Problem:
Write a follow up psychiatric note, chief complaint, current Meds, HPI, formulation, recommendation treatment plan for a 39 years old male with diagnosis of Adjustment Disorder, With Mixed Anxiety and Depressed Mood, Major depressive disorder, Recurrent episode Severe, Narcissistic Personality Disorder Meds: Escitalopram 10mg daily (consented during last appoinment ) HPI: He said he is hving a very bad headache right now. He said he has been having so much trouble with his body and increased pain. He said his increased shoulders and back pain affects his sleep. His body has increased blotting. He said he only succeeded to fall asleep at 6am this morning and he was up at 8am. He said he was at the emergency room two days ago at Swedish hospital and he was referred to see a rheumatologist. He said he has to make an appointment with his primary care doctor for him to put the in the refeeral for the rheumatologist. He said his appetite has been crazy and he has not been eating much because if he really wants to eat, he will eat a lot. He said he has been getting in a lot of trouble in the way he expresses himself. He said if someone keeps quiet he keeps talking and it sometimes results in argument and this has made him to start isolating himself. He said his believe in God keeps him going. He said he hides himself so people do not see his weakness.he said he just long to see his kids again because he has not seen his kids for over 3years. Need Assignment Help?