficulty with day-
to-day activities.”
A 38-year-old female reports difficulty concentrating and difficulty with day-to-
day tasks for the past two months. The patient reports that the condition started
after the death of a family member. The Patient is diagnosed with Stress &
Trauma-Related Disorder and is started on Zoloft 50 mg daily. Follow up in two
weeks.
Anxiety Disorder
Student
Notes
CC: “I’ve been feeling really anxious and have intrusive thoughts that I can’t
control.”
A 22-year-old female reports feeling anxious and experiencing intrusive thoughts for
the past three months. The patient reports that the condition started after a difficult
breakup. The Patient is diagnosed with Anxiety Disorder and is started on Celexa 20
mg daily. Follow up in four weeks.
Impulse Control Disorder
37
Student
Notes
CC: “I’ve been feeling really angry and irritable, and I find it hard to control my
impulses.”
A 30-year-old male reports feeling angry and irritable for the past six weeks. The
patient reports that the condition started after losing a bet in the world cup. The
Patient is diagnosed with Impulse Control Disorder and is started on Xanax 0.5 mg
daily, taken once daily. Follow up in two weeks.
Mood Disorder
Student
Notes
CC:” I have been feeling really depressed and hopeless for the last few weeks, and I
have no energy.”
A 33-year-old female reports feeling depressed and hopeless for the past four weeks.
The patient reports that the condition started after the death of a close friend. The
Patient is diagnosed with Mood Disorder and is started on Lexapro 10 mg daily.
Follow up in two weeks.
Eating Disorder
Student
Notes
CC: “I can’t stop thinking about food and constantly binge eating and purging.”
32-year-old female reports frequent binge eating and purging for the past two months.
38
The patient reports that the condition started after a divorce from a long-term partner.
The Patient is diagnosed with a Binge eating disorder and is started on Prozac 20 mg
daily. Follow up in three weeks.
Stress & Trauma-Related Disorder
Student
Notes
CC: “I'm having trouble sleeping, and when I do sleep, I have nightmares that I
can't control.”
A 13-year-old male reports difficulty sleeping and having nightmares for the past
three weeks. The patient reports that the condition started after a traumatic event
of witnessing a family member’s death. The Patient is diagnosed with Stress &
Trauma-Related Disorder and is started on Zoloft 50 mg daily. Follow up in three
weeks.
Stress & Trauma-Related Disorder
Student
Notes
CC: “I'm having trouble dealing with the trauma from my past.”
A 34-year-old male reports having intrusive memories, difficulty sleeping, and
difficulty concentrating. Symptoms started a few months ago, and the patient
believes it is due to a traumatic experience. The patient is diagnosed with Stress &
Trauma-Related Disorder and is started on citalopram 20mg daily. Follow up in
39
two weeks.
Alcohol and Substance Use Disorder
Student Notes
CC: “I'm drinking more and more and having trouble stopping..”
A 58-year-old male reports having difficulty controlling alcohol consumption,
cravings for alcohol, and feelings of guilt and shame. This condition started a
few weeks ago, and the patient believes it is due to a stressful job. The patient is
diagnosed with Alcohol and Substance Use Disorder and is started on naltrexone
50mg daily. Follow up in three weeks.
Personality Disorder
Student
Notes
CC:” I'm always trying to measure up to everyone else, and I can't seem to do it.”
A 14-year-old male reports difficulty meeting expectations, making decisions, and
relating to others. This condition has been present since childhood, and the patient
believes it is due to a lack of positive role models. The patient is diagnosed with
Personality Disorder and is started on quetiapine 50mg daily. Follow up in two
weeks.
Sexual Disorder
40
Student
Notes
CC: “I'm having a hard time controlling my sexual urges.”
A 35-year-old male reports having intrusive sexual thoughts, difficulty controlling
sexual behavior, and feelings of guilt and shame. This condition started a few weeks
ago, and the patient believes it is due to a recent breakup. The patient is diagnosed
with a Sexual Disorder and is started on bupropion 150mg daily. Follow up in two
weeks.
Mood Disorder
Student
Notes
CC: “I feel like I'm constantly in a bad mood, and nothing makes me happy.”
A 44-year-old female reports difficulty finding joy, difficulty controlling emotions,
and sadness and hopelessness. Symptoms started a few months ago, and the patient
believes it is due to a death in the family. The patient is diagnosed with MDD and is
started on paroxetine 20mg daily. Follow up in two weeks.
Psychotic Disorder
Student
Notes
CC: “I'm having thoughts that don't feel like they are mine.”
A 67-year-old female reports having intrusive thoughts, feelings of being
disconnected from reality, and paranoia. This condition started a few weeks ago, and
the patient believes it is due to the death of her two sons. The patient is diagnosed
41
with Psychotic Disorder and started on risperidone 2mg daily. Follow up in two
weeks.
Anxiety Disorder
Student
Notes
CC: “I'm always so worried and anxious about everything.”
35-year-old male reports having excessive worrying, difficulty sleeping, and feeling
overwhelmed with fear and dread. This condition started a few months ago, and the
patient believes it is due to work-related stress. The patient is diagnosed with Anxiety
Disorder and is started on buspirone 15mg daily. Follow up in two weeks.
