Initial Evaluation Note Part 3: Impression: Diagnosis/Differentials.

Rewatch the same Patient Interview. This time, you will focus on writing the diagnosis and differential discussion. The discussion should include the following sections:  
A summary of findings
Psychodynamic formulation
Primary diagnosis with ICD code
Plan including medications, labs, therapy, patient education, follow up, non-pharmacological treatments

An example is outlined on page 24 of Kaplan & Sadock’s Synopsis of Psychiatry textbook.

Patient interview:…