My Life In A Nightmare chords by The Pocket Gods
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Verse 1
(A minor) Summary of
Appointment and
Current
Presentation
(E major) It was my pleasure to (A minor) re view
Mark for the first time in the
Outpatient
Clinic today, (D major) 1st of
Feb (A minor) ruary, 2019.
He (E major) came accompanied by (A minor) his wife
Claire.
He told me he feels much better (D major) an d stable
in his mental state (A minor) in recent weeks.
He reported improve (E major) ment in his mood and general feelings,
(A minor) feeling overall more positive and active.
He said (D major) has found his sleep (A minor) patterns very
much improved and never been so good.
(E major) He did not report major (A minor) impairment
in eating pattern and reward.
(D major) He told me he is currently func
(A minor) tional and was back full time again.
(E major) He reported residual anxi (A minor) ety,
reaching panic peaks particularly reactively to (D major) stress or
bad news during (A minor) the day.
He told me in these occasions he phoned his (E major) wife and
responded well (A minor) to reassurances and
encouragements.
A mental state (D major) examination mark was appropri (A minor) ate in appearance,
we established a good rapport,
(E major) he was pleasant,
open (A minor) and collaborative in the interview.
His cognition was (D major) not formally (A minor) tested but I could
not identify and gross ab (E major) normalities.
His speech was normal (A minor) along with his thought process
I am content his mood has improved
(D major) in recent weeks, (A minor) his affect in clinic was euphemic,
reactive and well modu (E major) lated.
There (A minor) was no presence
of psychotic elements.
He re (D major) ported his
PTSD as man (A minor) ageable recently,
with anxiety and stress level (E major) as the prominent
problems.
(A minor) He did not express any thought,
intention or plan (D major) to harm himself or (A minor) others.
He appeared sincerely regretful (E major) for the overdose and
stress cre (A minor) ated to his family by his crisis.
He appeared to have (D major) fair insight on (A minor) his symptoms
and capacity regarding treatment choices.
(E major) Mark tells us that (A minor) he wants to just feel
better and be functional again. (D major)
We discussed his med (A minor) ication.
Mark told me that after the overdose (E major) he stopped mirtazapine
15 (A minor) mg at night since he was perceiving (D major) it as too sedative.
He (A minor) also told me he reduced citrulline to 50
mg (E major) in the morning since he (A minor) had diarrhea.
We discussed he has been taking (D major) sertraline for
a long time (A minor) and there are some queries
about if diarrhea was related to sertraline.
On the other hand, it appears he is doing well
in his mental state and we discussed
rationale and profile of sertraline
for the indications of
PTSD, anxiety and depression.
He also told me that around
December his compliance was rather poor.
He formally agreed that he will improve.
We discussed his diagnoses above,
as per his records,
Mark agreed with them.
We discussed psychoeducation around
anxiety and crisis management.
We discussed his risk contingency plan.
Mark told me he is able to seek help,
calling his wife or other people,
and he is also able to call his
GP and the mental health
services in case of need.
He told me that currently he does not feel at risk
and does not feel he needs a lot of
input from our service.
He finds psychological therapy as
beneficial and he is willing to continue.
My Life In A Nightmare
The Pocket Gods
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