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
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
