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Isla Moreno

Azure Raindrop

DOB 14/06/1995 31 yrs Phone —

Appointment Sun 8 Nov 2026, 2:30 pm Mental health · Psych

All intakes

Today 2:30 pm Summary

Consult notes

AI-drafted from the intake

1. Anxiety

8-year history of panic attacks, initially worsened after moving interstate alone and an incident of vomiting in public
Triggered by public transport, cinemas, restaurants, working in the office, replying to texts, and anticipation of social events
Attacks characterized by sweaty hands, tachycardia, nausea, tingling, hot hands and feet, muffled hearing, and a feeling of needing to escape
Peaks for approximately 10 minutes, leaving her on edge and wiped for hours afterwards
Occurring 1-2 times a week normally, but occurred most days last week
Denies attacks out of nowhere
Avoids dinners with friends, drives instead of taking the train, stopped going to the gym, and requires a companion to go out
Unable to eat in front of people at restaurants
Difficulty falling asleep the night before events due to overthinking
Reports flatter mood and anhedonia over the past few weeks
Denies thoughts of self-harm or suicide
Recent stressors include grandmother's death in May and a subsequent breakup
Fears vomiting in front of people and losing her mind during attacks
Worried colleagues can tell something is off or that she is not keeping up
Wonders if it is social anxiety or agoraphobia
Would like a referral to a clinical psychologist for assessment
Would like to discuss whether current medications are still appropriate
Taking sertraline 100mg (increased from 50mg late last year) — unsure of effect as she stopped drinking around the same time
Taking propranolol PRN — takes the edge off and makes panic feel further away

Background:
PMH:Anxiety
Medications:Sertraline 100mg Propranolol PRNThe pill
OTC/supplements:Magnesium at night
NKDA
FHx:Father has high cholesterol
Smoking: Vapes daily, more when anxious EtOH: Nil alcohol (stopped over two years ago) Nil illicit drug use
Previous similar:Panic attacks ongoing for 8 years
Mental health care:Counsellor at university for a few sessions GP prescribed sertralinenever saw a psychologist or psychiatristno psychiatric admissions
Medication changes:Sertraline increased from 50mg to 100mg at the end of last year
Family mental health:Mother has undiagnosed anxietybrother had depression in his twenties
Occupation:Graphic designer at an agency (3 days office, 2 days working from home)
Living situation and supports:Lives with a housemate, family is interstate, has two good friends locally for support

Sources (27)

[s0:5] Patient Probably around 22 or 23? So eight-ish years. It's come and gone but it got a lot worse after I moved interstate on my own for work. I was drinking way too much back then and doing everything by myself, and I was sick a couple of times when I was out. Ever since then I've been scared of throwing up in front of people.

[s0:7] Patient Trains and buses mostly, anywhere I can't just get off. Cinemas. Restaurants are really bad at the moment, I can't eat in front of people. Work too, I'm in the office three days a week and I'm constantly worried people can tell something's off or that I'm not keeping up. Some days even a text I need to reply to sets it off.

[s0:9] Patient Not really out of nowhere. It's more the night before something social, I go into overthinking mode and I'm wound up before I've even left the house.

[s0:1] Patient Hi. So I've been getting a lot of panic, mostly in social situations and on public transport, and it's got to the point where I'm avoiding things. I'd like to be referred to a clinical psychologist, ideally someone who can assess whether it's social anxiety or agoraphobia or what it actually is. I've been on sertraline for a couple of years and I've got propranolol for bad days, so maybe also a chat about whether the meds are still right. When it hits it's sweaty hands, my heart going really fast, feeling sick, and this need to just get out. Yeah.

[s0:11] Patient Tingly, and my hands and feet go hot. When it's really bad my hearing goes muffled. And this feeling like I can't trust my own brain, like I might lose it. That's the worst part honestly.

[s0:13] Patient The peak is maybe ten minutes but I'm on edge for hours after. Wiped for the rest of the day.

[s0:15] Patient Last week was bad, most days. Normally once or twice a week, but I think that's only because I avoid so much.

[s0:17] Patient Dinners with friends, I make excuses. I don't take the train anymore, I drive even though parking costs a fortune. I used to go to the gym before work and I've basically stopped. If I do go somewhere I want someone with me, which isn't really fair on them.

[s0:25] Patient Hard to get to sleep the night before anything. I can lie there until 2 going over it. Other nights are fine.

[s0:21] Patient Flatter than usual. Not sad all the time, just nothing's really giving me any joy. I wouldn't call it depression but I don't know.

[s0:23] Patient No. When the panic is really bad I get scared of my own head, like I said, but it's not that I don't want to be here. It's not that.

[s0:19] Patient I'm not sure. It's been a rough year, my grandma died in May and I went through a breakup not long after. And I've been trying to push myself to do more lately, so maybe I just overdid it.

[s0:55] Patient Just that I really want the referral this time. I've put it off for years thinking I'd get on top of it myself, and I can't keep making excuses to my friends. Sorry if some of that was all over the place, it's hard to explain.

[s0:27] Patient 100mg. It went up from 50 at the end of last year.

[s0:29] Patient Honestly I can't tell. I started it when I was still drinking, and things got better once I stopped, so it's hard to know what's doing what. The panic still comes either way.

[s0:31] Patient Hardly at all until last week. I took one Monday before the office and still felt panicky but sort of further away from it, which helped. Tuesday I didn't and I was sweating, nauseous, couldn't sit still, so I took one after lunch and it took the edge off.

[s0:33] Patient No, nothing else. Just the anxiety. No surgeries.

