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brief summary of this patient annual visit: 27 y/o Male presented for his annual follow up and medication management. Pleasant and outgoing, reported that life was good but is not enjoying it. Got a promotion at work, Got a new car, stated he was getting more anxious and irritable more often. Increased impulsivity, sleepy and tired, sleep 12hrs/nigth, self isolation, increase depression. Impulsively bought a mustang that he didn’t need. Good hygiene but is not picking up after himself like he used to. Appetite is never a problem. Stable on med. Provider stated it was time for adjustment of dosage, increase the Abilify and trileptal prozac will stay the same. Follow up in a month to reassess the medication effect. Weight 299lbs; B/P 168/105; P 78 patient reported the blood pressure was good compare to what it is usually, provider advise to follow up with PCP to adjust his blood pressure medication.

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