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Bh Initial Psychiatric Consultation Study Guide
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patient: mrn:fin: age: sex: dob: associated diagnoses: author: visit inform ation date:
past hospitalizations: most recent admission: past suicidality/self-injurious behaviors: past medication trials: current prescriber: outpatient treatment:
psychiatrist: therapist:
depression: recent mood: sleep: interests: guilt: energy: concentration: appetite: psychomotor changes: si: mania: increased energy: risky behaviors: manic episodes : psychosis: ah/vh: paranoid thoughts: delusions: anxiety: rumination: feelings of anxiousness: panic attacks: ptsd: flashbacks: nightmares: racing thoughts: trauma:
home: inpatient:
social and developmental history: marriage/family: housing: education: highest level: occupation: legal:
inpatient psychiatric hospitalization is **** at this time. dsm- 5 diagnoses:
opioid use disorder, severe, in sustained remission
thank you for allowing us to participate in this patient's care. psychiatry will continue**** to follow. please feel free to contact the psychiatry consult service) with any questions or concerns. case discussed with: attending**** recommendations cortexted to***dr. who requested consult note prepared with the help of john foley, msiv resident**** md/ do department of psychiatry, pgy
