Page 6 - Patient Follow Up Guide
P. 6

We have attached a
                                                                                                                                                                                                                       communication of possible
             Patient Health Questionnaire - 9 (PHQ - 9)                                                                                     Generalized Anxiety Disorder 7 (GAD - 7)
                                                                                                                                                                                                                       PHQ9 and self-monitoring
                                                                                                                                                                                                                       relapse allows your Doctor and
                                                                                                                                                                                                                       workbook on the next page
                                                                                                                                                                                                                       treatment team to intervene
                                                                                                                                                                                                                       allowing you to monitor
                                                                                                                                                                                                                       more quickly before symptoms
            To help you monitor your Depression and Anxiety symptoms we have added                                                      We recommend taking these scales at 3 and 6 months, as well as 1 and 2
                                                                                                                                                                                                                       your own symptoms.
                                                                                                                                                                                                                       become severe. We have a
                                                                                                                                                                                                                       When it comes to changes
            a PHQ9 and GAD7 scales available for you to check your progress over the                                                    year milestones after your last treatment. (See the dates at the bottom of
                                                                                                                                                                                                                       complementary program which
            next two years.                                                                                                             last page to set reminders)                                                    in mood and behavior,
                                                                                                                                                                                                                       will allow our team to help
                                                                                                                                        (Remember to bring these scores with you when you visit your prescribing physician or your
                                                                                                                                                                                                                       listen to the observations
                                                                                                                                                                                                                       monitor for possible signs of
                                                                                                                                        patient advocate to review and monitor your progress.)                         of those who are closest to
                                                                                                                                                                      Now that you                                     relapse. A member of our team
                                                                                                                                                                             Now that
             Over the last week, how often have you been                          3           6           1           2                  Over the last 2 weeks, how often have                                         you. Anyone can have a bad
                                                                                                                                                                                                                       will follow up with you at 3, 6,
                                                                                                                                                                      have successfully
                                                                                                                                                                                                                       day, but if these symptoms
             bothered by any of the following problems?                       Months  Months            Year       Years                 you been bothered by any of the following                        3           6           1 Year      2
                                                                                                                                                                                                                       and 12 months post treatment
                                                                                                                                                                             treatment has
                                                                                                                                                                                                          Months  Months
                                                                                                                                                                                                                                              Years
             (0 = not at all, 1 = several days, 2 = more than                   Post        Post        Post        Post                 problems?                    completed your TMS                               become consistent,
                                                                                                                                                                                                                                  Post
                                                                                                                                                                                                                       via a phone call or email to
                                                                                                                                                                             ended
             half the days, 3 nearly every day)                                 TMS         TMS         TMS         TMS                  (0 = not at all, 1 = several days, 2 = more than                 Post        Post        TMS         Post
                                                                                                                                                                                                                       or you recognize the
                                                                                                                                                                                                                       check in on your clinical status.
                                                                                                                                                                      treatment course has
                                                                                                                                         half the days, 3 nearly every day)                               TMS         TMS                     TMS
                                                                                                                                                                                                                       early symptoms of your
             1. Little interest or pleasure in doing things
                                                                                                                                                                      ended
                                                                                                                                         1. Feeling nervous, anxious, or on edge                                       depression returning,
                                                                                                                                                                                                                          We have attached a PHQ9
                                                                                                                                                                             It will be important to
             2. Feeling down, depressed, or hopeless                                                                                                                         watch out for any signs                   contact your doctor as well
