FOLLOW UP APPOINTMENT

This is a follow-up appointment with [select name="variable_1" value=" patient.| patient accompanied by mom.| patient accompanied by adopted mom. | patient accompanied by adopted dad. | patient accompanied by dad. |patient accompanied by mom and dad.| patient accompanied by aunt.|patient accompanied by uncle.|"] The thought process is linear and logical. Reported [select name="variable_24" value="strict adherence to the medication regimen | non compliance with medication regimen "][text name="variable_11953" default=""].There has been [select name="variable_1111" value=" no |few |many "] side effects from the medication usage. [text name="variable_13953" default=""][textarea memo="Additional information" rows="1"].
[checkbox name="depression" memo="depression" value=""][checkbox name="anxiety" memo="anxiety" value=""][checkbox name="panic" memo="panic" value=""][checkbox name="ADHD" memo="ADHD" value=""][checkbox name="PTSD" memo="PTSD" value=""][checkbox name="OCD" memo="OCD" value=""][checkbox name="bipolar" memo="bipolar disorder" value=""][checkbox name="insomnia" memo="insomnia" value=""][checkbox name="psychosis" memo="psychosis" value=""][checkbox name="alcohol" memo="alcohol" value=""][checkbox name="opioid" memo="opioid" value=""][checkbox name="personality" memo="personality" value=""][checkbox name="neuro" memo="neurocognitive" value=""]
[conditional field="depression" condition="(depression).is('')"]
Depression is reported to be [select value="stable|well controlled| unstable | well-managed| improving| decreasing| severe| increasing| steady| up and down| good|unchanged| better| moderate| somewhat better| somewhat worse|poor| much worse"]: [select name="variable_10" value="Patient is reporting | Patient expressed | Patient indicated | Patient signified | Patient verbalized | Patient pointed out |  Patient revealed | Patient disclosed | Patient denies symptoms such as : |Common symptoms includes:  | Typical symptoms includes :  | Routine symptoms includes :  | Frequent symptoms includes :  | There are variability in symptoms such as : | There are decrease in symptoms such as: | There are increase in symptoms such as: | There are symptoms such as : | The symptoms present are : | There are worsening of symptoms such as : | There are persistence of syptoms such as: | Patient still has symptoms such as : |There are no reports of "][checkbox value="no concerning progression of symptoms of depression |lack of motivation|feeling down|little interest or pleasure in doing things|hopelessness|helplessness|feeling tired or having little energy|feelings of inadequacy|irritability|poor concentration|psychomotor retardation|psychomotor agitation| worthlessness |suicidal ideation"]. [textarea memo="Additional information" rows="1"][/conditional]
[conditional field="anxiety" condition="(anxiety).is('')"]
Anxiety is reported to be [select value="stable | well controlled | unstable | up and down | well-managed | improving | decreasing | severe |increasing | steady | good | unchanged | better | moderate | somewhat better |somewhat worse | poor |much worse"]: [select name="variable_11" value="Patient is reporting | Patient expressed | Patient indicated | Patient signified | Patient verbalized | Patient pointed out | Patient revealed | Patient disclosed | Patient denies symptoms such as : | Common symptoms includes:  | Typical symptoms includes :  | Frequent symptoms includes :  | Routine symptoms includes :  | There are variability in symptoms such as : | There are decrease in symptoms such as: | There are increase in symptoms such as: | There are symptoms such as : | The symptoms present are : | There are worsening of symptoms such as : | There are persistence of syptoms such as: | Patient still has symptoms such as : |There are no reports of "][checkbox value="no concerning progression of symptoms of anxiety |fatigue|difficulty concentrating|nervousness|increased heart rate|sense of impending danger/panic|rapid breathing|trembling|experiencing G.I symptoms|irritability|excessive worry|muscle tension|headaches|feeling overwhelmed|irritability|restlessness|loss of appetite"]. [textarea memo="Additional information" rows="1"][/conditional]
[conditional field="panic" condition="(panic).is('')"]
