mdd

The client is doing [select name="variable_1" value="well.|better.|worse."] The client [select name="variable_1werte" value="reports |denied|endorsed|described"] that they feel deeply sad and have periods of tearfulness or irritability on an almost daily basis. The client's depressed affect 
[select name="variable_qqasd" value="was|was not"] clearly evident within the session as tears were shed on more than one occasion. The client [select name="variable_1wssderte" value="reports|denied|endorsed|described"] that they have begun to feel less sad and irritable and can experience periods of joy. The client appeared to be 
[checkbox name="variable_1qqfgg" value="more|less"] happy within the session, and there [select name="variable_1sfdsf" value="is|is no"] evidence of tearfulness. The client reported that they [select name="variable_1fdsf" value="have|have not"] had a normal and consistent appetite.
[checkbox name="variable_1fsdfsd" value="The client's loss of appetite has resulted in a significant weight loss associated with the depression.|As the depression has begun to lift, the client's appetite has increased. |The client reported that their appetite is at normal levels. "] The client reported that their appetite is at normal levels. The client [select name="variable_1wfferte" value="reports |denied|endorsed|described"] a diminished interest in or enjoyment of activities that were previously found pleasurable.[checkbox name="variable_1dfgdfsfdf" value="The client has begun to involve oneself with activities that they previously found pleasurable.| The client has returned to an active interest in and enjoyment of activities. "]The client [select name="variable_1dsfdf" value="demonstrated|did not demonstrate"] psychomotor agitation within the session. The client [select name="variable_1wddssderte" value="reports|denied|endorsed|described"] that with the onset of the depression, they have felt [select name="variable_fds1" value="able|unable"] to relax or sit quietly. The client [select name="variable_1wddssdedrte" value="reports|denied|endorsed|described"] a significant [select name="variable_1" value="decrease|increase"] in psychomotor agitation and the ability to sit more quietly. It [select name="variable_as1" value="was|was not"] evident within the session that the client has become more relaxed and less agitated. The client [select name="variable_1zx" value="demonstrated|did not demonstrate"] evidence of psychomotor retardation within the session. [checkbox name="variable_azdf1" value="The client moved and responded very slowly, showing a lack of energy and motivation.| As the depression has lifted, the client has responded more quickly and psychomotor retardation has diminished."]
[checkbox name="variable_18" value="The client reported periods of inability to sleep and other periods of sleeping for many hours without the desire to get out of bed.|The client's problem with sleep interference has diminished as their depression has lifted.|The client reported that they feel a very low level of energy compared to normal times their life. It was evident within the session that the client has low levels of energy, as demonstrated by slowness of walking, minimal movement, lack of animation, and slow responses.|The client's energy level has increased as the depression has lifted.|It was evident within the session that the client is demonstrating normal levels of energy."[checkbox name="variable_19" value="The client reported that they are unable to maintain concentration and are easily distracted.|The client reported that they are unable to read material with good comprehension because of being easily distracted.|The client reported increased ability to concentrate as their depression has lifted. The client reported a decrease in their ability to make decisions based on lack of confidence, low self-esteem, and low energy.|It was evident within the session that the client does not have normal decision-making capabilities.|The client reported an increased ability to make decisions as the depression is lifting."] [checkbox name="variable_71" value="The client has withdrawn from social relationships that were important to them.|As the client's depression has deepened, they have increasingly self-isolated.|The client has begun to reach out to social contacts as the depression has begun to lift.|The client has resumed normal social interactions."][checkbox name="variable_16" value="The client expressed that they are experiencing suicidal thoughts but have not taken any action on these thoughts.|The client reported suicidal thoughts that have resulted in suicidal gestures.|Suicidal urges have been reported as diminished as the depression has lifted.|The client denied any suicidal thoughts or gestures and is more hopeful about the future."]
[checkbox name="variable_165" value="The client has experienced feelings of hopelessness and worthlessness that began as the depression deepened.|The client's feelings of hopelessness and worthlessness have diminished as the depression is beginning to lift. The client expressed feelings of hope for the future and affirmation of their own self-worth.|The client described feelings of pervasive, irrational guilt.|Although the client verbalized an understanding that their guilt was irrational, it continues to plague them.|The depth of irrational guilt has lifted as the depression has subsided.|The client no longer expresses feelings of irrational guilt."][checkbox name="variable_01" value="The client stated that they have a very negative self-perception.|The client's low self-esteem was evident within the session as they made many self-disparaging remarks and maintained very little eye contact.|The client's self-esteem has increased as they are beginning to affirm their self-worth.|The client verbalized positive feelings toward self."][checkbox name="variable_123" value="The client has experienced losses about which they have been unable to resolve feelings of grief.|The client's feelings of grief have turned to major depression as energy has diminished and sadness/hopelessness dominate their life.|The client has begun to resolve the feelings of grief associated with the loss in their life.|The client has verbalized feelings of hopefulness regarding the future and acceptance of the loss of the past."][checkbox name="variable_145" value="The client has experienced mood-related hallucinations or delusions indicating that the depression has a psychotic component.|The client's thought disorder has begun to diminish as the depression has been treated.|The client reported no longer experiencing any thought disorder symptoms."]
[checkbox name="variable_0231" value="The client reported a recurrent pattern of depressive episodes that have been treated with a variety of approaches.|The client has a history of depression within the family that parallels their own experience of depression."]