• Final Report for Cindy Dear Physician, Your patient has some concerns regarding her health and has completed a survey. The survey is designed to assist you in your diagnosis of anxiety disorder, depression, and/or dysthymia and should not to be considered a substitute for your opinion or advice. Based on her responses to this survey, your patient has reported the following information: She has reported agoraphobic avoidance without meeting DSM-IV criteria for panic. She: Has experienced anxiety about going to or being in places or situations because of fear or having an anxiety attack, fear of not being able to escape in the event of an anxiety attack, or fear that help would not be there if needed. Avoids places or situations because of fear of having an anxiety attack, or fear that help would not be there if needed, or because of feeling "uncomfortable". Fears or avoids the following situations: being at home alone being away from home standing in line elevators parking garages bridges tunnels parks exposed places large rooms lobbies large open spaces open fields wide streets malls stores auditoriums or stadiums theatres grocery stores / supermarkets restaurants classrooms churches museums coffee shops crowds animals heights needles / blood flying thunderstorms the dark buses trains subways streetcars riding in cars at any time driving a car at any time Reports that fear or avoidance of the above situations results in extreme / severe interference in normal daily life. NOTE: It should be noted that although your patient did not meet DSM-IV criteria for panic, symptoms of panic may have been reported. Agoraphobic avoidance without a history of panic is thought to be quite rare. She has reported a fear of public speaking. She: Reports of having excessive fear or avoidance of social or work situations because of a fear of embarrassment, humiliation, or judgment (evaluation). Reports of avoiding speaking in public for fear of embarrasment, humiliation, or judgement (evaluation). Reports that the above avoidance of public speaking results in extreme / severe interference in normal daily life. She has reported social anxiety in a number of social and performance situations. She: Reports of having excessive fear or avoidance of social or work situations because of a fear of embarrassment, humiliation, or judgement (evaluation). Reports of avoiding speaking in public for fear of embarrassment, humiliation, or judgement (evaluation). Reports of avoiding the following situations for fear of embarrassment, humiliation, or judgement (evaluation): speaking or performing in front of others dealing with people in authority talking to strangers being observed (watched) while eating or drinking social gatherings / parties dating situations being observed (watched) while working being the center of attention eye contact speaking to people you find attractive Reports that the avoidance of the above situations results in extreme / severe interference in normal daily life. She has reported a number of symptoms of generalized anxiety. She: Reports worrying constantly about several different themes for the past six months or more. Reports worrying much more then most other people about things such as work, school, family, finances or health. Is experiencing these worries for most of the time, on most days. Is having difficulty controlling theses worries and/or reports that they interfere with concentration or productivity. Reports that when feeling anxious or worried they: feel restless, keyed up, or on edge feel tense feel tired, weak, or easily exhausted feel irritable have difficulty concentrating, or find your mind going blank have difficulty sleeping Reports that the above result in extreme / severe interference in normal daily life. She has reported a number of chronic depressive symptoms. She: Has felt depressed, sad, or flat for most of the day for at least two weeks. Has lost interest or pleasure in things usually enjoyed, and this has been happening for two weeks or more. Has experienced a constant low mood and irritability for at least two weeks. Reports feeling the following for the past two weeks or more: gaining or losing weight sleeping more or less talking or moving more slowly feeling tired or having low energy having difficulty making decisions or concentrating feeling guilty or worthless thinking a lot about hurting yourself wishing for death or feeling suicidal Reports that feeling depression or a loss of usual pleasures or interests results in extreme / severe interference in normal daily life. Reports that this feeling of depression results in extreme / severe distress

• No Comments

Log in now to tell us what you think this song means.

Don’t have an account? Create an account with SongMeanings to post comments, submit lyrics, and more. It’s super easy, we promise!