Chief Complaint: Recurring Nightmares
History: Patient was an 23yr old female who had no previous major medical history. She had a tonsillectomy when she was in grade school (did not remember age) . No medications, no history of abuse and could not think of any specific physical or emotional trauma.
Symptoms: Recurring dream of being chased then strangled. Initial onset was about 1.5 months prior to tx with an occurrence about 2/3 times per week. Patient was having difficulty sleeping due to anxiety about having nightmare and would sleep very lightly. After dream would usually stay up about 2 hours to calm herself down. All other functions seemed normal.
Chief Complaint: spontaneous sweating, nervousness
Western Diagnosis: anxiety
Medical History: recent weight loss of 150 lbs, recent dramatic change in lifestyle from unhealthy, greasy, sweet and alcohol diet to a healthy one (hence the weight loss) many traumatic life events; deaths of close loved ones, divorce.
Questioning exam: unstable emotions
Chief Complaint: would like to get pregnant
Western Diagnosis: Polycystic ovarian syndrome/Infertility
Medical History: History of excessive body hair growth and acne with polycystic ovarian syndrome. Took birth control pill for over 10 years, stopped taking BC 1.5 years ago. Had full fertility workup and did three rounds of Clomid- developed an ovarian cyst. Since cyst development and break from fertility treatments, menstrual bleeding has been heavier and longer, increased cramping, back pain, lots of tissue and clots, dark “tar” color, pink, dark read and brown.
Chief Complaint: Prickling pain the lower legs and feet and low back pain
Western Diagnosis: Ideopathic peripheral neuropathy, osteoarthritis, osteopenia
Medical History: Patient is a 64 year old female who suffered an anxiety attack five years ago and a TIA three years ago before being diagnosed hyperthyroid and underwent a radioactive iodine treatment. She is now hypothyroid taking supplemental levothyroid and a daily 80mg aspirin. Patient suffers from osteoarthritis in the knees, feet and hands with visible deformity. Patient also suffers from osteopenia and takes Fossamax weekly. Otherwise, patient has an excellent diet and walks regularly. Patient lives near her family and sees them regularly, she also participates in various classes for seniors at the local community center.
Chief Complaint: anxiety/depression/fatigue/shortness of breath
Western Diagnosis: anxiety/depression
Medical History: 20-40 milligrams of Celexa (almost 1 yr),
Ht: 5’11 wt: 140
Childhood illnesses: chickenpox<
Chief Complaint: Intense anxiety and fear
Medical History: 26 yrs. old. female. patient said: “My mom came to visit and before she came I cleaned house for two days; I woke up in the middle of the night and recaulked the bathroom, ate 1/4 jar peanut butter and sugar/cereal until I got sick. When my mom left, I got anxious again, I sat home and feared that this is what my life would be like? I would never progress?
During interview, Patient exhibited lots of blue and groan in addition to being red/scorched and inappropriate laugh.
Chief Complaint: constipation, cramps
Western Diagnosis: irritable bowel syndrome
Medical History: 21 y.o. woman in apparently good health except for IBS symptoms, acne, insomnia, terrifying nightmares, depression, anxiety and fear, history of post traumatic stress due to near lethal assault 5 years before. Unhappy family and relationship History:history of abandonment and neglect. Stuck in dead end job, strong creativity frustrated.
Chief Complaint: Difficulty coping with stress; depression & anxiety
Western Diagnosis: Depression & Anxiety
Medical History: 24 year old male PhD candidate. Exercises up to 6 times a week for 1-2 hours each session. Frequently eats take out and drinks 1 caffeinated beverage each day. Works long hours. Drinks 1-3 glasses of alcohol each week. Takes Lamictal (200 mg/day), Wellbutrin (300 mg/day) and Neurontin (300 mg/day) to treat depression and anxiety. Would like to utilize acupuncture to treat side-effects of medications and for overall wellness. Medications cause drowsiness and Wellbutrin specifically can cause agitation, irritability and anxiety after taking dosage.
Chief Complaint: Hot flashes
Western Diagnosis: Menopause
Medical History: A 56 year old female presented with hot flashes. She had undergone mastectomy and chemo therapy a year prior to her first visit at my office.
She had also undergone a series of Tibetan and Chinese herbal therapies for cancer treatment with a practitioner in another state.
With her history the patient wanted to avoid anything that might cause a recurrence of her breast cancer; that is she wanted to avoid any food and/or herbs with phytoestrogens.
Chief Complaint: Fatigue and anxiety Medical History: 23 y.o. female in overall good health, except that she feels run down and easily fatigued.