Problem:
Family History: The patient's brother has undiagnosed psychological issues, and her mother has a history of anxiety, indicating a potential familial predisposition to mental health disorders. Substance Use History: The patient denies any use of alcohol, illicit drugs, or tobacco. Medical History: The patient has no significant medical history apart from the identified psychiatric conditions. Risk Assessment: The patient denies any suicidal ideations or intentions but admits to self-harming behavior during moments of extreme emotional distress. Objective: Focused review of systems (ROS): The patient's psychiatric assessment reveals: Anxious mood, Depressed mood and significant issues with concentration and sleep. Mental Status Examination: Orientation: The patient is oriented to person, place, and time. Appearance: Well-groomed, although appearing anxious and tearful. Behavior: Cooperative but occasionally distressed when discussing symptoms. Speech: Normal in rate and volume but may appear pressured when discussing feelings of anxiety. Mood: Anxious with episodes of irritability. Affect: Congruent with mood; labile. Thought Process: Coherent but veers off-topic due to anxiety. Thought Content: No delusions or hallucinations; expresses fears about her mental stability. Cognition: Alert but shows impaired concentration during the assessment. Need Assignment Help?