严重精神障碍复核评估简报范文.pdf

严重精神障碍复核评估简报范文

英文回答：

SevereMentalDisorderRecheckEvaluationSummary.

Subject:[SubjectsName]

DateofEvaluation:[Date]

DateofFirstEvaluation:[Date]

TreatingProvider:[ProvidersName]

ReasonforRecheck:[ReasonforRecheck]

HistoryofPresentIllness:

Thesubjectpresentsforarecheckevaluationoftheir

severementaldisorder.Thesubjecthasahistoryof

[Diagnosis],whichwasfirstdiagnosed[Date].Thesubject

hasbeenreceivingtreatmentwith[Treatment],whichwas

initiated[Date].

Sincetheinitialevaluation,thesubjecthas

experienced[Symptoms].Thesesymptomshavebeenpresent

for[Duration].Thesubjecthasalsoexperienced

[FunctionalImpairment].

MentalStatusExamination:

Thesubjectis[Age]yearsold,[Race],and[Gender].

Thesubjectsappearanceis[Appearance].Thesubjects

moodis[Mood].Thesubjectsaffectis[Affect].The

subjectsthoughtprocessis[ThoughtProcess].The

subjectsspeechis[Speech].Thesubjectssensoriumis

[Sensorium].Thesubjectdeniesanysuicidalorhomicidal

ideation.Thesubjecthas[Insight]intotheirillness.The

subjectis[Compliant]withtreatment.

Assessment:

Thesubjectmeetsthecriteriaforaseveremental

disorder,[Diagnosis].Thesubjectssymptomsaresevere

andpersistent.Thesubjectssymptomsarecausing

significantfunctionalimpairment.

TreatmentPlan:

Thesubjectstreatmentplanwillcontinuetoinclude

[Treatment].Thesubjectwillbescheduledforfollow-up

appointmentsevery[Frequency].Thesubjectwillbe

monitoredforresponsetotreatmentandanychangesin

theirsymptoms.

Prognosis:

Theprognosisforthesubjectis[Prognosis].The

subjectssymptomsareexpectedtoimprovewithtreatment.

However,thesubjectmayexperiencesomeresidualsymptoms.

中文回答：

严重精神障碍复查评估简报。

受试者，[受试者姓名]

评估日期，[日期]

初次评估日期，[日期]

主治医生，[医生姓名]

复查原因，[