PSYCHIATRY
#psy Mood stable 
No acute triggers  / Ongoing past issues
#psysoc Lives with: Alone / Partner,  Kids: nill  
Relationship: 
Support network: 
Job/Study:
Med3 offered:
#psyhx1 No Delusions / Hallucinations  
No suicidal ideation or intent 
#psydr Denies 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


#psysoc Lives with: Alone / Partner,  Kids: nill  
Relationship: 
Support network: 
Job/Study:
Med3 offered:


Review  Is on …
Feels it is helping.
Denies side effects. 


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
 
 
 
 
 
   
 
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
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