Shadow Health Mental Health Tina Jones With Complete Solution

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