clinical notes

16 year old female patient coming in to the clinic with her parents, expressing concern over her increasingly bizarre and distressing behaviors. Pt parents report that over the past few months, she has exhibited paranoid thoughts, hallucinations, and a significant decline in her overall functioning. They are worried about her safety and well-being. Pt reports reports hearing voices that are not present, commanding her to engage in certain actions or providing commentary on her behavior. Will start patient on abilify 2 mg daily and be gradually increased to 10 mg daily . Will meet with patient again in a week to follow up to see her patient is responding .

13 year old male patient comes to the clinic along with by his concerned parents who have noticed persistent difficulties in his academic and social functioning. Pt parents report that he has always been more impulsive, easily distracted, and fidgety compared to his peers. They’ve observed these behaviors since early childhood but became more pronounced . Will start patient on Ritalin 5 mg twice a day , will meet with patient and family on a weekly basis to monitor patient response and dose adjustmnet if needed