ShadowHealth Mental Health Tina Jones
what brings you in today Correct Answer: Reports difficulty sleeping and "feeling nervous"
Why did you decide to seek treatment? Correct Answer: Reports seeking treatment because she has an upcoming exam and feels "too foggy to study"
how do you feel...
ShadowHealth Mental Health Tina Jones
what brings you in today Correct Answer: Reports difficulty sleeping and "feeling nervous"
Why did you decide to seek treatment? Correct Answer: Reports seeking treatment because she has an
upcoming exam and feels "too foggy to study"
how do you feel just before bed Correct Answer: 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." Correct Answer: Tina describes problems sleeping and
stress-symptoms like racing thoughts.
how long have you been having trouble sleeping Correct Answer: Reports difficulty sleeping began 3 1/2
weeks ago
how long have your sleep difficulties lasted Correct Answer: reports sleep difficulties have been
occurring regularly past 3.5 weeks
how many nights a week do you have trouble sleeping Correct Answer: reports difficulty sleeping at
least four or five times a week
what makes it harder to sleep Correct Answer: reports sleeping becomes more difficult when she can
not redirect her thoughts from the things she is worried about
do you take naps Correct Answer: denies naps during the day
do you drink caffeine Correct Answer: reports drinking caffeine to stay alert
when do you usually have your last caffeinated drink Correct Answer: reports stopping caffeine use
after 4 pm
do you drink alcohol before bed Correct Answer: denies alcohol use before bed
do you use drugs before bed Correct Answer: denies drug use before bed
do you think your sleep problems could be due to breathing issues Correct Answer: reports respiratory
problems are controlled and not interfering with sleep
what helps you sleep Correct Answer: reports sleeping more easily if she can distract herself from her
racing thoughts
do you exercise Correct Answer: reports no exercise
, how does your lack of sleep affect your daily life Correct Answer: 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 Correct Answer: 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 Correct Answer: reports feeling slowed down and
tired, having trouble focusing, and generally feeling less sharp
can you tell me about how your anxiety feels Correct Answer: reports feelings of anxiety as thoughts
she cant turn off and being on edge
do you ever have a sense of impending doom Correct Answer: reports worry about the future but no
sense of impending doom
have you been having panic attacks Correct Answer: reports no panic attacks
have you been having trouble concentrating Correct Answer: reports difficulty concentrating due to
fatigue from lack of sleep
do you feel restless Correct Answer: reports only restlessness occurs just before bed
do you feel irritable Correct Answer: reports slight irritability due to fatigue
how does your anxiety interfere with your daily life Correct Answer: reports stress only interferes with
daily life because it interrupts her sleep
how often do you awaken during the night Correct Answer: 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 Correct Answer: reports waking in the morning
feeling out of it and not rested
when do you go to bed Correct Answer: reports going to bed around midnight but feeling too nervous
to sleep
when do you fall asleep Correct Answer: reports actually falling asleep at 2 or 3 am
what do you usually do before bed Correct Answer: reports reading before bed
do you watch tv or use the computer before bed Correct Answer: reports no screen time before bed
when do you usually wake up Correct Answer: reports average wake time of 8 am
how many hours a night do you sleep Correct Answer: reports sleeping an average of 4-5 hours a night
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