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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 your patient, a 32-year-old male
admitted on 05.11.2022 due to substance dependence disorder involving multiple substances.
Upon admission, a comprehensive psychiatric and somatic assessment was conducted,
including structured clinical interview, toxicological screening, and laboratory workup.
The patient presented with signs of active dependence syndrome and mild withdrawal
symptoms. During the inpatient stay, medically supervised detoxification was initiated
alongside pharmacological withdrawal management. Psychoeducational counselling sessions
were provided, and the patient was stabilised over the course of the admission. At
discharge on 07.11.2022, the patient was clinically stable, motivated for further
treatment, and referred to an outpatient addiction medicine programme. Continued monitoring
of liver function and regular follow-up appointments are strongly recommended. Please
do not hesitate to contact me should further information be required.
Diagnosis at Discharge
| Mental and behavioural disorders due to multiple drug use – dependence syndrome | 07-Nov-2022 | active |
Significant procedures
| Referral to outpatient addiction medicine programme | 07-Nov-2022 | - |