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Hospital Discharge Report
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Synthesis
Substance dependence, treated and stabilised
Hospital course note
Dear colleague, I am writing to inform you regarding the discharge of your 24-year-old
female patient, admitted on 10.05.2025 due to substance dependence disorder. Upon
admission, a comprehensive psychiatric and somatic assessment was conducted, confirming
dependence on multiple substances including opioids and benzodiazepines. Urine toxicology
screening was positive for multiple substances. The patient underwent a structured
detoxification protocol with medically supervised withdrawal management, including
symptomatic pharmacotherapy to address withdrawal symptoms. Psychological counseling
sessions were initiated during the inpatient stay. The patient was stabilized successfully
without major complications. At discharge, she was motivated for continued outpatient
addiction treatment. We strongly recommend referral to an outpatient addiction counseling
service and close follow-up including regular urine drug screening. Should any concerns
arise, please do not hesitate to contact our department.
Diagnosis at Discharge
| Mental and behavioural disorders due to multiple drug use – dependence syndrome | 20-May-2025 | active |
Significant procedures
| Addiction rehabilitation planning | 19-May-2025 | - |