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Primary Care Physician
15-20 minutes

Major Depressive Disorder Template

The Depression Assessment template by s10.ai is crafted specifically for Family Medicine Specialists to facilitate detailed evaluations of patients presenting with depressive symptoms. This comprehensive template encompasses sections for chief complaints, history of present illness, past psychiatric history, and mental status examination. It also includes risk assessment, diagnosis, and treatment planning, covering both psychotherapy and medication management. Emphasizing patient education and referrals, this template ensures meticulous documentation and bolsters effective patient care. Perfectly integrated with s10.ai, it streamlines the documentation process, boosting efficiency and precision in clinical practice.

2,911 uses
4.5/5.0
D
Dr. Robert Taylor
Template Structure

Organized sections for comprehensive clinical documentation

s10.ai Depression Evaluation
Chief Complaint:
[describe patient's chief complaint related to depression]
History of Present Illness:
[Duration of symptoms]
[Severity]
[Associated symptoms]
[Precipitating factors]
[Previous episodes]
[Impact on daily functioning]
Past Psychiatric History:
[Previous diagnoses]
[Hospitalizations]
[Suicide attempts]
Medications:
[Current psychiatric medications]
[Past psychiatric medications and response]
Family History:
[Mental health disorders in first-degree relatives]
Social History:
[Occupation]
[Living situation]
[Substance use]
[Support system]
Mental Status Examination:
[Appearance]
[Behavior]
[Speech]
[Mood and affect]
[Thought process and content]
[Cognition]
[Insight and judgment]
PHQ-9 Score:
[PHQ-9 score]
Risk Assessment:
[Suicidal ideation]
[Homicidal ideation]
[Self-harm behaviors]
Diagnosis:
[Diagnosis related to depression]
Treatment Plan:
[Psychotherapy (type and frequency)]
[Medication management]
[Lifestyle modifications]
[Follow-up appointment]
Patient Education:
[Information provided about depression]
[Treatment options discussed]
[Safety plan if applicable]
Referrals:
[Referrals made, if any]
Disclaimer: Billing codes are only intended as a guide. It is the healthcare provider's responsibility to ensure their appropriateness and accuracy for each consultation.
(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, leave the relevant placeholder or section blank.)
Sample Clinical Note

Example of completed documentation using this template

Depression Assessment
Chief Complaint:
The patient describes ongoing feelings of sadness and hopelessness over the last three months.
History of Present Illness:
Duration of symptoms: 3 months
Severity: Moderate
Associated symptoms: Fatigue, trouble concentrating, and appetite changes
Precipitating factors: Recent job loss
Previous episodes: None reported
Impact on daily functioning: Challenges in maintaining daily tasks and social interactions
Past Psychiatric History:
Previous diagnoses: None
Hospitalizations: None
Suicide attempts: None
Medications:
Current psychiatric medications: Sertraline 50mg daily
Past psychiatric medications and response: None
Family History:
Mental health disorders in first-degree relatives: Mother with a history of depression
Social History:
Occupation: Unemployed
Living situation: Lives alone
Substance use: Occasional alcohol use
Support system: Limited, mainly friends
Mental Status Examination:
Appearance: Well-groomed
Behavior: Cooperative
Speech: Normal rate and rhythm
Mood and affect: Depressed mood, restricted affect
Thought process and content: Logical, no delusions
Cognition: Alert and oriented
Insight and judgment: Fair
PHQ-9 Score:
PHQ-9 score: 15
Risk Assessment:
Suicidal ideation: Denies
Homicidal ideation: Denies
Self-harm behaviors: None
Diagnosis:
Major Depressive Disorder, moderate
Treatment Plan:
Psychotherapy: Cognitive Behavioral Therapy, weekly
Medication management: Continue Sertraline 50mg daily
Lifestyle modifications: Encourage regular exercise and healthy diet
Follow-up appointment: In 4 weeks
Patient Education:
Information provided about depression: Discussed symptoms and treatment options
Treatment options discussed: Medication and therapy
Safety plan if applicable: Discussed emergency contacts and crisis hotline
Referrals:
Referred to a psychologist for therapy
Disclaimer: Billing codes are only intended as a guide. It is the healthcare provider's responsibility to ensure their appropriateness and accuracy for each consultation.
Clinical Benefits

Key advantages of using this template in clinical practice

  • The Depression Assessment clinical template is an essential tool for healthcare professionals seeking to enhance their diagnostic accuracy and treatment planning for patients experiencing depressive symptoms. This comprehensive template covers critical areas such as the chief complaint, detailed history of present illness, past psychiatric history, and current medication regimen, ensuring a thorough evaluation of the patient's mental health status. It includes a structured mental status examination and PHQ-9 scoring to quantify depression severity, alongside a risk assessment for suicidal or homicidal ideation. The template facilitates the development of a personalized treatment plan, incorporating psychotherapy, medication management, and lifestyle modifications, while also providing patient education and necessary referrals. By adopting this template, clinicians can streamline their workflow, improve patient outcomes, and ensure a holistic approach to managing depression.
Frequently Asked Questions

Common questions about this template and its usage

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Major Depressive Disorder | Medical Chart Template