Comprehensive Psychiatric Evaluation Template
Week 7: Comprehensive psychiatric evaluations
Blessing Ngodo
College of Nursing-PMHNP, Walden University
PRAC 6635: Psychopathology and Diagnostic Reasoning
Dr. Kieth Brown
7/29/2022
TILMAN I’m terrible. Alright. I look terrible, I feel terr
Subjective:
Mrs. L.T., Gender: female Age: 32 years old, Race: Black
CC (chief complaint): “I have problem sleeping and has no appetite”
HPI: Mrs. L.T., a 32 year old Black lady present for evaluation due to her husband’s concern about recent changes in her behavior. Patient started to experience changes in mood and behavior after she had her first kid two months ago. She cries a lot and yells at every little thing. Patient complains about her body shape, her inability to go out and meet with friend and do other things that makes her happy. She states, “I look terrible, I feel terrible, my body is bloated, I have lines on my face, bags, I look disgusting, I want to run, but I don’t get out much, stuck at home with the kid, I haven’t seen my friends in forever, I can’t go out anymore.”