Problem: Rephrase so that it sound more professional for a psychiatric initial intake note:
Patient reports taking trazodone 150mg PO nightly but even with medication, there are nights that she will only sleep for 3 hours. She reports having the highs and lows with her sleep. She has had nights where she only sleeps 3 hours 4 nights in a row, feels more energetic on those nights but feels like she's constantly thinking about what needs to be done the next day. She will wake up hyperfocus and will try to get things done and is up on her feet. She's been told from other people that they will notice her talking faster, been told to slow down. Then she will have nights where she will sleep for 10 hours and still feel exhausted where she can't get up. Family noticed it and even mentioned it to him that it's either she can't get out of bed or she's full of energy for a couple of days and wants to clean. During her hyperfocus days, she have a lot of projects and things that she watns to do but jump around. During those time with high energy, she have a high level of impulsive where she will spend money on unnecessary things from Amazon, urges to want to do online shopping then realized she didn't needs it. Then she'll have periods where she crashed and it's like she hit a wall and can't get out of bed. She won't shower for days, not hungry but will make self eat. The ability to focus is not there. Need Assignment Help?