PMHNP Patient Intake and OSCE Soap Note
Date of Visit 7/30/2025 OSCE # 4
Panopto Video Link https://wgu.hosted.panopto.com/Panopto/Pages/Viewer.aspx?id=5acfad92-bde8-4560-91d0-
b1bd01699445
PATIENT INFORMATION
Name Gerlad Smith
DOB 11/1/1962
Sex Male
SUBJECTIVE
“My son thought I should come just because I’ve been down for a while since my wife
Chief Complaint passed away”.
History of Present Illness Narrative
(Including OLDCARTS-generated data from the patient)
HPI: Mr. Smith is a 62-year-old good historian and widower who currently lives alone. He states that his son has
recommended he be seen today due to feeling down since his wife passed away 1.5 years ago. He reports this is the
first time he has ever been seen for his symptoms. He has felt down all day every day since her passing and “a big
part of me died when she did, and its like its not worth living without her anymore”. He reports that he has never
attempted suicide but “wouldn’t mind going to sleep and not waking up”. He denies having plans to hurt himself
stating, “No I could never do that to my kids, I couldn’t take away both their parents”. He denies plans to hurt
himself. He denies homicidal thoughts. He reports he used to attend church but has lost interest since his wife
passed. He denies treatment for his symptoms in the past. He reports feeling worse on her birthday or on
anniversaries. He reports that nothing has improved his mood. His symptoms have caused him to decrease his hours
at work to part time. He reports he can perform day to day tasks and take care of himself. He denies previous
diagnosis of depression in the past. He reports he can hear his wife at times but knows she is not actually there, and
it is not her actual voice. He has 5 children that live in the same town, and he feels they are reliable support for him.
He states they invite him places, he just doesn’t feel like going out anymore. It’s like everything has kind of lost its
meaning.
Psychiatric History Denies past psychiatric history. Denies previous diagnosis of depression or any other
(hospitalizations, evaluations, mental illness. Had never been hospitalized or on any medications for depression or other
suicide attempts) mental illnesses in the past. Denies suicide attempts. No past evaluations.
Substance Use Denies alcohol use. Denies use of Illicit drugs. Denies smoking. Reports occasional caffeine
(Drug, Alcohol, Tobacco and use.
Vape, Caffeine)
Family and Social History
Widower
Marital Status
Lives alone
Current Living Situation
5 children
Number of Children
, Occupation and Current Works in a grocery store
Job
Highschool education
Education
5 children and states they are reliable support
Social Support
Childhood Living Raised by mother and father. Mother history MDD, father heavy alcohol use until the age
Situation (adults only) of 40
Unchanged diet and eats 2-3 times a day
Diet
Unchanged physical activity reports never exercised
Physical Activity
Reports trouble getting to sleep and sleeps 7 hours a night. Denies difficult to wake up.
Sleep
Reports arthritis
Medical History
Neurodevelopmental Denies abnormal development and all milestones met.
History
Psychiatric Family History
Reports dad was a heavy drinker but stopped by the time he was 40 years old. Mother
Parents history of depression.
Grandparents None
(maternal/paternal)
None
Siblings
None
Children
Psychiatric Review of Systems
Patient reports he sleeps 7 hours a night and has difficulty falling asleep. Reports poor
Depression concentration. He reports he has lost interest in social events such as going to church,
since his wife’s passing. He reports decreased energy.
He reports he would like to go to sleep and not wake up. When asked about suicidal
Suicidal/homicidal thoughts, he denies plans to hurt himself saying he would never want to do that to his
kids.
He reports hearing his wife’s voice at times. When asked if he believes she is there, he
Psychosis/Schizophrenia reports he knows she is gone and that its not really her voice. He denies seeing things that
aren’t there.
Generalized Anxiety Denies feeling anxious or worried.
Disorder
Panic attacks/panic Denies panic attacks.
disorder
Denies compulsive behavior.
OCD
Bulimia Reports he eats 2-3 meals a day and that has not changed.
