SOLVED433

American Psychiatric Nurses Association’s MSUD: Medications for Substance and Opioid Use Disorders. submit a progress note, PHQ 9, Impression, HAM-A, Plan, Medication orders, psychotherapy, safety orders, nonpharmacologic orders. Follow up Female, age 23 Chief complaint: Patient presents with to clinic asking for help to stop using injection opioids Patient has a history of chronic low back pain from a motor vehicle accident at age 16. She also drinks approximately 14 alcoholic drinks per week, but has never had alcohol withdrawal symptoms when she stops drinking. She feels that she could easily stop drinking alcohol. She denies other drug or tobacco use. She has been using opioids daily for about 4 years. She started using non-prescribed opioids then switched to injection opioids daily about 2 years ago when she could no longer afford non-prescribed opioids. She attempted non-medication based addiction treatment in the past and had return of opioid use. The patient denies other mental health or medical issues, but has had two unintentional opioid overdoses in the past year. She lives with her parents who are supportive of her. She is on probation for possession of opioids. She reports opioid withdrawal symptoms including anxiety, restlessness,
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