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Test Group D.pdf - Therapist Name: on call psychiatrist...

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SOUTHHADLEYPSYCHIATRICHOSPITAL153NewtonStreetSouthHadley,MA413-538-5063TherapistName:oncallpsychiatristDateReferred:3/25/2|TREATMENTPLANPatientInformationNAMEBakerGregoryH(last)(first)(Ml)DOB10/03/2001GENDERMSNN572-18-4584(MM/DD/YYY)(M/F)(HEHEEHH)ADDRESS17MainStreetApt.B(street)(apt)ChicopeeMA01013(city)(state)(zip)PHONEn/aEMAIL[email protected](XXX-XXX-XXXX)ChiefComplaint:Mr.Bakerwasbroughtinbycampuspolicefromhisuniversity.He waspickedupafterrefusingtoleavethelecturehallofa classinwhichheisnotenrolled,wherehewasshoutingandsingingloudlyandwouldnotstop.PatientBackgroundCurrentMedicationsnoneDrugAllergiesHospitalizationsorSurgeriesReason:tonsillitisnoneDate:10/5/2009Reason:Date:Reason:Date:WomenOnlyPregnant?YESNOPlanningPregnancy?YESNO
Height:6’0”Weight:170lbs.Ethnicity:whiteFAMILYHISTORYandINFORMATIONMother:Spoketooncallpsychiatrist,commentsnotedbelow.White,age50.Father:Deceasedtwoyearsago.Causeofdeath:oldage.Siblings:SisterEmma,18yearsold,spoketooncallpsychiatrist,commentsnotedbelow.Children:NoneMEDICALHISTORYOHeadache0PneumoniaOAnemiaORheumaticFever0)ShortnessofBreathOUlcersOArthritisOGlaucomaOQHeartMurmur0GlDisorderOOsteoporosisOEpilepsyOQChestPainQOLactoseIntolerance0Hypertension()Other(pleasespecify)OlDizziness/FaintingOGallbladderDisease0Depression0AllergiesOBowelIrregularityOGoutOAsthmaQODiabetes0StrokeQOBronchitis0HepatitisOCancerHABITS&Smoke___1___packsdaily0Alcohol:Type/AmountHowlong?bYSleepWhenstopped?beDifficultyfallingasleepOCoffeecupsdailyContinuitydisturbances1OtherCaffeine0Snoring0ExerciseRoutineOEarlymorningawakeningPatientDescriptionandCommentary:Mr.Baker’ssistersaidthathehasquitseeinghisfriendsandspendsmostofhistimelyinginbedstaringattheceiling.Shealsoexplainedthatsherepeatedlysawhimmumblingquietlytohimselfandnotedthathewouldsometimes,atnight,standontheroofoftheirapartmentbuildingandwavehisarmsasifhewereconductinganorchestra.Mr.Bakerexplainshisactionsbysayingthathefeelsliberatedandintunewiththemusicwhenheisontheroofandthattheroofistheonlyplaceheissafefromthepeoplewhoarealwaystryingtokillhim.During thepastseveralmonths,Mr.Bakerhasbecomeincreasinglypreoccupiedwithafemale,Anne,wholivesdownthestreetfromhisfamilyhome.Whileheinsiststhattheyareengaged,AnnetoldMr.Baker’ssisterandmotherthatshehasonlyspokentoMr.Bakeracoupleoftimesinpassing.Ultimately,Mr.Bakeragreedtosignhimselfintothepsychiatricunit,stating,“Idon’tmindstayinghere.Annewillprobablycomeandvisitme.”
SOUTHHADLEYPSYCHIATRICHOSPITAL153NewtonStreetSouthHadley,MA413-538-5063TherapistName:oncallpsychiatristDateReferred:3/2s/2i/OFFICEUSEONLYFORM582ATREATMENTPLANPatientInformationNAMESantanaJuanJ(last)(first)(Ml)DOB9/12/1967GENDERMSNNXXX-XX-3329(MM/DD/YYY)(M/F)(HEREHEHE-HHHH)ADDRESS11 Newton

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Term
Fall
Professor
Desousa
Tags
Psychiatry, Psychiatric hospital, SOUTH HADLEY PSYCHIATRIC HOSPITAL

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