soap note

Select an adult patient (anxiety) that you examined during the last 4 weeks who presented with a disorder other than the disorder present in your Week 3 Case Presentation.  Create a Focused SOAP Note on this patient using the template provided in the Learning Resources. There is also a completed Focused SOAP Note Exemplar provided to serve as a guide to assignment expectations.  Please Note:    Note: Electronic signatures are not accepted.  When you submit your note, you should include the complete focused SOAP note as a Word document and PDF/images of each page.  Include at least five scholarly resources to support your assessment, diagnosis, and treatment planning.    The Assignment    Objective: What observations did you make during the psychiatric assessment?   Assessment: Discuss patient mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses and why you chose them. List them from highest priority to lowest priority. What was your primary diagnosis, and why? Describe how your primary diagnosis aligns with DSM-5 diagnostic criteria and supported by the patient’s symptoms.  Plan: What was your plan for psychotherapy? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Be sure to include at least one health promotion activity and one patient education strategy.  Reflection notes: What would you do differently with this patient if you could conduct the session over? If you are able to follow up with your patient, explain whether these interventions were successful and why or why not. If you were not able to conduct a follow up, discuss what your next intervention would be.

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