Clinical note section (ASSESSMENT): The patient is here today with his mom for several complaints.  Number one, he has been having issues with his right shoulder.  Approximately 10 days ago he fell, slipping on ice, did not hit his head but fell straight on his shoulder.  He has been having issues ever since.  He is having difficulties raising his arm over his head.  He does have some intermittent numbness in his fingers at night.  He is not taking any anti-inflammatories or pain relievers.  He is also complaining of a sore throat.  He did have some exposure to Strep and he has a long history of strep throat.  Denies any fevers, rashes, nausea, vomiting, diarrhea, and constipation.  He is also being seen for ADHD by Dr. B.  Adderall and Zoloft.  He takes these once a day.  He does notice when he does not take his medication.  He is doing well in school.  He is socializing well.  He is maintaining his weight and tolerating the medications.  However, he is having issues with anger control.  He realizes when he has anger outbursts that it is a problem.  His mom is concerned.  He actually was willing to go to counseling and was wondering if there was anything available for him at this time.

Dialogue:
Doctor: Who do we have here?
Guest_family: Hi there, he is my son Jay!
Doctor: Hi Jay, how are you today?
Patient: I am okay doctor.
Doctor: Tell me what is going on?
Guest_family: We went ice skating almost 10 days back and he slipped on the ice and landed straight on his right shoulder. Since then, he has been complaining of issues with his shoulder. He is not able to raise his hand above his head and sometimes at night he complains of numbness in his right hand fingers. That kind of made me worried.
Doctor: Hm, okay. Mom, did he get hurt anywhere else too, like head, face or chest? 
Guest_family: No, he landed on his shoulder thankfully. Didn't hit his head. He was also wearing a helmet.
Doctor: Okay, so are you giving him anything for his shoulder, like pain meds or anti inflammatory to ease his stiffness?
Guest_family: No, nothing. Although I gave him some honey for his sore throat. He has been complaining of a sore throat, he has a long standing history of strep throat and he did have some exposure to strep. 
Doctor: Hm, did he have any fever or rashes? 
Guest_family: No.
Doctor: Any nausea, vomiting, diarrhea or constipation?
Guest_family: No.
Doctor: Okay, let me check his shoulder, do you have any other concerns?
Guest_family: Actually yes, Jay suffers from A D H D, he-
Doctor: He is seeing Doctor B, right? 
Guest_family: Yes, and the doctor has prescribed him Adderall and Zoloft once a day. With medication he is doing well in school, he is socializing. Overall, he is maintaining his weight and tolerating the medications well.
Doctor: Okay, so what is the concern?
Guest_family: However, I have noticed that whenever he is not taking his medications, he is having anger outbursts which he is not able to control. He does realize that it's a problem but he can't help it, and this worries me. We have talked about getting help and he has agreed for counselling. I was just wondering if there is anything which can help him, any therapy or counselling session that might benefit him?