Alcohol Use Disorder Rachel Adler shadow health Documentation 

Alcohol Use Disorder Rachel Adler shadow health Documentation

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Student DocumentationModel Documentation

Past Medical History

No medical issues

Alcohol Use Disorder Rachel Adler shadow health Documentation

No medical issues Denies use of recreational drugs, denies tobacco use

Thought Content

Passive suicidal ideation

Ms. Adler displays passive suicidal ideation and expresses that she does not care if she lives or dies. Ms. Adler does not express any active suicidal ideation or plans for ending her life. She says she has never attempted suicide or planned a suicide attempt. Ms. Adler seems to be under stress from school and her relationship with her mother. She is deeply distraught over her DUI and the circumstances that brought her to the ER.

Perceptual Disturbances

No delusions or abnormal tendencies

Ms. Adler displays no evidence of delusions or observable abnormal tendencies during the exam. There is no evidence of hallucinations or false sensory perceptions. Alcohol Use Disorder Rachel Adler shadow health Documentation.

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Alcohol Use Disorder Rachel Adler shadow health Documentation

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