Ghost writers

**Patient History: Clerical Abuse** **Patient Name:** Jane Doe **Date of Birth:** 04/15/1985 **Date of Visit:** 10/12/2023 **Medical Record Number:** 123456 **Chief Complaint:** Patient presents with anxiety symptoms and emotional distress related to repeated instances of clerical abuse experienced in a healthcare setting. **History of Present Illness:** Jane Doe is a 38-year-old female who reports a history of clerical abuse that has negatively impacted her mental health and well-being. Over the past year, she has encountered several troubling incidents involving disrespectful and dismissive clerical staff during medical appointments, resulting in feelings of frustration, anger, and helplessness. Patient details a specific episode from her last visit to the clinic approximately three months ago, where she felt bullied by the reception staff. On that occasion, she arrived on time for her scheduled appointment but was told that her health insurance information was incorrect, leading to a lengthy and uncomfortable delay. The clerical staff responded to her inquiries with condescension and made her feel as though she was wasting their time despite her efforts to rectify the issue. Jane reports that this incident was not isolated; she recounted similar experiences in previous visits, including being denied assistance when requesting clarification about billing, and being subjected to whispers and eye-rolling from staff members when she voiced concerns about her care. These repeated experiences have contributed to an escalation of her anxiety, resulting in difficulty sleeping, increased heart rate, and avoidance of medical appointments altogether. She expresses a fear of ridicule and feeling "less than," which has compounded her sense of isolation. **Past Medical History:** - Generalized Anxiety Disorder (diagnosed 2019) - Depression (diagnosed 2021) - No significant surgical history **Family History:** - Mother: History of anxiety and depression - Father: No significant mental health history - Sibling: Brother with attention deficit hyperactivity disorder (ADHD) **Social History:** - Lives alone and works as a graphic designer - Limited social support; has few close friends - Engages in occasional exercise; practices mindfulness to manage anxiety **Review of Systems:** - Psychological: Reports ongoing anxiety and episodic depressive symptoms - Neurological: No reported headaches or changes in sensation - No other significant findings in other systems **Assessment:** Jane's symptoms are consistent with the impact of clerical abuse on her mental health. The repeated instances of disrespect and emotional distress caused by the clerical staff have led to heightened anxiety levels and significant distress, affecting her engagement with healthcare services. **Plan:** 1. Engage in therapeutic support: Recommend individual therapy to address anxiety and coping strategies for dealing with clerical interactions. 2. Patient Empowerment: Discuss options for filing formal complaints about the clerical staff to ensure changes can be made. 3. Follow-up: Schedule a follow-up appointment in one month to assess her progress and adapt the treatment plan as necessary. **Signature:** Dr. John Smith, MD Date: 10/12/2023 **(Electronic signature)**