Schizophrenia and Other Psychotic Disorders; Medication-Induced Movement Disorders

Schizophrenia and Other Psychotic Disorders; Medication-Induced Movement Disorders
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Course
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Schizophrenia and Other Psychotic Disorders; Medication-Induced Movement Disorders
Subjective Section
Chief Complaint (CC): “Mr. Nehring wants to fire me”
History of present illness (HPI)
N.B., a 25 years old single female was presented for psychiatric evaluation for failing to execute work duties appropriately in particular, failing to make a single sale within three weeks. The patient has been ailing from hypothyroidism, a health condition currently being mediated by taking levothyroxine medication daily. The patient exhibits paranoia always being skeptical about her workmates and boss. She argues that her boss is related to the problem she is experiencing. She feels that Nehring her boss wants to fire her because of having an intimate relationship with Erick. Ideally, she feels that Nehring her boss is afraid that Erick, her lustful supervisor might elevate her to the managerial position that would render Nehring jobless.
Branning gets personal by conceding that she has a health problem that keeps on deteriorating her health by day. She concedes that she experienced pain and suffering in her neck and parts of her back that keep her worried noting it is killing her gradually. The patient also conceded that she had a broken heart and felt this condition was cancer despite lacking diagnoses from a doctor proving the existence of the condition.
The patient exhibits feelings of grandiosity. She notes that her supervisor had a unique style of walking toward her seductively. She is given easy assignments and a chance to air out opinions in the meetings. She acknowledges she is beautiful an aspect that the majority of people are attracted to.
Past Psychiatric History
* General statement: N/A
* Caregivers: N/A
* Hospitalizations: N/A
* Substance use and history: N/A
* Family psychiatric / substance use history: resists from providing family mental health issues
Social History
The patient was raised by parents and leads a single life in Santa Monica, CA. She graduated with a bachelor’s degree currently working as a supply sales officer.
Medical History
The patient has been suffering from hypothyroidism. She has also been affected by allergies that include medical tape. Her reproductive history has been marred with the menses regular health problem.
ROS:
* Musculoskeletal: patient highlighted neck pains
* Constitutional symptoms: patients did not report any fever or weight loss
* Cardiovascular: no symptoms were recorded
* Genitourinary: no urinary urgency or infection reported
* Skin: nor rashes reported
* HEENT: no hearing or eyesight loss. Lack of running nose.
Physical Exam
The patient has presented as V S: 98.4 P- 80 R 18 128/78 Ht 5’0 Wt 120 lbs physical examination report. She looks young and energetic full of life. She has normal hearing and eyesight. Besides she presents herself in an appropriate drawing from how has neatly dressed and eloquence in her arguments and presentations. She understands the principles of good communication by listening before offering an answ...