Psychiatric Follow Up WM 2023
This outpatient medication check was conducted[select name="variable_1" value=" via phone appointment.| via telepsychiatry.| in person. |OTHER|"] [text name="variable_81" default="!!!!!!!!!!!!!!!!!!!"] Patient reports doing[select name="variable_2" value=" better| worse| ok| possibly better| well| good | somewhat better| slightly worse | slightly better| about the same| fine| not well|not good"] since the last visit.[text name="variable_10953" default=""] They stated that medication has[select name="variable_241" value=" helped with psychiatric symptoms.| slightly made symptoms better| not been taken daily so not as effective.| no effect on psychiatric symptoms.| made psychiatric symptoms worse.| not changed psychiatric symptoms.| not helped psychiatric symptoms due to not taking the medication. | made psychiatric symptoms slightly worse.| somewhat of an effect.| been working well.| been effective.| possibly made symptoms better.| been doing great.| not been doing well.|has not been taken consistently.| been taken consistently with little to no effect."] [text name="variable_105953" default=""] They expressed that anxiety is [select name="variable_31117621" value="nonexistent.|mild.|decreasing|increasing|somewhat better.|moderate.|severe.|going well.|getting worse.|about the same|improving.|somewhat worse.|better.|worse.|manageable.|not manageable.|good.|bad.|not constant.|ok.|overall well.|slightly better.|slightly worse."][text name="variable_3684221" default=" "] Patient expressed that depression is [select name="variable_33100621" value="nonexistent.|mild.|decreasing.|increasing.|about the same.|somewhat better.|moderate.|severe.|somewhat worse.|better.|worse.|manageable.|going well.|going not so well.|good.|somewhat manageable.|improving."][text name="variable_39921" default=" "] Patient states[select name="variable_431" value=" no suicidal ideation and contracts for safety.|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=""]They expressed [select name="variable_69691" value="no self harm.||self harm recently and does not contract for safety.| self harm recently in the form of"][text name="variable_1" default=""] They state[select name="variable_4561" value=" no homicidal ideation.| homicidal ideation directed towards |"][text name="variable_8231" default=""] When asked about sleep they stated[select name="variable_2161" value=" no changes to sleep| that sleep is better | it is better| it is fine| difficulties initating sleep.| difficulties with continous sleep| that sleep is worse| a decrease of sleep| somewhat better| 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|an increase of 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."][text name="variable_6241" default=""] Patient added since last session their appetite is[select name="variable_45671" value=" about the same.|fine.| worse.| getting slightly worse.| slightly improving.| decreasing.| increasing.| better.|good|going well."][text name="variable_5241" default=""] Patient[select name="variable_7891" value=" denies hallucinations.| has hallucinations in the form of |no hallucinations but"][text name="variable_52241" default=""] Patient [select name="variable_7791" value=" denies delusions.| has delusions in the form of|denies delusions but does have paranoia|"][text name="variable_52141" default=""] They state[select name="variable_2561" value=" no mood swings.|mood swings are somewhat getting better.| mood swings are about the same.| mood swings are manageable| decrease in mood swings.| increase in mood swings."][text name="variable_2881" default=""] The patient [select name="variable_2551" value="denied symptoms of mania.|denied symptoms of hypomania.|states symptoms of hypomania.| states symptoms of mania.|denied symptoms of mania since last visit.|denied symptoms of hypomania since last visit.|states decrease in symptoms of mania.|states increase in symptoms of mania.|states increase in symptoms of hypomania.|states decrease in symptoms of hypomania.| states symptoms of possible mania.|"][text name="variable_28181" default=""]Patient concentration is[select name="variable_252251" value=" good.| worse| better| doing better with medication.| fair. | poor.|somewhat improving.|fair.|about the same.|going well.| getting worse."][text name="variable_281811" default=""] During the session we talked about their [checkbox name="variable_5233" value="relationship |hobbies|vacation|holidays|family|work|friend|friends|friends state of health|own health|period|surgery|upcoming surgery|possible surgery|probation|legal issues|house arrest|house cleaning|chores|house work|sex life|trouble finding employment|trouble with work|dieting|sobreity|issues with sobreity|schooling|school|school issues|physical therapy|addiction|church|children|finiancial issues|shopping|husband|wife|partner|son|brother|daughter|parents|mom|dad|grandchildren|partner|ex husband| ex wife|ex partner|child custody|pets|new pet|sister|brother|car|new car|car issues|siblings|birth of a child|video games|death of loved one|divorce|breakup|child custody situation|imprisonment of loved one|marriage|loss of job|retirement|attempts to conceive|pregnancy|pregnancy loss|sexual difficulties|work adjustment|family issues|change in living conditions|trouble with boss|trouble with employee|new job|job interview|graduation|weather conditions|change in health of a family member"][text name="variable_2431" default=" "]. [comment memo="Appearance: Unable to assess. Orientation: Alert and oriented. Memory: Intact. Motor: Unable to assess. Eye contact: Unable to assess. Attention: Intact. Speech: Within normal limits. Mood: Euthymic. Affect: Appropriate to mood. Thought process: Linear. Thought content: No paranoia, delusions or perceptual disturbances. Suicidal ideations: None. Homicidal ideations: None. Insight: Good. Judgment: Good."][comment memo=" General Appearance: Appears stared age. Behavior/ Attitude: Cooperative. Psychomotor Activity: Normal.]
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