Advertisement
by New Edom » Sat Jan 17, 2015 3:50 pm
by Hittanryan » Sun Jan 18, 2015 2:52 pm
by Seelelander » Mon Jan 19, 2015 9:09 pm
by Seelelander » Tue Jan 20, 2015 12:22 am
From the Ministry of Health
To: Doctor Amyris Rezanic
Congratulations on being hired by the Ministry of Health as a mental health professional under the Directorate of Mental Health.
We have included with this letter the appropriate forms for:
1. Recommendation for a temporary fellowship with the Royal College of Physicians of New Edom. This will enable you to receive publications and maintain important contacts within the medical profession here in New Edom.
2. Registration for Worker's Risk and Health Compensation from the Union of Medical Health Workers.
3. Recommendations to banks in New Edom which have automatic payment registrations.
4. Official Crisis Waiver form for travel and release from any issues with the Compulsory Nudity Act (which only comes into effect during times of emergency now)
5. Ministry of Health official registration and receiving of salary under Mental Health Commission via Director Nemone Jarris.
You are all invited to a meeting at Saint Anselm's Medical Health Center at 9AM tomorrow; please be advised that this will be an all day meeting with a lunch break which will be provided at the center, and that there will be a meeting following discussion and orientation with supervisory staff and following this with the patient.
sincerely,
Paul Gath, Undersecretary of Health
by New Edom » Tue Jan 20, 2015 7:51 am
by New Edom » Fri Jan 23, 2015 12:01 am
by Hittanryan » Sun Jan 25, 2015 1:38 am
by Hittanryan » Wed Jan 28, 2015 2:46 pm
Name: | Mara Adah Joanna Obed |
Date of Birth: | 1992/2/25 |
Age: | 22 years and 11 months |
Time of Evaluation: | 2015/1/12 |
Tests Given: | Post Traumatic Stress Disorder (PTSD) |
Assessments to be Applied: | Generalized Anxiety Disorder (GAD) Obsessive-Compulsive Disorder (OCD) Panic Disorder Social Anxiety Disorder Specific Phobias Depression |
Referred By: | Paul Gath, Undersecretary of Health in the Ministry of Health of New Edom |
by New Edom » Fri Jan 30, 2015 5:59 pm
by Seelelander » Wed Feb 04, 2015 8:12 am
by New Edom » Wed Feb 04, 2015 10:01 pm
by Hittanryan » Sat Feb 07, 2015 2:18 am
by Seelelander » Sun Feb 08, 2015 1:51 am
by New Edom » Mon Feb 09, 2015 1:42 pm
by Hittanryan » Thu Feb 12, 2015 2:55 am
by Seelelander » Thu Feb 12, 2015 11:17 pm
by Seelelander » Sun Feb 15, 2015 7:49 am
PAIN & STRESS COPING SKILLS INITIAL ASSESSMENT
Referred by: Paul Gath, Undersecretary of Health in the Ministry of Health of New Edom
Patient name:█████████████████████
Location: [LOCATION REDACTED]
Subjective Observations: The patient reports intense feelings of anxiety, depression, and isolation. She also reports feelings of grief over the loss of her father, and the inability to experience comfort or arousal from her husband. She also reports the inability to cope with the stress of daily life at court, and she no longer has the ability to function as needed to perform her duties. She reports fatigue, and she reports a lack of interest in all of the things she once enjoyed. She reports difficulties concentrating and difficulties eating, and she is unable to sustain her normal relationships with her family, court, and friends. She is having frequent nightmares, which also gives her worst feelings of fatigue.
Objective Observations:
Mood: Anhedonia, Labile, Alexithymia, Depressed, Anxious, Guilty,
Physiological: decreased appetite, weight fluctuations, restlessness, initial insomnia, diminished libido, constipation, muscle tension, rapid breathing, inability to concentrate, substance abuse, gastrointestinal distress, nightmares. Patient has torpor, cataplexy, verbigeration, and psychomotor agitation.
Thought Processes: are pleasure-oriented, emotional, and have various cognitive distortions. Evidence of cognitive distortions exist in the form of personalization, circumstantiality, tangentiality, verbigeration, abulia, derailment, knight’s move thinking,
Speech: is clear, logical, intact, spontaneous and coherent. No known speech impairments at the time.
Perception: is intact, and well. No known sensory disorders at this time. No known hallucinations of any kind.
DEPRESSIVE SYMPTOMATOLOGY:
Within the last two weeks the patient has admitted to experiencing:1. Sad or depressed mood daily
2. Loss of interest or pleasure in most activities
3.Feelings of hopelessness, guilt, or worthlessness
4. Fatigue or loss of energy daily
5.Diminished ability to concentrate or make decisions
6. Night terrors almost daily
7. Significant weight fluctuations
8. Feeling restless and slowed down
9. Diminished willpower to sleep.
PAIN RELATED BEHAVIORS observed include bracing, guarding, and ambulates slowly. the patient complains about cramping in her leg fairly regularly, and has reported its increase.
PAIN STATUS REPORT: (Maximum Subject Rating is 10 points)
5 Average Pain for the Report session
SUICIDE & VIOLENCE ASSESSMENT:A. There is no evidence of self-injurious ideation, intent or plans
B. There is no risk of violence, aggression, or homicide.
C. The patient exhibits no current evidence of delusions, psychotic thoughts, perceptual disturbances or poor impulse control.
THOUGHT CONTENT focuses on insomnia, muscle tension, gastrointestinal stress resembling acute Gastritis, functional restrictions, depressed mood, and high anxiety. She reports that there are mild, moderate, to severe significant increase in pain and stress which significantly interfere with her daily activity. The patient would benefit from continued serial assessment of her distress severity, and she requires didactic information on chronic pain, depression, anxiety, stress, and the gate control theory. The patient was instructed to self-monitor pain, emotion, and activity level.
ASSESSMENT:1. Level of functioning: Severe impairment
2.Stressors: Occupational, Marital, Family
3. Motivation: Low
4. Insight: limited
5. Judgement: limited
6. Treatment Compliance: Good
Diagnostic Impression:1. Major Depressive Disorder
2. Post Traumatic Stress Disorder
3. Anxiety Disorder
4. High Risk for Substance Abuse
5. Dysthymia
PLAN:1. Follow up with the Physical Therapist
2. Request a gastroenterological specialist
3. Request for Sleep Study
4. Prescription for Prazosin
5. Monitor Medication compliance as prescribed.
6. Begin Stress Inoculation Therapy (SIT)
7. Begin eye movement desensitization and reprocessing (EMDR)
8. Introduce progressive muscle relaxation
9. Begin Image Rehearsal Therapy (IRT)
10. Prescription for Sertraline
11.Prescription for Alprazolam
Amyris Rezanic
National Rx Security
1-877-555-01251-877-555-3186
Name:█████████████████████Age: 26
Address: [LOCATION REDACTED]
Take 1 mg prazosin orally at bedtime.
Take 50mg of Sertraline orally in the morning
Take 0.5mg of Alprazolam orally in the morning, and at night.
Reserve 0.25 Alprazolam for PRN basis.
Refill: NR 1 2 3 4 5MD
by New Edom » Mon Feb 16, 2015 6:10 pm
by New Edom » Wed Feb 18, 2015 9:59 pm
Advertisement
Users browsing this forum: No registered users
Advertisement