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Patient Reasons for Visit
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New patient?
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Follow up (routine visit)
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Anxiety
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Attention Problems
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Depression
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Anger Problems
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Aggressive Behavior
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Hyperactivity
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Sleep Problems
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Impulsive Behavior
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Panic Attacks
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Appetite Change
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Mood swings
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Seeing or hearing things that aren't real
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Irritability
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Self-harm
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Suicidal Thoughts
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Substance Use
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Social Problems
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Other:
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