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Reason for interest in psychiatry at this time
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How long has this been going on?
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Ever had mental health diagnosis? What was it?
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Are you interested in psychotherapy
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What medications are you currently taking?
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Are you interested in taking medication?
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psychiatric medications have you taken in past?
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Head Injury/neurological Issues? (blank if no)
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Current and prior medical issues?
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(female pt.) Pregnant or plan to be pregnant
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suicidality assessment [intent, plan, means]
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Past Suicide Attempts?
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Ever had a manic episode (describe symptoms)
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Ever heard voices/noises that others don't
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Abuse or Trauma in your background?
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History of intentionally hurting yourself?
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History of mental illness in your family
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Suicides in your family?
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Describe your current sleep patterns
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How is your energy level?
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Tell me about your appetite and diet
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Tell me about your sex drive (low, high, etc)
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Describe any difficulty you have concentrating
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How often do you drink? How many usually have?
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Other recreational drugs? Type and frequency?
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Have you ever tried someone else's prescription?
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Current employment situation:
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last primary care doctor visit?
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What are your biggest stressors at this time?
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How do you primarily cope with stress?
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Do you have supportive people in your life?
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What are your mental wellness goals?
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