University of Texas Forty Two Year Old Asian American Female Patient SOAP Notes

User Generated



University Of Texas Rio Grande Valley


same rules please i will appreciates 10 notes for the 50 $ i am really going to need a lot of these

Requirements: 10 notes please

43 mins ago


Hello, how’s your day going? 😀 Looks like we’ll be working together again! Anything I should know before I begin?

32 mins ago


we have to revise this price

100 is too much

i requested for 50$

if that cannot work i will cancel and look for help somewhere else.

please hold until we agree 100 is too.

i hpe that is not what yiu have been charging my credit card

32 mins ago

let me know ... i can even do this myself if you cannot help on this that fine but i think 100$ is exagerated

29 mins ago

please hold soap note 6 and 7 until we are clear on the amount

28 mins ago


28 mins ago


hello bud

27 mins ago

how are you]

26 mins ago


in that case, we will have to cancel the work, so that you can get your refund

26 mins ago

I am great

26 mins ago

yes we can cancel it

i will take care of it myself....

i still spend a lot of time to edit them and make them ready..... i will just take care of that part

24 mins ago


the soap notes work i really complex. I usually dont get even time to rest

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Explanation & Answer

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Running head: SOAP NOTES

SOAP Notes

Student's Name


SOAP Notes

Alcohol Use Disorder
Patient Name: Susan Gupta Date Examined: 2/4/2021

Time Examined: 10:00

Examination Duration: 60 minutes
Subjective (S): The 42-year-old Asian American female patient was accompanied to the hospital
by her husband after experiencing challenges in quitting alcohol consumption. The patient
explained that she started taking alcohol at the age of 19 years after joining college. The patient
explained that she was taking eight cans of beer per day at the age of 42 years. According to her,
alcohol dependence was ruining her work and family life. The patient’s husband observed that
her craving for alcoholic beverages increased with time. The husband also explained that she fell
and injured her arm two weeks before the hospital visit. Alcohol dependence also exposed her
irritability, depression, sadness, and stress. At this point, the patient explained that she
experienced confusion, dizziness, restlessness, stomach pain, nausea, and hallucination once she
skipped drinking for three days.
Objective (O): Vital signs: BMI: 18.0, HR: 108 beats/min, BP: 161/96 mmHg, T: 98.0 Degrees
Fahrenheit, oxygen saturation: 98%, and Height: 5’4”
Mental Status Exam (MSE):

Appearance: The patient appeared shaky, disoriented, nauseous, and flushed

Speech: The patient’s speech was slurred speech.

Mood: The patient was sad, depressed, and hopeless.



Thought process: The patient had suicidal ideation associated with depression.

Memory: The patient had poor short-term memory.

Concentration: The patient remained inattentive throughout the interview.

Assessment (A): The HPI and MSE show that the patient has symptoms of an alcohol use
disorder, including suicidal ideation, alcohol dependence, irritability, and depression.
Plan (P): The treatment plan for the patient will include psychotherapy and pharmacotherapy
strategies. The patient will receive naltrexone (100 mg/day) to eliminate alcohol consumption
gratification, acamprosate (666 mg/day) to address her alcohol cravings, phenobarbital (100
mg/day) to address her withdrawal symptoms, and bupropion (100 mg/day) to treat her
depression. The patient will also receive counseling (one session/month for six months) to
manage her alcohol dependence problem.

Binge Eating Disorder
Patient Name: Gerard Palmer Date Examined: 6/4/2021

Time Examined: 09:00

Examination Duration: 60 minutes
Subjective (S): The 47-year-old Caucasian male patient presented to the facility’s outpatient
section after developing uncontrollable eating behavior and obesity. The patient explained that
his uncontrollable eating behavior developed one year after the demise of his wife. The patient
explained that he mostly consumed junk food and snacks since they are readily available. The
junk food and snack categories in his menu included brownies, cookies, potato chips, and
biscuits. The patient observed that his feeding episodes normally lasted the entire evening.
Particularly, he stated that he would eat uncontrollably despite not experiencing physical hunger.



The patient explained that his feeding behaviors exposed him to stress, depression, and
embarrassment, whereby he preferred maintaining secrecy about his uncontrollable eating
behavior. The patient denied adopting purging or inappropriate weight management strategies
like laxatives misuse and self-induced vomiting.
Objective (O): Vital signs: BMI: 35.6, HR: 52 beats per minute, T: 95 Degrees Fahrenheit,
Height: 5’9”, and cholesterol: 200 mg/dL
Mental Status Exam (MSE):

Appearance: Th...

Awesome! Perfect study aid.

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