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My Life In A Nightmare madaling mga kord ng gitara ni
The Pocket Gods
The Pocket Gods

N/A•
Verse 1
Am

Summary of

Appointment and

Current

Presentation
E
Am

It was my pleasure to re view

Mark for the first time in the

Outpatient
D

Clinic today, 1st of
Am

February, 2019.
E
Am

He came accompanied by his wife

Claire.
D

He told me he feels much better an d stable
Am

in his mental state in recent weeks.
E

He reported improvement in his mood and general feelings,
Am

feeling overall more positive and active.
D
Am

He said has found his sleep patterns very

much improved and never been so good.
E
Am

He did not report major impairment

in eating pattern and reward.
D

He told me he is currently func
Am

tional and was back full time again.
E
Am

He reported residual anxiety,
D

reaching panic peaks particularly reactively to stress or
Am

bad news during the day.
E

He told me in these occasions he phoned his wife and
Am

responded well to reassurances and

encouragements.
D
Am

A mental state examination mark was appropriate in appearance,

we established a good rapport,
E

he was pleasant,
Am

open and collaborative in the interview.
D
Am

His cognition was not formally tested but I could
E

not identify and gross abnormalities.
Am

His speech was normal along with his thought process

I am content his mood has improved
D
Am

in recent weeks, his affect in clinic was euphemic,
E

reactive and well modulated.
Am

There was no presence

of psychotic elements.
D

He reported his
Am

PTSD as manageable recently,
E

with anxiety and stress level as the prominent

problems.
Am

He did not express any thought,
D
Am

intention or plan to harm himself or others.
E

He appeared sincerely regretful for the overdose and
Am

stress created to his family by his crisis.
D
Am

He appeared to have fair insight on his symptoms

and capacity regarding treatment choices.
E
Am

Mark tells us that he wants to just feel
D

better and be functional again.
Am

We discussed his medication.
E

Mark told me that after the overdose he stopped mirtazapine
Am
D

15 mg at night since he was perceiving it as too sedative.
Am

He also told me he reduced citrulline to 50
E
Am

mg in the morning since he had diarrhea.
D

We discussed he has been taking sertraline for
Am

a long time and there are some queries

about if diarrhea was related to sertraline.

On the other hand, it appears he is doing well

in his mental state and we discussed

rationale and profile of sertraline

for the indications of

PTSD, anxiety and depression.

He also told me that around

December his compliance was rather poor.

He formally agreed that he will improve.

We discussed his diagnoses above,

as per his records,

Mark agreed with them.

We discussed psychoeducation around

anxiety and crisis management.

We discussed his risk contingency plan.

Mark told me he is able to seek help,

calling his wife or other people,

and he is also able to call his

GP and the mental health

services in case of need.

He told me that currently he does not feel at risk

and does not feel he needs a lot of

input from our service.

He finds psychological therapy as

beneficial and he is willing to continue.

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