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Psychiatry — ADHD follow-up
ADHD medication management
reference-draftsample-librarycuratedquality —claim —pdsqi —
ADHDstimulantworklibrary
Subjective
Client: Better mornings. Still crashes at 3pm. Missed two deadlines. Client: Eating less lunch. Sleep ok if I skip late caffeine. Client: No.
Objective
Observed findings and measures per transcript.
Assessment
Clinical formulation supports continued structured outpatient care (ADHD medication management).
Plan
Psychiatrist: Continue methylphenidate XR, add afternoon booster trial, CBT skills for planning, follow-up in six weeks.
Source transcript
Psychiatrist: Focus at work on current dose? Client: Better mornings. Still crashes at 3pm. Missed two deadlines. Psychiatrist: Appetite and sleep? Client: Eating less lunch. Sleep ok if I skip late caffeine. Psychiatrist: Heart rate / BP from PCP were normal. Any SI? Client: No. Psychiatrist: Continue methylphenidate XR, add afternoon booster trial, CBT skills for planning, follow-up in six weeks.