Encounter with the Friend
General appearance: Middle aged African American male, good posture, with eye contact, smiling, dress not disheveled, dresses appropriately with hoodie and a cap, good grooming no abnormal mannerism and tics noted.
Behavior alert and cooperative
Attitude: positive and optimistic attitude
Mood: cheerful, expresses excitement â€œwe are having a baby! I cannot waitâ€
Affect: appropriate affect, euthymic, full range, supple or stable affect, expression is appropriate type, smiles often.
Speech: normal speed of speech, normal rhythm, articulation, volume, accent and tone. No significant latency in response, Production is normal.
Thought process: linear, logical, goal-directed and organized.
Thought content: no apparent delusional thoughts and preoccupations, no hallucinations, no suicidal ideation, no obsessions, and no phobia cited
Insight: good insight about situation, good awareness about becoming a father
judgment: good decision-making, expresses intent to move to a new apartment, a bigger one to accommodate the new baby.
Cognition: conscious, alert, oriented to time, place, and person, good memory recall and is able to recall past events, has good visuospatial functioning, can count back in serial 3â€™s, abstract and concrete understanding assessed, able to draw.