Specialty formats
Psychiatric Follow-up
Medication-management visit: symptoms, medication response, side effects, MSE and plan.
What it is
The psychiatric follow-up note is built for medication-management visits: interval history, medications and side effects, a mental status exam, risk, assessment and a plan that includes any changes.
When to use it
- Medication-management appointments
- Psychiatric NPs, psychiatrists and collaborative-care teams
- Visits where adherence and side effects need documenting
Sections
What Tidemend writes in each section. You can rename, reorder or adjust any of these in a custom template.
Chief Complaint & Interval History
Reason for visit and changes since the last appointment.
Medications & Adherence
Current medications, doses, adherence, benefits and side effects reported.
Mental Status Exam
Appearance, behavior, speech, mood, affect, thought process, thought content, perception, cognition, insight and judgment.
Risk Assessment
Document screening for suicidal ideation, homicidal ideation and self-harm. State denials explicitly if the client denied risk. Note protective factors and any safety planning.
Assessment
Diagnostic impression and response to current regimen.
Plan
Medication changes, labs, follow-up interval, psychotherapy coordination.
Draft your next Psychiatric Follow-up with Tidemend
Record, dictate or type the session and get a draft in this format, ready to review, check and sign.
