Problem: Create a psychiatric hpi and review of systems with family and substance use history for The patient is an 81-year-old woman who voluntarily admitted herself to the hospital due to a significant increase in depressive symptoms. She reports persistent suicidal thoughts but denies having a specific plan. Her depressive episodes have been ongoing for 18 months, beginning after the death of her husband, and she currently resides alone. The patient notes challenges in functioning effectively with her current medication regimen and acknowledges a longstanding history of depression that predates her husband's death. She rates the severity of her depression as 7 out of 10, indicating it is quite significant, while her anxiety is rated as a mild 3 out of 10. She denies any additional notable symptoms, such as hallucinations, delusions, or significant mood swings. This presentation highlights the need for a reassessment of her medication and an evaluation of her overall support system, given her living situation and the chronic nature of her depressive symptoms. Need Assignment Help?