Mst copy

Chief complaint:[text name="variable_Chief complaint" default="sample text"]Gender:[checkbox name="variable_gender" value="Male|Female|Other"]
The client's preferred pronouns:[checkbox name="Pronoun" value="He|Him|She|her|they|them|other:"][text name="pronoun other" default="sample text"]Pharmacy:[text name="variable_Pharm" default="sample text"]Allergies:[checklist name="Allergies" value="KNDA|NKA|Allergy:"]Reaction:[text name="Reaction" default="sample text"]HPI
[text name="Name" default="name"]is a [text name="age" default="age, gender, ethnicity,"]seeking treatment for[text name="reason" default="reason they are here"]that started[text name="started" default="started"]and has[select name="variable_Cont1" value="been continous|intermitant"]
The intensity of the symptoms is a [text name="N" default="number"]on a scale of 0 to 10 with 10 being the most intense and zero being the least intense.
Assocating factors:[text name="variable_C" default="correlating"]
Modifing factors:[text name="variable_bw" default="BetterWorse"]The clients mood has been[text name="variable_Mood" default="mood"]over the past two weeks.They report[text name="variable_interest" default="interest"]They described their appitite as:[checkbox name="variable_app" value="high|low|increased|decreased|stayed about the same"]They have [select name="variable_gained" value="gained|lost"] weight. They[select name="variable_qasw" value="endorsed|denied"] binging, restrcting, or purging meals.They describe their sleep as [text name="variable_sleepss" default="good/bad/better"]
They report they are able to fall and stay asleep.
They denied waking up earlier than they have to.
They[text name="variable_dee" default="Endorse/Describe"]nightmaresTheir energy level has been a [text name="variable_nbss" default="number"]on a scale of 0 to 10 with ten being the hightest energy level and zero being the lowest.They [text name="variable_1saf" default="agreed/described"] energy that does not last throgh the day.They noticing that theri movements really slow down.
They [text name="variable_1as" default="End/den/descri"] feeling restless, pacing, and ubale to sit down for long.The client [text name="variable_1dsfa" default="described"feelings of hoplessness and worthlessness
The client [text name="variable_1dsfdc" default="described"]feelings of pervasive, irrational guilt
The client [text name="variable_1dsfcvf" default="described"]negative feelings towards themself and feelings of inadaquecy
The client [text name="variable_1dagh" default="described"]The client [text name="variable_1daazgh" default="described"]that they are unable to maintain concetration are are easily distracted
The client [text name="variable_1ddsdfagh" default="described"]that hey are unable to read materal with good comprehension because of being seasily disctracted
The client [text name="variable_1dafhjklgh" default="described"]The client [text name="variable_1dsfa" default="denied"]SI, HI, and, psychosis.
The client [text name="variable_1asdf" default="expressed"] that they are experiencing SIbut have not taken any actionson these thoughts.
The client [text name="variable_1saf"ccv default="reported"]SI thoughts have resulted in suicidal gestures.
The client [text name="variable_1gbyyy" default="denied"]any suicidal thoughts or gestures.
The client [text name="variable_1dsfafs" default="denied"]hallucinations or delusions indicating that the depression has a psychotic component.
the client[text name="variable_suicide1" default="reported"] recurrent thoughts of their own death.
the client[text name="variable_suicide11" default="reported"]experiencing recurrent SI, but denied having any specific plan to implement suicidal urges.
the client[text name="variable_suicide12" default="reported"]experiencing ongoing SI and has developed a specific plan for SI.
