Psychiatric Collateral Information

Collateral Information: [document the name and contact information of the person providing collateral information, along with their stated relationship to the patient] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Presenting Problems: [describe the patient's current issues as reported by the collateral source, including reasons for concern, observed symptoms, and the duration and context of these problems] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Psychiatric History: [detail the patient's past psychiatric diagnoses, treatments received (e.g., therapy, medications), hospitalizations, and any history of self-harm or suicidal ideation as reported by the collateral source] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Substance History: [document any history of substance use, including types of substances, frequency, duration, age of initiation, and any related problems or treatments, as reported by the collateral source] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Medical History: [list significant past medical conditions, surgeries, chronic illnesses, and current medications, as reported by the collateral source] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Family History: [describe any relevant family history of psychiatric disorders, medical conditions, or substance use, as reported by the collateral source] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Forensic History: [detail any history of legal issues, arrests, convictions, or involvement with the criminal justice system, including any history of conduct disorder symptoms or diagnoses, as reported by the collateral source] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Personal History: [document significant aspects of the patient's personal life as reported by the collateral source, including birth history (e.g., complications), developmental milestones, educational history (e.g., academic performance, special education), work history (e.g., employment patterns, job satisfaction), and significant life events or relationships] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Patient Diagnosis Information: [describe any information provided by the collateral source regarding the patient's current or past diagnoses] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Future Plan Discussion: [summarize any discussions about future plans for the patient, including recommended interventions, next steps, or concerns, as reported by the collateral source] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) (Never come up with your own patient details, assessment, plan, interventions, evaluation, and plan for continuing care - use only the transcript, contextual notes or clinical note as a reference for the information included in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes or clinical note, you must not state the information has not been explicitly mentioned in your output, just leave the relevant placeholder or omit the placeholder completely.) (Use as many lines, paragraphs or bullet points, depending on the format, as needed to capture all the relevant information from the transcript.)