Problem:
Create a detailed psychiatric HPI for a clinic initial evaluations, psychiatric review of systems in depression, anxiety, anger/irritability, attention/focus, eating, sleeping, substance use, family history of mental illness, MSE with appearance, posture, eye contact, speech, mood, affect, diagnosis with detailed narrative of DSM-5 rationale met, recommend medications with dosages, and detailed psychotherapy recommendations with rationale for a 29 year old with pronouns they/them/their complaining of "falling asleep at random times," feeling tired, started over 3 years ago, but worsened in the past year, dosing off during Zoom meetings, while watching television, and even while waiting at a stop light, duration of falling asleep varies, but body feels like "it's shutting off and coming back on," their PCP referred them to a "sleep consultant," educated on sleep hygiene, avoiding blue lights, goes to bed at 7pm to 8pm, gets 9-10 hours of sleep but still feels tired, no issues falling asleep, doesn't nap during the day, sleeps through alarms, no cataplexy reported, no hypnagogic hallucinations reported, went to neurologist and EEG was normal, CBC, TSH, iron labs were normal, drank alcohol one year ago, denies drugs, nicotine, cannabis use, drinks one cup of coffee a day, diagnosed with depression back in college, prescribed Cymbalta 60 mg five years ago with no issues, PHQ-9 score is 3, GAD-7 score is 1, denies suicide, works as a freelance photographer that works remote. Need Assignment Help?