create another psych note scenario for a 17 year old girl accompanied by her mother using this psych note format.

"Chief Complaint(s): Medication monitoring and management.

HPI: The patient is a 50-year-old male with a history of hypertension, chronic insomnia, and generalized anxiety disorder, presenting for medication monitoring and management. The patient reports experiencing improved sleep quality but continues to experience occasional anxiety during the daytime. He denies any thoughts of self-harm or harm to others.

PMH:

Medical History: chronic insomnia

Psychiatric History: Generalized anxiety disorder

Medications:

Lorazepam 1 mg PO twice daily PRN anxiety

Eszopiclone 3 mg PO HS

Allergies/Intolerance: N.K.A.

Family History: Father with history of hypertension, mother with history of insomnia

Social History: Married with two children, works as an accountant. Denies history of alcohol, tobacco, and illicit drug use. Engages in regular physical activity in the form of jogging three times a week.

Assessment: The patient is alert, oriented to person, place, and time, and appears well-groomed and cooperative. He presents with a calm demeanor and denied experiencing any hallucinations, delusions, or suicidal/homicidal ideation. No significant side effects from current medications were reported.

Treatment/Plan:

Continue current medications.

Encourage continued adherence to lifestyle modifications for hypertension (e.g., diet, exercise).

Monitor blood pressure and sleep quality.

Referral to a therapist for cognitive-behavioral therapy to address residual anxiety symptoms.

Schedule follow up in 4 weeks."