                                                                                                                                                                                                                       and self-monitoring workbook
                                                                                                                                         2. Not being able to stop or control worrying                                 as your Patient Advocate.
                                                                                                                                                                                                                       on the next page, allowing
                                                                                                                                                                        We want to congratulate
             3. Trouble falling or staying asleep, or sleeping                                                                                                               of returning symptoms.                    Your physician will likely
                                                                                                                                                                                                                       you to monitor your own
                                                                                                                                                                             For many people,
             too much                                                                                                                                                 you on completing your                           continue to monitor your
                                                                                                                                         3. Worrying too much about different things                                   progress through the use
                                                                                                                                                                                                                       symptoms.  When it comes to
                                                                                                                                                                      prescription of TMS
                                                                                                                                                                             depression is a recurrent
                                                                                                                                                                                                                       changes in mood and behavior,
             4. Feeling tired or having little energy                                                                                                                 Treatment! We know how                           of clinical scales at each
                                                                                                                                                                             illness. Identification
                                                                                                                                                                                                                       listen to the observations of
                                                                                                                                         4. Trouble relaxing          difficult this journey can be                    appointment.
                                                                                                                                                                             and communication of
             5. Poor appetite or overeating                                                                                                                           and we strive to best serve                      those who are closest to you.
                                                                                                                                                                             possible relapse allows
                                                                                                                                                                      you. We want to commend you
                                                                                                                                         5. Being so restless that it’s hard to sit still                              We want to congratulate
                                                                                                                                                                             your Doctor and treatment
                                                                                                                                                                                                                          Anyone can have a bad day,
             6. Feeling bad about yourself - or that you are a                                                                                                        on your dedication to your well                  you on completing your
                                                                                                                                                                             team to intervene more
             failure or have let yourself or your family down                                                                                                         being and determination to                       but if these symptoms become
                                                                                                                                                                             quickly before symptoms
                                                                                                                                         6. Becoming easily annoyed or irritable                                       prescription of TMS
                                                                                                                                                                      improve your health.                             consistent, over a week,
                                                                                                                                                                             because severe. We
             7. Trouble concentrating on things, such as                                                                                                                                                               Treatment! We know how
                                                                                                                                                                                                                       or you recognize the early
                                                                                                                                                                             have a complementary
             ready the newspaper or watching television                                                                                  7. Feeling afraid as if something awful might                                 difficult this journey can
                                                                                                                                                                                                                       symptoms of your depression
                                                                                                                                                                             program which will allow
                                                                                                                                         happen                         Please feel free to reach out                  be and hope we have
                                                                                                                                                                                                                       returning, please contact your
             8. Moving or speaking so slowly that other                                                                                                               to us for any ongoing needs                      done all that we can to
                                                                                                                                                                             our team to help monitor
             people could have noticed? Or the opposite -                                                                                                             you may have.                                    doctor as well as your Patient
                                                                                                                                                                             for possible signs of
             being so fidgety or restless that you have been                                                                                                     Total Score (Added Together)                          best serve you. We want
                                                                                                                                                                                                                       Advocate. Your physician
                                                                                                                                                                             relapse. A member of our
             moving around a lot more than usual                                                                                                                                                                       to commend you on your
                                                                                                                                                                                                                       will likely continue to monitor
                                                                                                                                                                        It is important to watch                       dedication to your well
                                                                                                                                                                             team will reach out at 3,
                                                                                                                                                                                                                       your progress through the
                                                                                                                                                                             6, and 12 months post
                                                                                                                                                                      out for any signs of returning
             9. Thoughts that you would be better off dead                                                                              Important Dates to Remember:                                                   being and determination to
                                                                                                                                                                                                                       use of clinical scales at each
             or of hurting yourself in some way                                                                                                                       symptoms. For many people,                       get better. Please fee free
                                                                                                                                                                             treatment via a phone call
                                                                                                                                                                                                                       appointment.
                                                                                                                                                                             and email to check in on
                                                                                                                                        3 Months:  _______________                                1 Year:      _________________
                                                                                                                                                                      depression is a recurrent
                                                                                                                                                                                                                       to reach out to us for any
                                                                                                                                                                             your clinical status.
                         (0 - 27)  Total Score (Added Together)                                                                                                       illness. Identification and                      ongoing needs you may
                                                                                                                                        6 Months:  _______________                                2 Years:    _________________
                                                                                                                                                                                                                       have.
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