Initial consultation in private practice

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Reference no: EM133758851

Question

43 year-old adult male arrives for an initial consultation in a private practice 25 minutes late for his Friday afternoon appointment. He was enthusiastic and spoke with rapid and loud speech. He reported having recently ended a long-term relationship, characterized his ex-boyfriend as a "bad man," and described frequently losing his temper with his family. Patient reported having difficulty with sleep, often lying in bed with his eyes closed trying to go to sleep but unable to stop his thoughts from racing. He reported difficulty concentrating and feeling overwhelmed, once calling 911 believing that he was having a heart attack. Patient could not identify what triggered this episode. Patient reported an aborted suicide attempt three years prior, described wanting to go to sleep and never wake up, and stated that ultimately he was too cowardly to go through with his plan and ended up calling his best friend for help. At the end of the appointment, he asked to get a psychiatric prescription before he left because he didn't think he could wait until a Monday appointment without getting some kind of relief.

Reference no: EM133758851

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