Subjective Note Section

SUBJECTIVE/CHIEF COMPLAINT: 
Client is a {AGE} yo self-identified [select name="gender" value="female|male|non-binary"] who presents today on HIPAA compliant Google Meet platform for follow up on symptoms of [checkbox name="variable_1" value="depression|anxiety|panic|ADHD|PTSD/trauma|grief|adjustment disorder|relationship/marriage concerns|Bipolar disorder|insomnia|alcohol use"]. Client attended from their home address and therapist from secure office. Participants in the session include therapist and [checkbox name="participants" value="client|client's parent|client's spouse|client's family member(s)"]

Client is aware of how the telehealth appointment will proceed; agreement to a communication back up plan if connection fails; client is aware of the risks and limitations of telehealth appointment; suitable electronic connection has been established; client is satisfied with the level of privacy of current environment; client’s identity has been established; client fits within therapist’s scope for telehealth.

Client expressed," [text name="problem" default=""]."
The following symptoms, concerns, and updates since last session were addressed: [textarea name="concerns" default ""]

History of Presenting Illness:
[checkbox name="Depression" memo="Depression" value=""][checkbox name="Anxiety" memo="Anxiety" value=""][checkbox name="Panic" memo="Panic" value=""][checkbox name="ADHD" memo="ADHD" value=""][checkbox name="PTSD" memo="PTSD" value=""][checkbox name="OCD" memo="OCD" value=""][checkbox name="Bipolar" memo="Bipolar Disorder" value=""][checkbox name="Insomnia" memo="Insomnia" value=""][checkbox name="Alcohol" memo="Alcohol Use" value=""][checkbox name="AdjustmentDisorder" memo="Adjustment Disorder" value=""]

[conditional field="Depression" condition="(Depression).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 getting to sleep|difficulty staying asleep|feeling tired or having little energy|poor appetite|overeating|feelings of inadequacy|irritability|poor concentration|psychomotor retardation|psychomotor agitation|suicidal ideation"][textarea memo="Additional information" rows="1"][/conditional][conditional field="Anxiety" condition="(Anxiety).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 to sleep|difficulty staying asleep|feeling tired or having little energy|muscle tension|headaches|feeling overwhelmed|poor concentration|restlessness|loss of appetite"][textarea memo="Additional information" rows="1"][/conditional][conditional field="Panic" condition="(Panic).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|shaking|shortness of breath|chest pain/tightness|nausea/stomach cramps|numbness/tingling|fear of losing control|closed in feeling|feeling overwhelmed|heat sensations|chills|trembling/shaking"][textarea memo="Additional information" rows="1"][/conditional][conditional field="ADHD" condition="(ADHD).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="PTSD" condition="(PTSD).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|annoyance|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="Bipolar" condition="(Bipolar).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 taking up"][textarea memo="Additional information" rows="1"][/conditional][conditional field="Alcohol" condition="(Alcohol).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]