Panic symptoms are reported to be [select value="stable|well controlled| unstable |up and down|well-managed|improving|decreasing|severe|increasing|steady|good|unchanged|better|moderate|somewhat better|somewhat worse|poor|much worse"].[select name="variable_12" value="Patient is reporting | Patient expressed| Patient indicated | Patient signified | Patient verbalized | Patient pointed out |  Patient revealed | Patient disclosed | Patient denies symptoms such as : |Common symptoms includes:  | Typical symptoms includes :  | Frequent symptoms includes :  | Routine symptoms includes :  | There are variability in symptoms such as : | There are decrease in symptoms such as: | There are increase in symptoms such as: There are symptoms such as : | The symptoms present are : | There are worsening of symptoms such as : | There are persistence of syptoms such as: | Patient still has symptoms such as : |There are no reports of "][checkbox value="no concerning progression of symptoms|palpitations/racing heart|sweating|shaking|shortness of breath|chest pain/tightness|nausea/stomach cramps|numbness/tingling|fear of losing control|closed in feeling|feeling overwhelmed|heat sensations|chills|trembling/shaking"]. [textarea memo="Additional information" rows="1"][/conditional]
[conditional field="ADHD" condition="(ADHD).is('')"]
ADHD symptoms are reported to be [select value="stable|good|up and down| unstable |well-managed|improving|decreasing|severe|increasing|steady|well controlled|unchanged|better|moderate|somewhat better|somewhat worse|poor|much worse"]. [select name="variable_13" value="Patient is reporting | Patient expressed| Patient indicated | Patient signified | Patient verbalized | Patient pointed out | Patient denies symptoms such as :|  Patient revealed | Patient disclosed | Common symptoms includes:  | Typical symptoms includes :  | Frequent symptoms includes :  | Routine symptoms includes :  | There are variability in symptoms such as : | There are decrease in symptoms such as: | There are increase in symptoms such as: | There are symptoms such as : | The symptoms present are : | There are worsening of symptoms such as : | There are persistence of syptoms such as: | Patient still has symptoms such as : |There are no reports of "][checkbox value="no concerning progression of symptoms|inattention|careless mistakes|difficulty sustaining attention|problems following conversations|easily side tracked|difficulty organizing tasks/activities|avoidance and procrastination|forgetfulness|easily distracted by unrelated thoughts|fidgeting|inability to relax|excessive talking|difficulty waiting/reduced patience"]. [textarea memo="Additional information" rows="1"][/conditional]
[conditional field="PTSD" condition="(PTSD).is('')"]
PTSD symptoms are reported to be [select value="stable|good|up and down| unstable |well-managed|improving|decreasing|severe|increasing|steady|well controlled|unchanged|better|moderate|somewhat better|somewhat worse|poor|much worse"]. [select name="variable_14" value="Patient is reporting | Patient expressed | Patient indicated | Patient signified | Patient verbalized | Patient pointed out | Patient revealed | Patient disclosed | Patient denies symptoms such as : | Common symptoms includes:  | Typical symptoms includes :  | Frequent symptoms includes :  | Routine symptoms includes :  | There are variability in symptoms such as : | There are decrease in symptoms such as: | There are increase in symptoms such as: There are symptoms such as : | The symptoms present are : | There are worsening of symptoms such as : | There are persistence of syptoms such as: | Patient still has symptoms such as : |There are no reports of "][checkbox value="no concerning progression of symptoms|nightmares|flashbacks|intrusive memories/thoughts|avoidance|negative affect|loss of interest|isolation|difficulty experiencing positive emotions|irritability|annoyance|risky/self destructive behaviors|hypervigilance|heightened startle reaction|difficulty concentrating|difficulty falling asleep|difficulty staying asleep"].[textarea memo="Additional information" rows="1"][/conditional]
[conditional field="OCD" condition="(OCD).is('')"]
OCD symptoms are reported to be [select value="stable|good|up and down| unstable | well-managed|improving|decreasing|severe|increasing|steady|well controlled|unchanged|better|moderate|somewhat better|somewhat worse|poor|much worse"]. [select name="variable_15" value="Patient is reporting | Patient expressed | Patient indicated | Patient signified | Patient verbalized | Patient pointed out |  Patient revealed | Patient disclosed | Common symptoms includes:  | Typical symptoms includes :  | Frequent symptoms includes :  | Routine symptoms includes :  | There are variability in symptoms such as : | There are decrease in symptoms such as: | There are increase in symptoms such as:  | There are symptoms such as : | The symptoms present are : | There are worsening of symptoms such as :  | There are persistence of syptoms such as: | Patient still has symptoms such as : |There are no reports of "][checkbox value="no concerning progression of symptoms|recurring thoughts|recurring images|recurring urges|urge to neutralize thoughts|repetitive behaviors|counting|focusing on geometry|checking|isolation|organizing/aligning objects|hoarding|fear of germs/illness|blinking|touching/tapping|needing constant reassurance|fear of dread|mental rituals|excessive time spent thinking or engaging in compulsive behavior"].[textarea memo="Additional information" rows="1"][/conditional]
