HPI RF

History of Presenting Illness:
Client continues to report symptoms consistent with {DIAGNOSIS}, including:[checkbox name="symptoms" value="depressed mood|sadness|anhedonia|tearfulness/crying spells|fatigue/low energy|negative cognitions|restlessness|sleep disturbance|appetite changes|low motivation|difficulty with organization|hyperactivity|inattention|task avoidance|difficulty with task initiation|difficulty handling transitions|difficulty persisting on challenging or tedious tasks|concrete/literal thinking|difficulty handling ambiguity/uncertainty|sensory difficulties|poor academic/work performance|low self-esteem|anxiety of social situations|concerns of negative evaluation by others|fear of embarrassing self|panic/abrupt surge of intense fear/intense discomfort|worry about having future panic symptoms/attacks|difficulty concentrating|difficulty controlling worry/excessive worrying|worry about work/school|worry about health|worry about finances|panic attacks|fear|hopelessness|feelings of worthlessness/inappropriate guilt|intrusive thoughts|flashbacks|dissociation/depersonalization/derealization|avoidance of thoughts/memories of traumatic event|impulsivity|obsessions/compulsions|phobias|self-harm|substance abuse|nightmares|hypervigilance/easily startled|grief|worry about future of relationship|interpersonal conflicts|irritability|emotional instability|Other"][text name ="other" default""]
[checkbox name="Depression1" memo="Depression" value=""][checkbox name="Anxiety1" memo="Anxiety" value=""][checkbox name="Panic1" memo="Panic" value=""][checkbox name="ADHD1" memo="ADHD" value=""][checkbox name="PTSD1" memo="PTSD" value=""][checkbox name="Bipolar1" memo="Bipolar Disorder" value=""][checkbox name="Insomnia" memo="Insomnia" value=""][checkbox name="Alcohol1" memo="Alcohol Use" value=""][checkbox name="AdjustmentDisorder" memo="Adjustment Disorder" value=""][conditional field="Depression1" condition="(Depression1).is('')"] Depression is reported to be [select value="stable|unchanged|better|somewhat better|somewhat worse|much worse"]. Patient is reporting [checkbox value="no concerning progression of symptoms|little interest or pleasure in doing things|hopelessness|helplessness|sleeping too much|difficulty falling asleep|difficulty staying asleep|feeling tired or having little energy|poor appetite|overeating|feelings of guilt and inadequacy|irritability|poor concentration|psychomotor retardation|psychomotor agitation|suicidal ideation"][textarea memo="Additional information" rows="1"][/conditional][conditional field="Anxiety1" condition="(Anxiety1).is('')"] Anxiety is reported to be [select value="stable|unchanged|better|somewhat better|somewhat worse|much worse"]. Patient is reporting [checkbox value="no concerning progression of symptoms|feeling restless/wound up|fatigue|difficulty concentrating|irritability|difficulty falling asleep|difficulty staying asleep|feeling tired or having little energy|muscle tension|headaches|feeling overwhelmed|poor concentration|loss of appetite"][textarea memo="Additional information" rows="1"][/conditional][conditional field="Panic1" condition="(Panic1).is('')"] Panic symptoms are reported to be [select value="stable|unchanged|better|somewhat better|somewhat worse|much worse"]. Patient is reporting [checkbox value="no concerning progression of symptoms|palpitations/racing heart|sweating|shortness of breath|chest pain/tightness|nausea/stomach cramps|numbness/tingling|fear of losing control|closed in feeling|feeling overwhelmed|heat sensations|trembling/shaking"][textarea memo="Additional information" rows="1"][/conditional][conditional field="ADHD1" condition="(ADHD1).is('')"] ADHD symptoms are reported to be [select value="stable|unchanged|better|somewhat better|somewhat worse|much worse"]. Patient is reporting [checkbox value="no concerning progression of symptoms|inattention|careless mistakes|difficulty sustaining attention|problems following conversations|easily side tracked|difficulty organizing tasks/activities|avoidance and procrastination|forgetfulness|easily distracted by unrelated thoughts|fidgeting|inability to relax|excessive talking|difficulty waiting/reduced patience"][textarea memo="Additional information" rows="1"][/conditional][conditional field="PTSD1" condition="(PTSD1).is('')"] PTSD symptoms are reported to be [select value="stable|unchanged|better|somewhat better|somewhat worse|much worse"]. Patient is reporting [checkbox value="no concerning progression of symptoms|nightmares|flashbacks|intrusive memories/thoughts|avoidance|negative affect|loss of interest|isolation|difficulty experiencing positive emotions|irritability|easily annoyed|risky/self destructive behaviors|hypervigilance|heightened startle reaction|difficulty concentrating|difficulty falling asleep|difficulty staying asleep"][textarea memo="Additional information" rows="1"][/conditional][conditional field="Bipolar1" condition="(Bipolar1).is('')"] Bipolar symptoms are reported to be [select value="stable|unchanged|better|somewhat better|somewhat worse|much worse"]. Patient is reporting [checkbox value="no concerning progression of symptoms|elevated mood|irritable mood|increased self esteem|loss of sleep|racing thoughts|difficulty keeping up with thoughts|increased desire to speak|feeling more distracted|feeling more energetic|increased desire to engage in activities|agitation|impulsive behaviors|feeling more social/outgoing|increased sex drive|spending money|using drugs/alcohol"][textarea memo="Additional information" rows="1"][/conditional] [conditional field="Insomnia" condition="(Insomnia).is('')"] Insomnia symptoms are reported to be [select value="stable|unchanged|better|somewhat better|somewhat worse|much worse"]. Patient is reporting [checkbox value="no concerning progression of symptoms|difficulty falling asleep|difficulty staying asleep|early morning awakening|nightmares|vivid dreams|thrashing in sleep|sleep walking|daytime sedation/fatigue|sleep talking|night terrors|confusion|sleep related eating|hallucinations going to sleep|hallucinations when waking up"][textarea memo="Additional information" rows="1"][/conditional][conditional field="Alcohol1" condition="(Alcohol1).is('')"] Alcohol use symptoms are reported to be [select value="stable|unchanged|better|somewhat better|somewhat worse|much worse"]. Patient is reporting [checkbox value="no concerning progression of alcohol use|daily drinking|drinking more than anticipated|inability to cut down on drinking|cravings to drink|blackouts|hangovers|urges to drink|missing work due to drinking|drinking alone|drinking and driving|drinking to fall asleep|escalating alcohol use|tremors|nausea|vomiting|headaches|sweating|anxiety|racing heart|confusion|visual hallucinations|auditory hallucinations|seizures"][textarea memo="Additional information" rows="1"][/conditional][conditional field="AdjustmentDisorder" condition="(AdjustmentDisorder).is('')"] Adjustment disorder symptoms are [select value="stable|unchanged|better|somewhat better|somewhat worse|much worse"]. Patient is reporting [checkbox value="marked distress that is disproportionate to the severity/intensity of stressor|significant impairment in social, occupational, and other areas of functioning|depressed/low mood|anhedonia|tearfulness|feelings of hopelessness|nervousness|worry|difficulty concentrating|feeling overwhelmed"][textarea memo="Additional information" rows="1"][/conditional]
History of Presenting Illness:
Client continues to report symptoms consistent with {DIAGNOSIS}, including:
Depression Anxiety Panic ADHD PTSD Bipolar Disorder Insomnia Alcohol Use Adjustment Disorder

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