Psychiatric Follow Up WM 2024

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| very well| quite well| quite good| possibly better| well| good | somewhat better| marginally better| a bit better|a little better| moderately 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.| been doing pretty well.| been working.| been doing great.|been working well.|been effective.| been going well and feel like they are making progress.|helped with psychiatric symptoms.|helped with psychiatric symptoms to an extent.|possibly made symptoms better.|somewhat of an effect.|slightly made symptoms better.|been taken consistently with little to no effect.|been ok but would still like to see more results.|made little impact and contemplates on what to do.|not been taken daily so not as effective.|not been taken as prescribed.|no effect on psychiatric symptoms.|not changed psychiatric symptoms.|not helped psychiatric symptoms due to not taking the medication.|made psychiatric symptoms slightly worse.|been making psychiatric symptoms possibly worse.|made psychiatric symptoms worse.|not been doing well.|has not been taken consistently.| not been helping due to inconsistent use."] [text name="variable_105953" default=""] They expressed that anxiety is [select name="variable_31117621" value="nonexistent.|good.|going well.|improving.|somewhat better.|slightly better but can depend on the day.|manageable.|ok.|about the same.|overall well.|better.|fine and have at times an inability to relax.|doing better but some intrusive thoughts.|continous throughout the night but good during the day.|continous throughout the day but better at night.|nonexistent.|mild.|decreasing.|increasing.|increasing with panic attacks.|moderate.|somewhat worse.|difficult to control at times.|severe.|getting worse.|doing worse and some days it is too much for them to deal with.|debilitating but is slowly getting better.|debilitating more so recently.|worse.|bad.|not constant."][text name="variable_3684221" default=" "] Patient expressed that depression is [select name="variable_33100621" value="nonexistent.|good.|going well.|improving.|slowly feeling better.|better.|somewhat better.|going in the right direction.|having more good days.|doing ok and using coping skills.|doing well and using coping skills.|doing fine and is using coping skills.|going well majority of days but some days are hard.|ok majority of days but can still show up.|getting somewhat stable.|manageable.|about the same.|somewhat manageable.|improving and gaining more insight into what is triggering it.|moderate.|ok but at times still feeling hopeless.|slowly feeling worse.|somewhat worse.|decreasing.|still a struggle.|severe.|worse.|making no progress.|going not so well.|improving rapidly."][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 well.| getting solid sleep but fatigue during the day| sleep is disrupted lately by partners snoring| sleep is disrupted by animal| 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| doing ok.| getting better.| overall well.| better| doing better with medication.| fair. | poor.| somewhat improving.| fair.|about the same.|going well.| getting worse.| slightly worse.| not doing well."][text name="variable_281811" default=""] During the session we talked about their [checkbox name="variable_5233" value="academic pressure|acute illness|addiction|attempts to conceive|birth of a child|breakup|budgeting|car|car issues|caregiving responsibilities|change in health of a family member|change in living conditions|children|child custody|child custody situation|chores|chronic illness|church|communication issues|conflict with friend|conflict with spouse|dad|daughter|death of loved one|dieting|divorce|ex husband|ex partner|ex wife|family|financial strains|finiancial issues|friend|friends|friends state of health|graduation|granddaughter|grandson|hobbies|holiday|house arrest|house cleaning|house work|husband|imprisonment of loved one|issues with sobriety|job insecurity|job interview|legal issues|loss of job|low libido|marriage|mom|most recent breakup|new car|new job|new pet|own health|parenting stress|parents|partner|period|physical therapy|possible surgery|pregnancy|pregnancy loss|probation|relationship|retirement|school|school issues|schooling|self esteem issues|sexual difficulties|shopping|siblings|sister|sobriety|son|surgery|trouble finding employment|trouble with boss|trouble with employee|upcoming surgery|upcoming  fall|upcoming spring| upcoming    summer|vacation|video games|weather conditions|wife|work|work adjustment."][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.]
This outpatient medication check was conducted
Patient reports doing since the last visit. They stated that medication has They expressed that anxiety is Patient expressed that depression is Patient statesThey expressed They state When asked about sleep they stated and sleeps for about Patient added since last session their appetite is Patient Patient They state The patient Patient concentration is During the session we talked about their .

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.

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