Impulse Control Disorder
Student
Notes
CC: “I'm always so angry and can't control my temper.”
A 59-year-old male reports having difficulty controlling emotions, violent outbursts,
and impulsivity. This condition started a few months ago, and the patient believes it
is due to a recent breakup. The patient is diagnosed with Impulse Control Disorder
and is started on lisdexamfetamine 30mg daily. Follow up in two weeks.
Eating Disorder
42
Student
Notes
CC: “I'm constantly thinking about food.”
A 46-year-old male reports excessive cravings for food, difficulty controlling the urge
to eat, and overeating for the past two months. The patient believes that the condition
was triggered by boredom. The patient is diagnosed with Eating Disorder and is
started on fluoxetine 10mg daily. Follow-up in four weeks.
Stress & Trauma-Related Disorders
Student Notes
CC: “I'm constantly stressed, I can't focus, and always exhausted.”
A 25-year-old male reports difficulty sleeping, difficulty concentrating and
feeling fatigued. Symptoms started a few weeks ago, and the patient believes it is
due to excessive stress from a tragic accident she was involved in and lost her left
leg. The patient is diagnosed with Stress & Trauma-Related Disorder and is
started on sertraline 50mg daily. Follow up in four weeks.
Anxiety Disorder
Student
Notes
CC: “I can't seem to stop obsessing about things, and I'm constantly worrying.”
A 51-year-old male complains that he has been experiencing obsessive and
compulsive behaviors for the past six months. He reports that he is constantly
43
worrying and obsessing about things and has difficulty controlling his thoughts. He
reports that the start of his symptoms coincided with a period of major life stressors
such as divorce. The patient is diagnosed with Obsessive-Compulsive Disorder and is
started on Fluoxetine 10mg po qd. Follow up in three weeks.
Impulse Control Disorder
Student
Notes
CC: “I feel like I'm out of control. I just want to do something, anything, to feel
better.”
A 34-year-old female has been experiencing episodes of intense anger and
aggression for the past month. She reports that he cannot control his emotions and
constantly feels tense and agitated. She reports that the start of his symptoms
coincided with a period of major life stressors, such as a death in the family. The
patient is diagnosed with Intermittent Explosive Disorder and is started on
Carbamazepine 10mg po qd. Follow up in two weeks.
Alcohol and Substance Use Disorder
Student Notes CC: “I can't seem to stop drinking. I just keep drinking more and more.”
A 48-year-old male reports that he has been drinking alcohol excessively for the
past six months. He reports that he is unable to control his drinking and is
constantly craving alcohol. He reports that the start of his symptoms coincided
44
with a period of major life stressors such as a job loss. The patient is diagnosed
with Alcohol Use Disorder and is started on Disulfiram 500mg po qd. Follow up
in two weeks.
Stress & Trauma-Related Disorder
Student
Notes
CC: “I can't seem to get past this trauma. I keep having flashbacks and
nightmares.”
A 46-year-old male reports that he has been experiencing symptoms of post-
traumatic stress disorder for the past six months. The patient reports that he is
having flashbacks and nightmares related to a traumatic event and is constantly on
edge and anxious. This condition started after he lost his son. The patient is
diagnosed with Post-Traumatic Stress Disorder and is started on Sertraline 10mg
po qd. Follow up in four weeks.
Personality Disorder
Student
Notes
Cc: “I don't think I'm like other people. I feel like I'm different and misunderstood.”
A 43-year-old male has felt that he is different from other people for the past two
years. He reports that he often feels misunderstood and that no one truly
understands him. He reports that the start of his symptoms coincided with a period
of major life stressors such as divorce. The patient is diagnosed with Borderline
45
Personality Disorder and is started on Venlafaxine 10mg po qd. Follow up in four
weeks.
Impulse Control Disorder
Student
Notes
CC: “I can't seem to control my impulses. I just do things without thinking.”
A 72-year-old female reports that he has been having difficulty controlling his
impulses for the past six months. The patient reports that he often acts without
thinking and has difficulty stopping once he starts. This condition started after
having an argument with his children. The patient is diagnosed with Impulse
Control Disorder and is started on Atomoxetine 10mg po qd. Follow up in four
weeks.
Eating Disorder
Student
Notes
CC: “I can't seem to stop eating. I feel like I'm eating all the time.”
A 52-year-old female has been experiencing episodes of binge eating for the past three
months. He reports that he feels an uncontrollable urge to eat and has difficulty
stopping once he starts. This condition started as a result of financial difficulties. The
patient is diagnosed with Binge Eating Disorder and is started on Fluoxetine 10mg po
qd. Follow up in two weeks.
46
Psychotic Disorder
Student
Notes
CC: “I hear voices and see things that aren't there. It's so confusing and scary.”
A 73-year-old male reports that he has been having auditory and visual
hallucinations for the past month. This condition started after his elder son sold the
family property. The patient is diagnosed with Schizophrenia and is started on
Olanzapine 10mg po qd. Follow up in two weeks.
Anxiety Disorder
Student
Notes
“I'm so scared.”