[conditional field="bipolar" condition="(bipolar).is('')"]
Mood are reported to be [select value="stable|good|up and down| unstable |
well-managed|improving|decreasing|severe|increasing|steady|well controlled|unchanged|better|moderate|somewhat better|somewhat worse|poor|much worse"]. [select name="variable_16" value="Patient is reporting | Patient expressed| Patient indicated | Patient signified | Patient verbalized | Patient pointed out |  Patient revealed | Patient disclosed | Common symptoms includes:  | Typical symptoms includes :  | Frequent symptoms includes :  | Routine symptoms includes :  | There are variability in symptoms such as : | There are decrease in symptoms such as: | There are increase in symptoms such as: | There are symptoms such as : | The symptoms present are : | There are worsening of symptoms such as : | There are persistence of syptoms such as: | Patient still has symptoms such as : |There are no reports of "] [checkbox value="no concerning progression of symptoms of mood |elevated mood|irritable mood|increased self esteem|loss of sleep|mood swings|racing thoughts|difficulty keeping up with thoughts|increased desire to speak|feeling more distracted|feeling more energetic|increased desire to engage in activities|feeling angry|agitation|impulsive behaviors|feeling more social/outgoing|increased sex drive|spending money|tantrum/outburst|using drugs/alcohol"]. [textarea memo="Additional information" rows="1"][/conditional]
[conditional field="insomnia" condition="(insomnia).is('')"]
Insomnia symptoms are reported to be [select value="stable|unchanged|better| unstable |somewhat better|somewhat worse|much worse"]. [select name="variable_17" value="Patient is reporting | There are variability in symptoms such as : | There are decrease in symptoms such as: | There are increase in symptoms such as: |There are no reports of "] [checkbox value="no concerning progression of symptoms|difficulty falling asleep|difficulty staying asleep|early morning awakening|nightmares|vivid dreams|thrashing in sleep|sleep walking|daytime sedation/fatigue|sleep talking|night terrors|confusion|sleep related eating|hallucinations going to sleep|hallucinations when taking up"]. [textarea memo="Additional information" rows="1"][/conditional]
[conditional field="psychosis" condition="(psychosis).is('')"]
Psychotic symptoms are reported to be [select value="stable|good|up and down|
well-managed|improving|decreasing|severe|increasing|steady|well controlled|unchanged|better|moderate|somewhat better| unstable |somewhat worse|poor|much worse"]. [select name="variable_18" value="Patient is reporting | Patient expressed| Patient indicated | Patient signified | Patient verbalized | Patient pointed out |  Patient revealed | Patient disclosed | Typical symptoms includes :  | Routine symptoms includes :  | There are variability in symptoms such as : | There are decrease in symptoms such as: | There are increase in symptoms such as: There are symptoms such as : | The symptoms present are : | There are worsening of symptoms such as : | There are persistence of syptoms such as: | Patient still has symptoms such as : |There are no reports of "] [checkbox value="no concerning progression of symptoms|delusions of persecution|jealous delusions|somatic delusions|grandiose delusions|religious delusions|thought broadcasting|thought insertion|auditory hallucinations|visual hallucinations|disorganized thoughts|disorganized behaviors|confusion|social isolation|loss of motivation|problems focusing|suicidal thoughts|anxiety"]. [textarea memo="Additional information" rows="1"][/conditional]
[conditional field="neuro" condition="(neuro).is('')"]
Cognitive symptoms are reported to be [select value="stable|unchanged|better|somewhat better|somewhat worse|much worse"]. [select name="variable_19" value="Patient is reporting |There are no reports of "][checkbox value="no concerning progression of symptoms|difficulty with complex attention|poor executive functioning|difficulty with short term memory|difficulty with long term memory|motor difficulties|confusion|repetitive behaviors|misplacing objects|difficulty understanding context|difficulty formulating speech|forgetting names/words|loss of interest|confusion|social isolation|loss of motivation|paranoia|visual hallucinations|auditory hallucinations|obsessive behaviors|hoarding behaviors|tremors|night terrors|sleeping during the day|not sleeping at night|agitation|threatening behaviors|inappropriate behaviors"].[textarea memo="Additional information" rows="1"][/conditional]
