TOT from another correctional facility where he was tx for bipolar d/o with ; referred by mhs for

continuation of psychtx; will order the same regimen , labs, montor ms, se and reevaluate.

referred by mhs, c/o anxiety , insomnia, depression, pt claimed taking ; will

order monitor ms and reevalaute.
scripts: provided for pt's release planning , psych f/u within a month;
transferred from due to ..

known PPH, reportedly treated psych in the past for mood dysregultion,
anger dyscontrol , anxiety ,insomnia , AH , and has taken , + abuse of
cocaine , thc, alcohol.
Somewhat anxious , dysphoric , superficially cooperative, reported
dysphoria , anxiety, insomnia, denied AH , denied visual , olfactory ,tactile
hall; denied suicidal , homicidal , ideations, intention and plan. Clear
mentation. Good impulse control .
r/o schizoaffective d/o ( bipolar type)
Pt agreed to tx as ordered , side effects explained, monitor ms and
reevaluate

Reportedly placed on sp after he made a suicidal statement; denied PPH,

psych in the past or recent substance abuse hx;
Somewhat anxious , depressed, but calm and cooperative, pt denied being
hopeless, helpless, appeared preoccupied in regards to his legal issues and
charges; denied audio, visual , olfactory ,tactile hall; denied suicidal ,
homicidal , ideations, intention and plan. Clear mentation. Good impulse
control .
r/o adjustment d/o ( anxiety, depressed )
Pt declined tx with psychotropics; to continue counseling , monitoring ms,
reevaluate