ShadowHealth Mental Health Tina Jones SOLUTIONS GUIDE BY DR. A

What brings you in today? Reports difficulty sleeping and "feeling nervous" Why did you decide to seek treatment?? Reports seeking treatment because she has an upcoming exam and feels "too foggy to study" How do you feel just before bed? 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."? Tina describes problems sleeping and stress-symptoms like racing thoughts. How long have you been having trouble sleeping? Reports difficulty sleeping began 3 1/2 weeks ago How long have your sleep difficulties lasted? Reports sleep difficulties have been occurring regularly past 3.5 weeks How many nights a week do you have trouble sleeping? Reports difficulty sleeping at least four or five times a week What makes it harder to sleep? Reports sleeping becomes more difficult when she can not redirect her thoughts from the things she is worried about Do you take naps? Denies naps during the day Do you drink caffeine? Reports drinking caffeine to stay alert When do you usually have your last caffeinated drink? Reports stopping caffeine use after 4 pm Do you drink alcohol before bed? Denies alcohol use before bed Do you use drugs before bed? Denies drug use before bed Do you think your sleep problems could be due to breathing issues? Reports respiratory problems are controlled and not interfering with sleep What helps you sleep? Reports sleeping more easily if she can distract herself from her racing thought