Ms. A. M. is a 23 year old biracial female who arrives to her primary care clinic for her annual physical. Ms A.M. has had a 15lb weight gain since her last visit. She complains of feelings of guilt and sadness with her parents’ recent divorce. Patient states she is not sleeping well and feels that she cannot concentrate during her nursing orientation classes. When asked about her interpersonal relationships, she states that she just ended her two-year relationship with her boyfriend and she states that she hasn’t been able to meet new friends or keep up with current friendships.
Past Medical/Surgical History
- Asthma diagnosed at age 8
- Hypothyroidism diagnosed at age 16
Pertinent Family History
- Older sister with suicide attempt 3 years prior.
- Father diagnosed with Bipolar II in his thirties, currently taking medication.
- Mother alive and healthy at age 54
- Uncle with history of substance abuse
Pertinent Social History
- recently graduated college and is starting her career as a nurse at a large teaching hospital on the intensive care unit
- parents recently divorced
- moving out on her own for the first time