[conditional field="alcohol" condition="(alcohol).is('')"]
Alcohol use symptoms are reported to be [select value="stable|unchanged|better|somewhat better|somewhat worse|much worse"]. [select name="variable_20" value="Patient is reporting |There are no reports of "] [checkbox value="no concerning progression of alcohol use|daily drinking|drinking more than anticipated|inability to cut down on drinking|cravings to drink|blackouts|hangovers|urges to drink|missing work due to drinking|drinking alone|drinking and driving|drinking to fall asleep|escalating alcohol use|tremors|nausea|vomiting|headaches|sweating|anxiety|racing heart|confusion|visual hallucinations|auditory hallucinations|seizures"].[textarea memo="Additional information" rows="1"][/conditional]
[conditional field="opioid" condition="(opioid).is('')"]
Opioid use symptoms are reported to be [select value="stable|unchanged|better|somewhat better|somewhat worse|much worse"]. [select name="variable_21" value="Patient is reporting |There are no reports of "] [checkbox value="no concerning progression of symptoms of opioid use|cravings|urges to use opioids|continued opioid use|use of fentanyl|recent overdose|drowsiness|dizziness|fainting|fatigue|chest pain|difficulty breathing|missing work|irritability|pinpoint pupils|nausea|vomiting|loss of appetite|constipation|diarrhea|stomach cramping|weight loss|racing heart|sweating|chills|palpitations|tearing eyes|yawning|insomnia|bone pain|goose bumps|tremors|leg swelling|yellowing of eyes|loss of libido|confusion|visual hallucinations|auditory hallucinations"].[textarea memo="Additional information" rows="1"][/conditional]
[conditional field="personality" condition="(personality).is('')"]
Personality symptoms are [select value="stable|unchanged|better|somewhat better|somewhat worse|much worse"]. [select name="variable_22" value="Patient is reporting |There are no reports of "][checkbox value="no concerning progression interpersonal relationships, impulsivity, behavioral regulation, or affect regulation|unstable relationships with others|idealizing and devaluing|identity disturbance|feelings of emptiness|affective lability|excessive anger|aggression|efforts to avoid abandonment|impulsive behaviors|suicidality|self injurious behavior|thrill seeking|paranoia|dissociation|attention seeking"].[textarea memo="Additional information" rows="1"][/conditional]Patient states[select name="variable_431" value=" no suicidal ideation.|no suicidal ideation and contracts for safety but | suicidal ideation but contracts for safety and will not act on it.| suicidal ideation and can not contract for safety."][text name="variable_1" default=""] Patient states[select name="variable_4561" value=" no homicidal ideation.| homicidal ideation directed towards |"][text name="variable_8231" default=""] When asked about sleep, the patient stated [select name="variable_2161" value=" an increase of sleep| that sleep is better | that sleep is worse| a decrease of sleep| somewhat better| up and down sleep | erratic sleep | somewhat worse| sleep is good| about the same| sleep is going well| sleep is broken throughout the night| sleep is not as broken since last time we talked| no changes to sleep| sometimes broken but mostly good"] and sleeps for about[select name="variable_4521" value=" 8 hour nightly.|1 hour nightly.| 2 hours nightly.| 3 hours nightly. | 4 hours nightly.| 5 hours nightly. | 6 hours nightly.| 7 hours nightly.| 9 hours nightly.| 10 hours nightly| 11+ hours nightly.| 0 hours nightly."] [select name="variable_100111" value="There are no problem falling asleep and staying asleep| There are both problem falling asleep and staying asleep |  There is problem with falling asleep but not staying asleep|There is problem with staying asleep but not falling asleep| There is problem with excessive sleeping"] [textarea memo="Additional information" rows="1"] Patient added since last session their appetite is[select name="variable_45671" value=" about the same.| worse.| getting slightly worse.| slightly improving.| decreasing.| increasing.| better.| good| up and down. | going well."] [textarea memo="Additional information" rows="1"]. Patient is educated on side effects, risk, benefits of medication and alternating to treatment. Encouraged on the need for compliance to medication regimen. Patient states that [select name="variable_1118" value="there are no major concerns today. |ongoing plan has been helpful| the major concerns today is |  the major concerns today are "] [textarea memo="Additional information" rows="1"]. Agree to[select name="variable_1119" value=" continuation of the current regimen| making changes to the current regimen"]. [textarea memo="Additional information" rows="1"].