T.U. reports hearing voices and states that he does not

T.U. reports hearing voices and states that he does not trust anybody and that people plotting with him, spying on him, or trying to harm them. He is on risperidone and reports no improvement in symptoms. We discussed the importance of medication adherence and coping strategies for managing hallucinations. T.U. is alert to person, place, and time. He appeared anxious and tense. His speech is not coherent and goal-directed and his thought process is not logical and goal-directed. The mood is blunt and affect flat. Put in this format: 1. Presenting Issues: 2. Goals for the Session: Specific goals or objectives set for this session. 3. Techniques and Interventions Used: 4. Patient’s Responses. 5. Progress: Assessment of the patient’s progress toward their goals. Improvements or setbacks observed—any new insights or breakthroughs. 7. Homework Assignments: 8. Plan for Next Session: Goals and focus for the next session. 8. Notes and Reflections:

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