ShadowHealth Mental Health Tina Jones with complete solution

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. https://www.stuvia.com/doc/1463605/shadowhealth-mental-health-tina-jones-with-complete-solution

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 https://www.stuvia.com/doc/1463605/shadowhealth-mental-health-tina-jones-with-complete-solution

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 https://www.stuvia.com/doc/1463605/shadowhealth-mental-health-tina-jones-with-complete-solution

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 https://www.stuvia.com/doc/1463605/shadowhealth-mental-health-tina-jones-with-complete-solution

"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 are you taking any new medications Ans- confirms medications have you been taking OTC meds to help you sleep Ans- denies taking OTC sleep meds have you taken prescription medications to help you sleep Ans- denies taking prescription sleep medications have you had any new allergies Ans- confirms allergies https://www.stuvia.com/doc/1463605/shadowhealth-mental-health-tina-jones-with-complete-solution

do you have a history of sleep problems Ans- reports usually falls asleep very easily and sleeps like a log have you had difficultly falling asleep before Ans- reports only past sleep problems occurred for a few months after dad died have you ever had depression Ans- denies history of depression have you ever had anxiety Ans- denies history of anxiety do you have a psychiatric illness Ans- denies current psychiatric illness do you have a history of psychiatric illness Ans- denies history of psychiatric illness denies past psychiatric treatment do you have bipolar disorder Ans- denies bipolar disorder

do you have schizophrenia Ans- denies schizophrenia do you have OCD Ans- denies OCD have you taken psychotropic meds Ans- denies psychotropic meds View full exam at:https://www.stuvia.com/doc/1463605/shadowhealth-mental-health-tina-jones-withcomplete-solution