Discussion about initial psychiatric assessment


Problem:

Client Mr. Turner, 23y/o male, came in day for an initial psychiatric assessment; he is currently in Hope Heaven for a recovery program; he reported that he wants to get back to his psychiatric medication, which he stopped in 2023 and did not go for a follow-up, he was diagnosed with Bipolar PTSD, schizophrenia, which he says ran in family his mother, uncles, aunt, grandmother all are on medications, he report was taking alprazolam 2mg, Risperdal 2mg, Prazosin 2mg. Today, he reports always feeling on edge, report hearing voices, and talking to himself; he denies suicidal /homicidal thoughts and sometimes feels hopeless & anxious. Insomnia reports sleeping 2-3hrs at night and feels like he has a lot of energy to do much; reports no medical problem in the family & no surgical hx, Highest level grade 12, currently unemployed, reports no history of being in jail/poison, he currently smoking a cigarette like 4 cigarettes in a day, denies any substance abuse, history of using alcohol but stopped in 2018. report having four siblings and in relations with them. He reports having a poor relationship with his mother due to her lack of support and reports a history of recent hospitalization

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