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reported long standing h/o chronic mental illness( as per pt , "schizoaffective" and psych in

the past; claimed that she receives regularly haldol dec . im qmonth , last
inj.was given on 01-02-2014. Denied recent substance abuse hx.
Calm,cooperative, affect constricted , denied feeling depressed, hopeless,
helpless, somewhat anxious,guarded, some paranoid preoccupations and
interperation , frustrated over her arrest, and stated she did not know why
she was arrested since she felt threatened ?! denied visual , olfactory
,tactile hall; denied suicidal , homicidal , ideations intention and plan. Clear
mentation. Good impulse control .
r/o chronic schizoaffective d/o by pt's report ,
r/o sch , paranoid type
Pt agreed to continue haldol dec im q 4 weeks as ordered , AIMS neg , side
effects explained, monitor ms and reevaluate
New Medications:
HALOPERIDOL DECANOATE 100 MG/ML SOLN (HALOPERIDOL DECANOATE) 100mg im q
4weeks , due on 01-30-14

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