A 71-year-old female reports that she has been experiencing increased anxiety and
panic attacks for the past six months. The patient reports that she is constantly on
edge and feels like he can't relax no matter what she does. She reports that this
condition started after the death of her husband. The patient is diagnosed with Major
Depressive Disorder and is started on Sertraline 50 mg orally once daily. Follow up in
two weeks.
Anxiety Disorder
Student
Notes
CC: “I feel so lonely and unworthy, and I can't seem to get out of this negative spiral.”
33-year-old male reports that he has been feeling withdrawn and depressed for the
47
past six months, and his symptoms have been getting worse. The patient reports
feelings of deep loneliness, insecurity, and a lack of motivation to do anything. The
patient reports that the start of his symptoms coincided with a period of major life
stressors such as a divorce and job loss. The patient is diagnosed with Major
Depressive Disorder and is started on Escitalopram 10 mg orally once daily.
Followup in two weeks.
Personality Disorder
Student
Notes
CC: “I’m always suspicious and don’t trust anyone. I always think people are out to
get me.”
A 10-year-old male reports that he has been experiencing increased levels of
suspiciousness for the past six months. The patient has difficulty trusting people
and has difficulty interacting with people. The patient is diagnosed with Paranoid
personality disorder and is started on Quetiapine 25mg PO daily. Follow up in four
weeks.
Mood Disorder
Student
Notes
CC: “My mood changes all the time. I can be happy one minute and then really angry
and sad the next.”
48
A 12-year-old female reports that she has been experiencing increased levels of mood
swings for the past six months after being beaten by her mom. The patient has
difficulty understanding and managing his emotions. The patient is diagnosed with a
Mood disorder and is started on Quetiapine 25mg PO daily. Follow up in two weeks.
Eating Disorder
Student
Notes
CC: “She is obsessed with what she eats.”
An 8-year-old female is brought to the clinic by her com with the complaint that she
has been experiencing increased levels of preoccupation with food for the past three
months. The patient has difficulty concentrating and has difficulty controlling her
eating habits. The patient is diagnosed with an Eating disorder and is started on
Fluoxetine 10mg PO daily. Follow up in two weeks.
Anxiety Disorder
Student
Notes
CC: “I’m so scared of everything. I can’t even leave the house.”
A 12-year-old male reports that he has been experiencing increased levels of fear and
anxiety for the past four months. The patient has difficulty leaving the house and
difficulty interacting with people. The patient is diagnosed with Anxiety disorder and
is started on Clonazepam 0.5mg PO at bedtime. Follow up in two weeks.
49
Psychotic Disorder
Student
Notes
Cc: “I hear voices and see things that aren’t really there. It’s really scary.”
A 12-year-old female reported that she has been experiencing increased levels of
auditory and visual hallucinations for the past two months. 2 months ago, she was
kidnapped. The patient has difficulty concentrating and has difficulty sleeping. The
patient is diagnosed with Psychotic Disorder and is started on Quetiapine 25mg PO
daily. Follow up in two weeks.
Eating Disorder
Student
Notes
CC: “I can’t stop eating. I’m always hungry, and I can’t control it.”
A 14-year-old male reports that he has been experiencing increased levels of hunger
for the past three months. The patient has difficulty controlling his appetite and has
difficulty managing his cravings. The patient is diagnosed with an Eating disorder and
is started on Fluoxetine 10mg PO daily. Followup in two weeks.
Impulse Control Disorder
Student
Notes
CC: “I’m always so angry, and I just want to hit people when they annoy me. I can’t
control my emotions.”
50
A 15-year-old female reports that she has been experiencing increased levels of
anger and aggression for the past three months. The patient has difficulty controlling
her emotions and has difficulty managing her anger. The patient is diagnosed with
Impulse Control Disorder and is started on Fluoxetine 10mg PO daily, taken once
daily. Follow up in four weeks.
Anxiety Disorder
Student
Notes
CC:” I’ve been feeling really anxious and nervous all the time. I don’t want to go to
school and can’t concentrate.”
An 11-year-old male reports that he has been experiencing increased levels of anxiety
for the past six months. The patient has difficulty sleeping, concentrating, and going
to school. This condition started after his teacher punished him. The patient is
diagnosed with anxiety Disorder and is started on Clonazepam 0.5mg PO at bedtime.
Follow up in two weeks.
Eating Disorder
Student
Notes
CC: “I’ve been having a lot of trouble sleeping, and I’m always hungry.”
A 70-year-old male reports that he has been experiencing a lack of appetite and weight
loss in the past six months. The patient reports that the lack of appetite started shortly
after the death of his wife. The patient is diagnosed with Anorexia Nervosa and is
51
started on Zoloft 25mg daily. Follow up in three weeks.
Sleep Disorder
Student
Notes
CC: “I’ve been feeling really anxious and can’t seem to eat anything.”
A 75-year-old male reports difficulty falling asleep, waking up multiple times during
the night, and waking up unrefreshed in the morning. The patient reports the condition
started three months ago after the death of his wife. The patient is diagnosed with
Primary Sleep Disorder and is started on Trazodone 50mg orally at bedtime. Follow
up in three weeks.