Nervosa/Anorexia/Binge
Date of Visit 7/30/2025 OSCE # 4
Panopto Video Link https://wgu.hosted.panopto.com/Panopto/Pages/Viewer.aspx?id=5acfad92-bde8-4560-91d0-
b1bd01699445
PATIENT INFORMATION
Name Gerlad Smith
DOB 11/1/1962
Sex Male
SUBJECTIVE
“My son thought I should come just because I’ve been down for a while since my wife
Chief Complaint passed away”.
History of Present Illness Narrative
(Including OLDCARTS-generated data from the patient)
HPI: Mr. Smith is a 62-year-old good historian and widower who currently lives alone. He states that his son has
recommended he be seen today due to feeling down since his wife passed away 1.5 years ago. He reports this is the
first time he has ever been seen for his symptoms. He has felt down all day every day since her passing and “a big
part of me died when she did, and its like its not worth living without her anymore”. He reports that he has never
attempted suicide but “wouldn’t mind going to sleep and not waking up”. He denies having plans to hurt himself
stating, “No I could never do that to my kids, I couldn’t take away both their parents”. He denies plans to hurt
himself. He denies homicidal thoughts. He reports he used to attend church but has lost interest since his wife
passed. He denies treatment for his symptoms in the past. He reports feeling worse on her birthday or on
anniversaries. He reports that nothing has improved his mood. His symptoms have caused him to decrease his hours
at work to part time. He reports he can perform day to day tasks and take care of himself. He denies previous
diagnosis of depression in the past. He reports he can hear his wife at times but knows she is not actually there, and
it is not her actual voice. He has 5 children that live in the same town, and he feels they are reliable support for him.
He states they invite him places, he just doesn’t feel like going out anymore. It’s like everything has kind of lost its
meaning.
Psychiatric History Denies past psychiatric history. Denies previous diagnosis of depression or any other
(hospitalizations, evaluations, mental illness. Had never been hospitalized or on any medications for depression or other
suicide attempts) mental illnesses in the past. Denies suicide attempts. No past evaluations.
Substance Use Denies alcohol use. Denies use of Illicit drugs. Denies smoking. Reports occasional caffeine
(Drug, Alcohol, Tobacco and use.
Vape, Caffeine)
Family and Social History
Widower
Marital Status
Lives alone
Current Living Situation
5 children
Number of Children
, Occupation and Current Works in a grocery store
Job
Highschool education
Education
5 children and states they are reliable support
Social Support
Childhood Living Raised by mother and father. Mother history MDD, father heavy alcohol use until the age
Situation (adults only) of 40
Unchanged diet and eats 2-3 times a day
Diet
Unchanged physical activity reports never exercised
Physical Activity
Reports trouble getting to sleep and sleeps 7 hours a night. Denies difficult to wake up.
Sleep
Reports arthritis
Medical History
Neurodevelopmental Denies abnormal development and all milestones met.
History
Psychiatric Family History
Reports dad was a heavy drinker but stopped by the time he was 40 years old. Mother
Parents history of depression.
Grandparents None
(maternal/paternal)
None
Siblings
None
Children
Psychiatric Review of Systems
Patient reports he sleeps 7 hours a night and has difficulty falling asleep. Reports poor
Depression concentration. He reports he has lost interest in social events such as going to church,
since his wife’s passing. He reports decreased energy.
He reports he would like to go to sleep and not wake up. When asked about suicidal
Suicidal/homicidal thoughts, he denies plans to hurt himself saying he would never want to do that to his
kids.
He reports hearing his wife’s voice at times. When asked if he believes she is there, he
Psychosis/Schizophrenia reports he knows she is gone and that its not really her voice. He denies seeing things that
aren’t there.
Generalized Anxiety Denies feeling anxious or worried.
Disorder
Panic attacks/panic Denies panic attacks.
disorder
Denies compulsive behavior.
OCD
Bulimia Reports he eats 2-3 meals a day and that has not changed.
Nervosa/Anorexia/Binge
