Psychiatric Follow-Up Care Letter

Dear Sarah Jenkins,

Thank you for coming in today. The summary of your visit and the subsequent steps in your care are provided below.

14/05/2024

Treatment Plan

• Increase your daily dose of sertraline to help manage your ongoing low mood and anxiety.
• Continue attending your weekly talk therapy sessions.
• Practice good sleep habits: aim for 7 to 8 hours of sleep per night, turn off screens 1 hour before bed, and avoid caffeine after 14:00.
• Walk or do light exercise for 30 minutes at least 3 times a week.
• Important: If you experience worsening depression, severe anxiety, or any thoughts of harming yourself, please call the Suicide & Crisis Lifeline at 988, contact our office immediately, or go to the nearest emergency room.

Medications

• sertraline (Zoloft®) - 100 mg PO once daily in the morning (increased from 50 mg)
• hydroxyzine (Vistaril®) - 25 mg PO every 6 hours as needed for severe anxiety
• melatonin - 3 mg PO once daily at bedtime as needed for sleep

Next Appointment

11/06/2024 at 10:30 (America/Chicago)

Referrals

• Behavioral Health Clinic for continued weekly Cognitive Behavioral Therapy (CBT) with Rebecca Moore, LCSW.
• Outpatient lab work: Please visit the clinic lab this week to complete a routine thyroid panel (TSH) and vitamin D level check.

For any questions or concerns, contact the office.

Pharmacy:

Walgreens Pharmacy #04821 1200 N Clark St, Chicago, IL 60610 Phone: (312) 555-0192

Sincerely,

Dr. Marcus Vance, MD

Lakeview Psychiatric Associates 450 W Belmont Ave, Suite 300, Chicago, IL 60657 Phone: (312) 555-0148 | Fax: (312) 555-0149