Althoughthe client[text name="variable_suicide13" default="acknoledged"] that they have developed a suicide plan, they indicated that the urge is controllable and promised not to implement such a plan.
the client[text name="variable_suicide14" default="has"]mad a suicide attempt within the past [text name="variable_1rrre" default="week"]the client[text name="variable_1azx" default="exhibits"]an abnormally and persistently elevated, expansive, or irritable mood.
the client[text name="variable_1xcvxb" default="functioning"]has been affected by their mania.
the client[text name="variable_1kjhgfe5" default="gave"]evidence of pressured speech within the session.
the client[text name="variable_111" default="demonstarted"] an inability to stay focused on one subject and moved quickly from one topic to another.
the client[text name="variable_122" default="gave evidence"] of grandiose ideas regarding their abilities, plans, and accomplishments
the client[text name="variable_133" default="described"]feeling misunderstood and persecuted by others who do not acknoledge their grandiose ideas.
the client[text name="variable_144" default="described"]a pattern of attaning far less sleep than would normally be needed.
the client[text name="variable_155" default="was"]restless and agitated within the session and reports an inabilty to sit quietly and relax.
the client[text name="variable_155" default="gave"]evidence of a short attention span and a high level of distractability.
the client[text name="variable_166" default="reported"]a behavior pattern that refects a lack of normal inhibition and an increase in impulsivity without any regard to potentially painful consequences.
the client[text name="variable_177" default="gave"]evidence of a very expansive mood that can easily turn to impatience and irriability if theyr behavior is blocked or confronted.
the client[text name="variable_188" default="described"] a behavior pattern than reflects a lack of follow-through on many projects.
the client[text name="variable_199" default="exhibits"]The client[text name="variable_w0rry1" default="described"]preoccupation with worry that someting dire will happen
The client[text name="variable_w0rry2" default="described"]symptoms of preoccupation with worry that something dire will happen in response to a resent stressor.
The client[text name="variable_w0rry3" default="described"] symptoms of excessive and unrealistic worry.
The client[text name="variable_w0rry4" default="described"]a history of restlessness, tiredness, muscle tension, and shaking.
The client[text name="variable_w0rry5" default="described"]the presence of symptoms such as heart palpitations, dry mouth, tightness in the throat, and some shortness of breath.
The client[text name="variable_w0rry55" default="described"]occasional tension headaches.
The client[text name="variable_w0rry5q5" default="described"]that they are constantly feeling on edge, that sleep is interrupted, and that concentration is difficult.
The client[text name="variable_w0rry55dsf" default="reported"]being irritable and snappy in interaction with others as their patience is thin and they are worrying about everything.Medications
Past Medications
Medication side effects
Medication adherance
Behavioral health history
Alcohol/ nicotine/ substance/ caffine
Medical history
Review of systems
Legal
Psychosocial
cultural
relationship
exercise
education
job
military
sexual health
currently lving situation/ psychosocial stressors
truama
Assessment /planSan Antonio Therapists
Rosie Ortiz, M.Ed., LPC
Ages: Children & Adults
Specialties: Mood, depression, anxiety, social skills
Insurances: BCBS, Cigna, Optum, and private pay
Location: Here at the Family Wellness Center or virtually
Phone: 830-461-4227
Email: [email protected] Moczygemba, M.A., LPC
Ages: Older adolescents and adults
Insurances: Aetna and Private pay
Specialties: Mood disorders, substance use, trauma, eating disorders
Location: Here at the Family Wellness Center
Phone: 210-293-0883
Website: http://www.alamowellnessgroup.com/Jamie Bundeson, LMFT
Ages: Children & Adults
Specialties: Marriage counseling, Family counseling, individual therapy; mood, depression, anxiety, social skills.
Insurances: BCBS, Humana, UnitedHealthCare, Aetna, private pay. Pending other insurances; call to inquire
Location: Here at the Family Wellness Center; telehealth available
Phone: 210-983-3325
Email: [email protected]
Ages: Children and Adults
Insurances: Aetna, Tricare, BCBS (PPO only), Humana, Ambetter, Gilsbar, United Healthcare, Coresource
Services: Depression, anxiety, play therapy, trauma therapy, group therapy, mood disorders, and multiple other psychological concerns.
Locations: Blanco near 1604, Alamo Ranch Parkway near 1604, and Victoria. In-person and teletherapy available.
Phone: 210-209-0642
Website: https://www.counseling4lifellc.com/Alamo Heights Counseling
Ages: Older teens and adults
Insurances: Multiple, most major insurances.
Services: Trauma, PTSD, depression, anxiety
Location: Near 410 & Broadway
Phone: 210-822-2600
Website: https://www.alamoheightscounseling.com/