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ShadowHealth Mental Health Tina Jones

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ShadowHealth Mental Health Tina Jones what brings you in today ans: Reports difficulty sleeping and "feeling nervous" Why did you decide to seek treatment? ans: Reports seeking treatment because she has an upcoming exam and feels "too foggy to study" how do you feel just before bed ans: re...

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  • June 5, 2022
  • 7
  • 2020/2021
  • Exam (elaborations)
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ShadowHealth Mental Health Tina Jones
what brings you in today ans: Reports difficulty sleeping and "feeling nervous"

Why did you decide to seek treatment? ans: Reports seeking treatment because she has an upcoming
exam and feels "too foggy to study"

how do you feel just before bed ans: reports excessive worry and racing thoughts before bed

"I'm sorry to hear about your trouble sleeping and stress. I'm glad you came in. Let me learn more about
what you're experiencing, and I will try to help." ans: Tina describes problems sleeping and stress-
symptoms like racing thoughts.

how long have you been having trouble sleeping ans: Reports difficulty sleeping began 3 1/2 weeks ago

how long have your sleep difficulties lasted ans: reports sleep difficulties have been occurring regularly
past 3.5 weeks

how many nights a week do you have trouble sleeping ans: reports difficulty sleeping at least four or five
times a week

what makes it harder to sleep ans: reports sleeping becomes more difficult when she can not redirect
her thoughts from the things she is worried about

do you take naps ans: denies naps during the day

do you drink caffeine ans: reports drinking caffeine to stay alert

when do you usually have your last caffeinated drink ans: reports stopping caffeine use after 4 pm

do you drink alcohol before bed ans: denies alcohol use before bed

do you use drugs before bed ans: denies drug use before bed

do you think your sleep problems could be due to breathing issues ans: reports respiratory problems are
controlled and not interfering with sleep

what helps you sleep ans: reports sleeping more easily if she can distract herself from her racing
thoughts

do you exercise ans: reports no exercise

how does your lack of sleep affect your daily life ans: reports feeling tired and out of it most of the time
during the day due to lack of sleep

have you been falling asleep when you didnt mean to ans: reports no increased chance of drifting off
during the day despite lack of sleep

, what do you mean when you say you feel out of it ans: reports feeling slowed down and tired, having
trouble focusing, and generally feeling less sharp

can you tell me about how your anxiety feels ans: reports feelings of anxiety as thoughts she cant turn
off and being on edge

do you ever have a sense of impending doom ans: reports worry about the future but no sense of
impending doom

have you been having panic attacks ans: reports no panic attacks

have you been having trouble concentrating ans: reports difficulty concentrating due to fatigue from
lack of sleep

do you feel restless ans: reports only restlessness occurs just before bed

do you feel irritable ans: reports slight irritability due to fatigue

how does your anxiety interfere with your daily life ans: reports stress only interferes with daily life
because it interrupts her sleep

how often do you awaken during the night ans: reports waking up two or three times during the night
for at least 10 minutes

how do you feel when you wake up in the morning ans: reports waking in the morning feeling out of it
and not rested

when do you go to bed ans: reports going to bed around midnight but feeling too nervous to sleep

when do you fall asleep ans: reports actually falling asleep at 2 or 3 am

what do you usually do before bed ans: reports reading before bed

do you watch tv or use the computer before bed ans: reports no screen time before bed

when do you usually wake up ans: reports average wake time of 8 am

how many hours a night do you sleep ans: reports sleeping an average of 4-5 hours a night

"It's hard to function at our best when we don't get enough sleep. I know you're very busy with work
and school, but let's talk about some strategies to help you get more sleep and make sure you're getting
good quality sleep." ans: Tina describes her sleep hygiene and routine.

can you describe where you sleep ans: reports sleeping alone in a quiet room

how do you feel when you're stressed ans: reports feeling nervous and worrying about the future with
racing thoughts

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