Psychiatric Note DS RAMHP

**Diagnosis:** [Document diagnosis or working diagnosis] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) **Management Plan:** [Mention list of actions for mental health services] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) **Action for GP:** [Mention list of actions for GP] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) --- **Assessment:** [Mention where the patient is sleeping and spending time during the day] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Mention patient’s current mental state and impact on functioning] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Mention patient’s medication and response to medication] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Mention risks to self and others and any mitigations] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Mention previous convictions] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Mention social support available to the patient] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) --- **Medication:** [Mention current medications and any allergies] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) --- **Substance Use:** [Mention use of street drugs, alcohol, or other substances] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) --- **Past Medical History:** [Mention relevant past medical history] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) --- **Past Psychiatric History:** [Mention any previous psychological therapy, psychiatric admissions, and responses to medication] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) --- **Mental State Examination:** [Mention findings from the MSE including appearance, behaviour, speech, mood, affect, thought form and content, perceptions, cognition, insight, and risk] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) --- **Formulation:** [Mention key elements of formulation including biological, psychological, and social factors if described] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Mention current risk and mitigations] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) --- (For each section, only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit the section entirely. Never come up with your own patient details, assessment, diagnosis, plan, interventions, evaluation, or next steps—use only the transcript, contextual notes, or clinical note as reference for all information. If any information related to a placeholder has not been explicitly mentioned, do not state that in the output; simply leave the relevant placeholder or section out entirely. Use as many lines, paragraphs, or bullet points as needed to capture all relevant information from the transcript.)