Patient Name: Hannah D
Date: 2/1/23
Therapist: Dr. Nicholas
APPEARANCE:
Neat
Disheveled
Inappropriate
Bizarre
Other
SPEECH:
Normal
Pressured
Disorganized
Impoverished
Other
EYE CONTACT:
Normal
Intense
Avoidant
Other
Normal
Restless
Tics
Slowed
Other
AFFECT:
Full
Contracted
Flat
Labile
Other
COMMENTS: Hannah could not identify correct date or her location; she did not respond to most questions. She denied experiencing any hallucinations and was insistent that she needed to “get back to cooking.” Said she was making potage. That everyone was very hungry, and Zenna (?) was coming for dinner.