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Guidance Report with Flagged OptionsPatient Name: October 29, 2007 This report describes the patient's current condition and lists the Guidance Options the patient or provider flagged for discussion. It can help patients and their healthcare providers more effectively analyze and discuss problems during office visits. Data That Applies to the Patient ·         Suicide Concerns or Self-Harm Problems ·         recurrent thoughts of death (not just fear of dying)·         Violence, Destructiveness, or Aggression ·         aggressive impulses, destructive to people or property ·         I'm concerned that I might physically hurt someone ·         have been violent towards someone in the past·         Demographic Information ·         female ·         date of birth: mm/dd/yyyy (11/16/1986) ·         age (20 years)·         Family and Primary Support Group Stresses or Problems ·         death in the family ·         family disruption by divorce, separation, or estrangement ·         someone in my family has a drug or alcohol problem ·         problems getting along with my parents·         Social Stresses or Problems ·         death or loss of friend·         Occupational Stresses or Problems ·         unemployed ·         difficult work conditions ·         job dissatisfaction ·         job change recently·         Housing Stresses or Problems ·         removal from home ·         moved recently·         Economic/Financial Stresses or Problems ·         inadequate income·         Access to Health and Other Care Stresses or Problems ·         inadequate healthcare services ·         inadequate health insurance·         Legal or Criminal Stresses or Problems ·         arrested in the past ·         imprisonment currently or in the past ·         been sued or am suing someone·         Environmental Stresses or Problems ·         disaster, natural or man-made exposure currently or recently·         Other Sources of Stress or Other Problems ·         major change in life circumstances ·         tense or troubled in situations similar to traumatic event ·         recently experienced a stressful event or events·         Past Abusive or Traumatic Situations ·         physically abused as a child ·         I have been raped ·         physically abused as an adult·         Memory and Orientation Problems ·         I awake to find things rearranged, changed, or missing ·         my memory is much worse than it used to be ·         I have a lot of difficulty with short-term memory ·         repeated memories of an event I can't get out of my mind·         Attention, Organization, and Concentration Problems ·         less able to think or concentrate or can't make decisions ·         difficulty concentrating or mind goes blank·         Behavior and Coping Problems ·         compulsive behavior·         Activity (Motor) and Energy Problems ·         unusual activity increase (for example, work or sexual) ·         feeling of inner tension accompanied by nervous movement·         Impulse Problems ·         gambling, including lottery ·         skin picking or scratching causing skin damage ·         I do things impulsively without thinking of the consequences·         Feeling, Affect, Emotional, or Mood Problems ·         anxiety in situations where help not available ·         guilt and depression associated with death (bereavement) ·         feeling worthless or guilty (excessively or inappropriately) ·         elevated/manic mood lasted more than few hours, past episode ·         difficulty managing feelings the week prior to menstruation ·         restless, keyed up, or on edge ·         moods often shift unexpectedly or rapidly ·         irritability ·         panic feelings ·         feelings of hopelessness·         Attitudes, Attributions, Appraisals, Fears, and Cognition Problems ·         I am having difficulty with my thinking ·         I am preoccupied with a problem in my appearance ·         I have a lot of fear of an object or situation ·         I am having difficulty with my identity·         Thinking Disturbances (Form, Process, and Content) ·         racing thoughts ·         feeling that someone or something is controlling my thoughts ·         hearing own thoughts out loud ·         flight of ideas·         Social Problems ·         I feel or act with hostility towards others (belligerence) ·         significant communication problems with spouse or partner ·         problems getting along with my brothers and sisters·         Substance Use ·         AUDIT score (4) ·         amphetamine use currently or recently ·         cannabis currently or recently ·         tobacco use currently ·         heavy caffeine use (coffee, tea, colas: more than 3 a day) ·         CONTINUOUS substance use (any kind) for at least six months ·         OCCASIONAL substance use during past 6 months ·         NO substance use for the past six months, but use in past ·         I have misused a drug more than 5 times in my life ·         I have emotional or psychological problems from using drugs ·         I have made attempts to cut back on drinking ·         AUDIT-C: drinking in past year, monthly or less ·         AUDIT-C: 