PsychROSin process

Psychiatric Review of Symptoms:
Depression: [select name="DepROS1” value="Denies any current depressive symptoms|Reports current depressive symptom of"] [checkbox name="depsx” value="sad mood|dysphoric mood  |irritability|anhedonia|social withdrawal and isolation|crying spells|sleep disturbance|difficulty falling asleep, w/ delayed onset of sleep up to 1 hour|difficulty falling asleep, w/ delayed onset of sleep of 1 - 2 hours|difficulty falling asleep, w/ delayed onset of sleep greater than 2 hours|middle of night awakening|early morning awakening|moving or speaking so slowly that other people could have noticed|daytime fatigue|loss Of appetite|increased appetite|difficulty concentrating|decreased attention|increased anxiety|ruminative thoughts|feelings of worthlessness|excessive guilt|thoughts of death|mood symptoms are persistent and pervasive, varying little from day to day|depressed mood/sadness most of the time for 2-years or longer "].  [select value="Denies past history of depressive episodes.|Reports past history of depressive episodes."]

Mania: [select name="ManROS1” value="Denies any current manic symptoms.|Reports current manic symptoms of"] [checkbox name="mansx" value="distinct period of abnormally and persistently elevated, expansive or irritable mood|accompanied by persistently increased goal-directed activity or energy|mood disturbance and increased energy/activity has lasted at least one-week and is present most of the day, nearly every day|mood disturbance and increased energy/activity has lasted at least 4 consecutive days and is present most of the day|pressured speech|inflated self-esteem|grandiosity|decreased need for sleep|hyperverbosity|flight of Ideas|subjective racing thoughts|distractiblity|psychomotor agitation|high risk activities"][checkbox value=".  Denies behaviors occurred solely in the context of substance abuse.|  Reports majority of sx occurred in the context of substance abuse."][select value="Denies past history of manic/hypomanic episodes.|Endorses past history of manic/hypomanic  episodes.| No clear history of past manic/hypomanic episodes in the absence of co-occurring substance abuse."]

On review of psychiatric symptoms, the patient denied any history of mania or 
hypomania. She described a history of frequent panic attacks in the past, with some 
accompanying agoraphobic avoidance, but said that these events had abated spon- 
taneously 2 years ago. While she considers herself a “perfectionist,” she denied 
frank obsessions or compulsions. There was no history of eating disorders, ADHD, 
dissociative disorders, or psychotic phenomena. With regard to personality disor- 
ders, there was a hint of dependent traits in her description of her relationships 
with her husband and her best friend.