Form of Discharge

Patient Name: [Redacted]
DoB: [Redacted]
Address: [Redacted]
Diagnosis: F32.3 

Reason for Admission: 
Patient is sent to hospitalization in our Clinic, being accompanied by the patient's parents, after heavy decompensation of the mental state which manifested itself in the form of increased depressive and delusional symptomatology.

Anamnesis:
Patient, born [redacted], lives with parents, currently unemployed.

Previous treatment: Patient is currently in the psychiatric ward in the Clinic for psychiatric medicine. This is the first time the patient had any contact with psychiatry.

Current state: On the day of admission to our Clinic, the patient was accompanied by his parents. The patient's parents claim that the patient has gone in a deep depressive episode followed by heavy delusions. The patient is non responsive. Showing only minimal signs of awareness. The parents claim this behaviour started after the suicide of the patient's friend, Violet. The patient carries around a notebook in which the patient describes the actions and surroundings that the patient believes is doing.

Mental state: Concious, contact is not established, during conversations, the patient stares blankly at the floor. Not oriented in time and space, auto or allopsychic. Shows signs of auto-aggression (dislocated left leg). Cognitive functions seem reduced on the psychogenic type.

Opinion and recommendations:
The patient has deep emotional issues which are immature and vulnerable. Current decompensation was followed by heavy delusions.
During the medical stay, individual psychotherapy is performed. The patient was treated with a combination of psychopharmaceuticals. In the mental state, the delusions have been reduced, the mood has been stabilised.
Released home with the recommendation of continuing to take the following therapy:
Zarindol 75 mg 1+0+1 tbl.
Haldex a 2 mg 1+0+0 tbl.