results-depression
by Autumn2Ashes on May 01, 2003Final 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
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