Shadow Health Mental Health Tina Jones with complete solution

Shadow Health Mental Health Tina Jones with complete solution 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 sleepwhat 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