inpatient / Psychiatry and Addiction

Inpatient Psych Intake

Last Updated: 1/8/2023

Past Psychiatric History
-- Diagnoses:***
-- Inpatient Psych:***
-- Inpatient Rehab: ***
-- Prior suicide attempts: ***
-- Outpatient Psychiatrist: ***
-- Case Management: ***
-- Substance use: *** EtOH, tobacco, cannabis, opioids, benzos
-- Withdrawal: *** seizures, intubations

Mental Status Exam
-- Appearance:  ***
-- Abnormal motor activity: ***
-- Attitude: ***
-- Speech: ***
-- Affect: ***
-- Thought process: ***
-- Thought Content: ***
-- Perceptual Disturbances: ***
-- Cognitive: ***
-- Insight: ***
-- Judgement: ***

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