Psychiatric Evaluation Week 4

Week 4 Psychiatric Evaluation Subjective: CC (chief complaint): “My fiancé suggested, well demanded that I make an appointment”. “We went with her sister and husband to a county fair”. Then these fireworks go off. No warning”. “I took off running. Fast as I could. Tried to find cover”. HPI: PF is a 27-year-old Caucasian male who presents for psychiatric evaluation for PTSD symptoms. He is not taking any medication currently and was told to be evaluated by his fiancé. He joined the Marines right after graduating from high school. He was deployed three times to combat zones and each of these were long tours of duty. He served for eight years and finished his contract less than a year ago. While in the military he worked as a field artillery specialist. He has a fiancé, and they don’t have a date set for the wedding. His fiancé received a good job opportunity, and this caused them to move to another state and currently lives five hours away from his family in a different state. They do wants to have kids and hope to marry sometime in the next two years. His job consists of selling furniture. He states that he grew up poor and didn’t believe he would have many options after high school other than the military. Denies use of illegal substances and alcohol. He states that his father was a “sloppy drunk” and this has been a deterrent to him drinking alcohol. His father is alive and unwell. He is diagnosed with diabetes, liver disease, hypertension and is still drinking alcohol currently. His paternal grandfather is a veteran and suffered with depression. He was never officially diagnosed and didn’t tell anyone about his affliction other than then patient because of their shared combat experiences. Patient’s mother is alive, well and 3 caring for his father. He does have siblings, one younger sister and one older sister. Their mental health history is unknown.