17-year-old female with historic diagnoses of ADHD, depression, anxiety, PTSD, OCD, borderline who presented to address suicidal and homicidal ideation. Patient has two prior hospitalizations with PrairieCare and completed Partial Hospitalization Programming. Patient has outpatient therapy, medication management, and children’s mental health case management.
Psychiatric Diagnosis: Obsessive Compulsive Disorder
Obsessive Compulsive Disorder (OCD) is a psychiatric diagnosis characterized by intrusive, unwanted thoughts (obsessions) and repetitive behaviors or mental acts (compulsions) to alleviate distress.
RMC-M15-4330
On 7/8/24, patient was told he would be spending time with his mother, to which patient had a negative response, causing patient to assault his father and run away. Police located patient at a local middle school just before patient ran across a highway and had to be sedated by EMS due to safety concerns.
Pt has dx that include: reactive attachment d.o., disruptive mood dysregulation disorder, PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections), ADHD, ODD, OCD, pervasive social communication d.o., with low non-verbal skills, high verbal skills, low memory skills, and average IQ.
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