3 to 4 drinks on typical day in past year ·         AUDIT-C: 6+ drinks one occasion past year, monthly ·         ecstasy (MDMA) currently or recently ·         I have a history of a drug problem·         Speech Problems ·         more talkative than usual or pressure to keep talking·         Feeding, Appetite, and Weight Problems ·         I go on eating binges ·         significantly decreased or loss of appetite·         Sleep Problems ·         decreased need for sleep ·         trouble falling or staying asleep ·         dreams or nightmares about a specific past event ·         sleep disturbance of any kind ·         awaken from sleep gasping or short of breath·         Physical Problems ·         muscles tense·         Longstanding Patterns of Thinking, Feeling, Behaving ·         long-term coping problems ·         long-term problems with thinking ·         long-term problems with feelings or emotions·         Mental Health History (Diagnosed Conditions and Identified Problems) ·         obsessive compulsive disorder (OCD) currently or in the past ·         personality disorder currently or in the past ·         attention-deficit/hyperactivity disorder in childhoodUncertain Data ·         Legal or Criminal Stresses or Problems ·         (?) other legal or criminal difficulties (pending charges)Guidance Options Flagged for Discussion Each of the following options is detailed below. ·         Evaluate risk for violence. ·         Evaluate for possible anxiety problem. ·         Evaluate for possible mania (manic mood) problem. ·         Evaluate for possible psychosis problem. ·         Evaluate for possible disconnection from experience (dissociative symptoms) problem. ·         Evaluate for possible attention or hyperactivity problem. ·         Evaluate for possible adjustment to traumatic event. ·         Evaluate for possible adjustment problem to a stressful event or events when symptoms or problems emerge after the stressful event. ·         Evaluate for possible sleep problem. ·         Evaluate for possible body (somatic) problem. ·         Evaluate for possible issues with weight and eating problems. ·         Evaluate for possible substance intoxication or withdrawal states (when not easily explained by other reasons). ·         Evaluate for possible substance use problem. ·         Evaluate for possible personality problem. ·         Evaluate impact of past or present abuse on current functioning. ·         Evaluate impact of previously diagnosed mental disorders and conditions on current functioning. ·         Evaluate impact of psychosocial and environmental problems on current functioning. ·         Evaluate impact of primary support group problems on current functioning.·         Evaluate risk for violence. ·         PROS for this option PRESENT for this patient ·         aggressive impulses, destructive to people or property [Reference 11144] ·         I'm concerned that I might physically hurt someone [Reference 11144] ·         have been violent towards someone in the past [Reference 11144] ·         feeling that someone or something is controlling my thoughts [Reference 11144] ·         Psychotic symptoms that involve threat to self or a potential override of control are associated with twice the violence as other psychotic symptoms. Persons with these symptoms are 6 times more likely to be violent than persons without mental disorders. When these symptoms are combined with substance abuse, these people are 8 to 10 times more likely to be violent than persons without mental disorders. [Reference 11144]·         Important points about PROS for this option ·         There are no standards for the evaluation or prediction of violence. No evaluation can absolutely predict how or when violence might occur. Further evaluation for violence risk should be conducted by a mental health professional competent to make an assessment of the risk for violence. [Reference 11144]·         Evaluate for possible anxiety problem. ·         PROS for this option PRESENT for this patient ·         difficulty concentrating or mind goes blank [Reference 4312] ·         compulsive behavior [Reference 4309] ·         anxiety in situations where help not available [Reference 4306] ·         restless, keyed up, or on edge [Reference 4312] ·         irritability [Reference 4313] ·         panic feelings [Reference 4312] ·         I have a lot of fear of an object or situation [Reference 4513] ·         sleep disturbance of any kind [Reference 4312] ·         muscles tense [Reference 4312]Plan Options For: Evaluate for possible anxiety problem. ·         Couplers ·         run the Coupler, Anxiety, Depression, and Fatigue Diagnosis [Reference 4500] ·         Run the Coupler, Anxiety, Depression, and Fatigue Diagnosis to evaluate anxiety. [Reference 4500]·         Evaluate for possible mania (manic mood) problem. ·         PROS for this option PRESENT for this patient ·         unusual activity increase (for example, work or sexual) [Reference 4595] ·         feeling of inner tension accompanied by nervous movement [Reference 4595] ·         elevated/manic mood lasted more than few hours, past episode [Reference 4595] ·         racing thoughts [Reference 4595]