PSYCHIATRY

SLEEP

States poor sleep Avoid caffeine stimulants Avoid day time naps Evening exercise / large meal / dark quiet comfortable bedroom Trial sedatives (caution with driving and work ) use only off duty

#psy	Mood stable   No acute triggers  / Ongoing past issues
#psysoc	Household: Alone / Partner,   Kids: nill   Relationship:   Support network: Family / Friends  Job/Study: Med3 offered:
#psyhx1	No Delusions / Hallucinations    No suicidal ideation or intent
#psydr	Denies Excessive Alcohol or drug issues.
#psymg1	Discussed Sedatives.  Sleep: Variable/ Poor / ok. .   Discussed Anxiolytics: Anxiety: denies / present Discussed Counselling:  Contacts given / nhs 111 if required  Discussed Antidepressants: Discussed med3: Declined Discussed antidepressants / anxiolytics / sedatives - declined - To call back as required
#psyex	Sounds stable no distress.  Good rapport insight   Not tearful or agitated.  Discussed anxiolytics sedatives antdepressants
Review	Is on …  Feels it is helping.  Denies side effects.