Question: Create your own case information and fill out a comprehensive and detailed SOAP note for a 14-year-old female with major depressive disorder and anxiety disorder
Create your own case information and fill out a comprehensive and detailed SOAP note for a 14-year-old female with major depressive disorder and anxiety disorder who has been feeling increasingly sad and anxious over the past six months, with noticeable changes in appetite and sleep patterns. She reports feeling overwhelmed with schoolwork and has experienced occasional panic attacks. She has not engaged in any previous therapy or medication.:
Subjective:
CC (chief complaint):
HPI:
Substance Current Use:
Medical History:
- Current Medications:
- Allergies:
- Reproductive Hx:
ROS:
- GENERAL:
- HEENT:
- SKIN:
- CARDIOVASCULAR:
- RESPIRATORY:
- GASTROINTESTINAL:
- GENITOURINARY:
- NEUROLOGICAL:
- MUSCULOSKELETAL:
- HEMATOLOGIC:
- LYMPHATICS:
- ENDOCRINOLOGIC:
Objective:
Diagnostic results:
Assessment:
Mental Status Examination:
Diagnostic Impression:
Reflections:
Case Formulation and Treatment Plan:
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