Shedler QPD Panel (v7.0)
www.digitaldiagnostics.com 
800.559.9885

  Patient Tools, Inc.
Name:  Sex: Female
ID:

111111
Age: 55
Date:  8/15/2003 4:57:04 PM

¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾ Diagnostic Report ¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾  

 

Test

Results

Reference Range

 

within range

out of range

¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾

Depression

20

0 - 10

Anxiety

16

0 - 10

Panic Disorder

16

0 - 8

PTSD

3

0 - 2

Bulimia

0

0 - 4

Alcohol / Substance Abuse

0

0 - 2

Somatization

7

0 - 11


¾¾¾¾¾
Notes:

 

- Patient appears to meet criteria for Dysthymic Disorder (300.4)
- Patient appears to meet criteria for Generalized Anxiety Disorder (300.02)
- Patient appears to meet criteria for Panic Disorder (300.01)
- Likely Posttraumatic Stress Disorder



Disposition:

These results were reviewed and discussed with the patient. The following recommendation was made:

___ No follow-up indicated ___ Further evaluation
___  Referral ___  Medication
___ Other: _____________________________
Physician Signature: ________________________________  Date:____________
 
Shedler QPD Panel (v7.0)

ID: 111111

Date: 8/15/2003 4:57:04 PM

Depressive Symptoms 
-depressed mood, more days than not, 2 years or longer duration
-diminished interest or pleasure in activities, 2 weeks or longer duration
-appetite loss
-insomnia
-agitation
-fatigue, loss of energy
-feelings of worthlessness or guilt
-diminished self-esteem
-hopelessness
-thinks about death

Anxiety Symptoms 
-excessive anxiety or worry, 6 months or longer duration
-worried about multiple things
-feels unable to stop worrying
-restless, keyed up
-easily fatigued
-irritability
-muscle tension
-sleep disturbance
-feels helpless and overwhelmed
-frequent cold, clammy hands or feet
-frequent stomach aches
-frequent hot flashes or chills
-frequent heart racing or pounding
-frequent sweating

Panic Symptoms 
-recurring panic attacks
-attacks occur unexpectedly
-symptoms come on abruptly
-persistent worry about having additional attacks
-persistent worry about implications of panic attacks (e.g. fears of losing control, "going crazy," having a heart attack)
-has made significant life changes because of attacks
Symptoms accompanying panic attacks include: 
-heart racing or palpitations
-sweating
-trembling or shaking
-sensations of choking
-chest pains
-nausea or abdominal distress
-paresthesias (numbness or tingling)

PTSD Symptoms 
-intrusive recollections of traumatic event
-distressing dreams of traumatic event

 

 
Shedler QPD Panel (v7.0)

ID: 111111

Date: 8/15/2003 4:57:04 PM


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  depression   anxiety