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...
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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