During his stay at the hospital, the patient reports having an improved sleep quality and has not had any hallucinations. However, he is worried that the reason he is not having the hallucinations is because he is not at home; he feels nervous that they will come back after being discharged. After discharge, the patient is at risk for complications with psychosocial stressors, major depressive disorder, generalized anxiety, and chemical dependency.
Mental Status Exam The patient is a 31-year-old Caucasian male and the interview was conducted out in the milieu. Patient’s appearance was somewhat unkept; he was wearing his regular clothes, which were clean, but patient’s hair was disheveled and greasy. Furthermore, the patient seemed sedative and groggy. The patient maintained eye contact and was cooperative and friendly throughout the interview. However, at times, the patient’s tiredness diminished his focus and concentration on the conversation. Furthermore, the patient sat and occasionally twiddled his thumbs throughout the interview; he appeared to be slightly nervous and anxious. The patient rated his anxiety as 4 out of 10, which he stated was manageable for him at the time. The patient’s affect was blunted and flat, but he stated that his mood was
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The patient asked to look over his medications with the health care team to see if there is a possibility to add another medication or two to rid him of these voices and person. In addition, during the interview, attending therapy or going to see a therapist was discussed to alleviate when the patient felt anxious, stressed, or suicidal and did not know what to do or who to turn to. In addition, the health care team mentioned finding coping skills that the patient could perform when feeling anxious. Some in include meditation, taking deep breaths for several minutes, reading a book, and more to help calm his