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Running head: SOAP NOTE ON GENERALIZED ANXIETY DISORDER1Soap Note on Generalized Anxiety DisorderStudent’s NameInstitutional Affiliation
SOAP NOTE ON GENERALIZED ANXIETY DISORDER2Soap Note on Generalized Anxiety DisorderName:Date:Age: 7 years Sex: MaleSUBJECTIVEHistorian: MotherCC: “My boy has been restless and he gets fatigued very easily. He also has poor concentration, irritability and excessive worry.”Child profile: Child is able to dress herself, catch a ball more easily using his hands, and tie his shoes with ease. He has started to show more independence, and show more attention to friendship and teamwork and wants to be accepted by friends. His concentration in activities at home and school work at school is poor. He gets irritated easily and he is restless and has excessive worry about family, earthquakes and punctuality. Child sits in his child car sit at the rear seat of the car and he is supervised when playing in wateror near water bodies. He is also supervised when he is risking games like climbing and household equipments and products that are potentially harmful are kept out of each of the child. HPI:A 7 years old boy is brought to the office by her mother who reports that he has been getting irritated easily and he is restless most times. She adds that the child has poor concentration in his activities and studies, he gets fatigued easily and he has excessive worry She says that the child has never been diagnosed with depression and he has never had traumatic events in the past. Mother states that the child has been having excessive worry about his academics, about the safety of his family members especially when they stay out late. She also says that the child is excessively worried about earthquakes and being punctual. Child is not under any medication. Mother states that child has been having these symptoms for the past 65 months and that his teacher has complained about the symptoms and she has also observed the symptoms.
SOAP NOTE ON GENERALIZED ANXIETY DISORDER3Medication: None.