Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Psychiatry / Psychology

Emphasize emotional health by helping to correct behavioral disorders, treating depression and managing persons with major thought disorders.



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Psych Consult - Psychosis
Patient with a history of PTSD, depression, and substance abuse.

Psych Consult - Psychosis - 1
The patient was found by outpatient case manager to be unresponsive and incontinent of urine and feces at his father's home.

Psych Consult - Schizophrenia
A 45-year-old white male with a history of schizophrenia and AIDS. He was admitted for disorganized and assaultive behaviors while off all medications for the last six months.

Psych Consult - Substance abuse
Psychiatric consultation for substance abuse.

Psych H&P - 1
Psychiatric History and Physical - Patient with major depression

Psych H&P - 2
Psychiatric History and Physical - Patient with schizoaffective disorder.

Psychiatric Assessment
Psychiatric Assessment of a patient with bipolar and anxiety disorder having posttraumatic stress syndrome.

Psychiatric Consult
Psychiatric consultation has been requested as the patient has been noncompliant with treatment, leave the unit, does not return when requested, and it was unclear as to whether this is secondary to confusion or willful behavior.

Psychiatric Consult - 1
Bipolar disorder, apparently stable on medications. Mild organic brain syndrome, presumably secondary to her chronic inhalant, paint, abuse.

Psychiatric Consult - 2
She was admitted following an overdose of citalopram and warfarin. The patient has had increasing depression and has been under stress as a result of dissolution of her second marriage.

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NOTE: These transcribed medical transcription sample reports and examples are provided by various users and are for reference purpose only. MTHelpLine does not certify accuracy and quality of sample reports. These transcribed medical transcription sample reports may include some uncommon or unusual formats; this would be due to the preference of the dictating physician. All names and dates have been changed (or removed) to keep confidentiality. Any resemblance of any type of name or date or place or anything else to real world is purely incidental.
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Transcribed Medical Transcription Sample Reports and Examples