Docs/Taylor.txt

General: 
Answer:
Jerry Taylor is a 25-year-old male who is reporting feeling down and out for the past few weeks. He is experiencing difficulty sleeping, irritability, anxiety, difficulty concentrating, fatigue, and thoughts of suicide. He appears to be in a depressed mood, with slow speech, slumped body posture, and poor eye contact.

SOAP Note:
Subjective: Jerry Taylor is a 25-year-old male who reports feeling "down and out" for the past few weeks. He states that he has been having difficulty sleeping, and that he has been feeling more irritable and anxious than usual. He reports that he has been having difficulty concentrating and that he has been feeling more fatigued than usual. He also reports feeling hopeless and helpless, and that he has been having thoughts of suicide.

Objective: Jerry appears to be in a depressed mood. He has poor eye contact and his speech is slow and monotone. He is oriented to person, place, and time. He denies any hallucinations, delusions, or other psychotic-related symptomatology.

Assessment: Jerry appears to be suffering from major depressive disorder. His symptoms are severe and interfere with his day-to-day functioning.

Plan