Write a comprehensive psychiatric evaluation for this patient to includes a chief complaint, a history of present illness (HPI). psychiatric review of symptoms, legal and ethical concerns, past psychiatric history with a (general psychiatric history: Caregivers, hospitalization, medical trial, psychosocial/psycotherapy history), Substance use history, Family psychiatric/Substance use Hx, Psychosocial Hx, Trauma history, Medical history: current medication, allergies, Reproductive Hx, include ROS: · GENERAL: · HEENT: · SKIN: · CARDIOVASCULAR: · RESPIRATORY: · GASTROINTESTINAL: · GENITOURINARY: · NEUROLOGICAL: · MUSCULOSKELETAL: · HEMATOLOGIC: · LYMPHATICS: ENDOCRINOLOGIC, Physical exam with general exam, with diagnostic results, or state what types of test to give for type of patient for a diagnosis, with a mental status exam, with 3 differential diagnoses with rational based on DSM-5, a primary diagnosis, and which behavioral tests are recommended; Reflection, Give a social determinant of health according to the Healthy People 2030 for substance abuse; what is one health promotion activity, disease prevention taking into consideration patient’s age, ethnic group and other risk factors such as socioeconomic and cultural background, and one patient education consideration for this patient for improving health disparities, psychiatric medications recommended for the following patient:
Name: Ally Chen
Gender: female
Age: 44 years old
Background: Only child, raised by parents in Philadelphia, PA.
Has a PhD in biology and a master’s degree in high school education (8–12).
Her supervisor, Principal Michaels, has asked the school EAP counselor to
intervene with concerns regarding potential substance use in an effort to facilitate getting her help and be able to retain her.
She is divorced, has a 4-year-old son who lives with his father.
Appetite is healthy, sleeping 9 hours/24 hrs., wakes 2-3 times during the night. Denied drug use.
had a DUI when she was 21.