Case Study Focused SOAP Note: Petunia Park

Focused SOAP Note: Petunia Park
Subjective:
Based on the case study, Petunia Park complains of quitting medications whenever she
feels like they are squashing her. As per her history, she experienced difficulties sleeping when
she was a teenager, which led to hospitalization. During that time, she failed to sleep for five
days, heard things in her mind, and had racing thoughts. Park states that she tried committing
suicide in 2017, and has been smoking a pack per day. She also explains experiencing manic
episodes, during which she has a lot of energy to do accomplish a lot of things, becomes very
creative, has lots of sex, and gets to sleep a maximum of three hours in 24 hours for a week. In
other times, she experiences low episodes, during which she has no motivation, does not want to
get out bed, has no energy, feels low in creativity, and sleeps for about 12 to 16 hours a day.
Notably, Park claims that she has depression and anxiety. When it comes to her family, Park
claims that her mother was seen as crazy and she was diagnosed with bipolar, her father was
imprisoned for drugs, and her brother is a little schizo.
Objective:
During the psychiatric assessment, I observed that Park gets easily irritated. For instance,
she gets irritated after Dr. Moore asked about suicidal thoughts the second time. Additionally, I
have noted that she has mood swings. At one moment, she gets arrogant after the doctor asked
about family history; the next moment she is laughing after being asked about her sex life.