[s0:37] Patient The pill, and magnesium at night.

[s0:39] Patient No.

[s0:41] Patient Dad has high cholesterol. Nothing else that I know of.

[s0:45] Patient I vape. Pretty much all day if I'm honest, more when I'm anxious.

[s0:47] Patient No. I stopped a bit over two years ago and haven't had a drink since.

[s0:49] Patient No.

[s0:35] Patient A few sessions with a counsellor at uni. Never a psychologist or psychiatrist, and no admissions. My GP started the sertraline.

[s0:43] Patient Mum's always been an anxious person, I reckon she'd have been diagnosed if she'd ever seen anyone. My brother had depression in his twenties.

[s0:53] Patient Graphic designer at an agency. Three days in the office, two at home, and the home days are so much easier.

[s0:51] Patient I live with a housemate. My family's all interstate. I've got two good friends here, they're the ones who come places with me.

Conversation transcript 57 turns

Audri turn 0

Hello, I'm Audri, your intake assistant. What brings you in for your upcoming appointment?

18 hours ago

Patient turn 1

Hi. So I've been getting a lot of panic, mostly in social situations and on public transport, and it's got to the point where I'm avoiding things. I'd like to be referred to a clinical psychologist, ideally someone who can assess whether it's social anxiety or agoraphobia or what it actually is. I've been on sertraline for a couple of years and I've got propranolol for bad days, so maybe also a chat about whether the meds are still right. When it hits it's sweaty hands, my heart going really fast, feeling sick, and this need to just get out. Yeah.

18 hours ago

Audri turn 2

Thank you for sharing that. Can you tell me your sex assigned at birth?

18 hours ago

Patient turn 3

Female

18 hours ago

Audri turn 4

Thank you. When did the panic first start?

18 hours ago

Patient turn 5

Probably around 22 or 23? So eight-ish years. It's come and gone but it got a lot worse after I moved interstate on my own for work. I was drinking way too much back then and doing everything by myself, and I was sick a couple of times when I was out. Ever since then I've been scared of throwing up in front of people.

18 hours ago

Audri turn 6

Thank you. What situations bring it on now?

18 hours ago

Patient turn 7

Trains and buses mostly, anywhere I can't just get off. Cinemas. Restaurants are really bad at the moment, I can't eat in front of people. Work too, I'm in the office three days a week and I'm constantly worried people can tell something's off or that I'm not keeping up. Some days even a text I need to reply to sets it off.

18 hours ago

Audri turn 8

Thank you. Do the attacks ever come on when you're at home or relaxed, with nothing coming up?

18 hours ago

Patient turn 9

Not really out of nowhere. It's more the night before something social, I go into overthinking mode and I'm wound up before I've even left the house.

18 hours ago

Audri turn 10

Thank you. What else do you notice in your body or your thinking during an attack?

18 hours ago

Patient turn 11

Tingly, and my hands and feet go hot. When it's really bad my hearing goes muffled. And this feeling like I can't trust my own brain, like I might lose it. That's the worst part honestly.

18 hours ago

Audri turn 12

Thank you. How long does an attack usually last?

18 hours ago

Patient turn 13

The peak is maybe ten minutes but I'm on edge for hours after. Wiped for the rest of the day.

18 hours ago

Audri turn 14

How often are they happening at the moment?

18 hours ago

Patient turn 15

Last week was bad, most days. Normally once or twice a week, but I think that's only because I avoid so much.

18 hours ago

Audri turn 16

Thank you. What have you stopped doing because of it?

18 hours ago

Patient turn 17

Dinners with friends, I make excuses. I don't take the train anymore, I drive even though parking costs a fortune. I used to go to the gym before work and I've basically stopped. If I do go somewhere I want someone with me, which isn't really fair on them.

18 hours ago

Audri turn 18

Thank you. Did anything happen around last week, when it got worse?

18 hours ago

Patient turn 19

I'm not sure. It's been a rough year, my grandma died in May and I went through a breakup not long after. And I've been trying to push myself to do more lately, so maybe I just overdid it.

18 hours ago

Audri turn 20

Thank you. How has your mood been over the past few weeks?

18 hours ago

Patient turn 21

Flatter than usual. Not sad all the time, just nothing's really giving me any joy. I wouldn't call it depression but I don't know.

18 hours ago

Audri turn 22

Thank you. Have you had any thoughts of self-harm or suicide?

18 hours ago

Patient turn 23

No. When the panic is really bad I get scared of my own head, like I said, but it's not that I don't want to be here. It's not that.

18 hours ago

Audri turn 24

Thank you. How has your sleep been?

18 hours ago

Patient turn 25

Hard to get to sleep the night before anything. I can lie there until 2 going over it. Other nights are fine.

18 hours ago

Audri turn 26

Thank you. What dose of sertraline are you taking?

18 hours ago

Patient turn 27

100mg. It went up from 50 at the end of last year.

18 hours ago

Audri turn 28

Has the panic changed since the dose went up?

18 hours ago

Patient turn 29

Honestly I can't tell. I started it when I was still drinking, and things got better once I stopped, so it's hard to know what's doing what. The panic still comes either way.

18 hours ago

Audri turn 30

Thank you. How often have you been using the propranolol?

18 hours ago

Patient turn 31

Hardly at all until last week. I took one Monday before the office and still felt panicky but sort of further away from it, which helped. Tuesday I didn't and I was sweating, nauseous, couldn't sit still, so I took one after lunch and it took the edge off.

18 hours ago

Audri turn 32

Thank you. As this is your first Audri intake, I have a few extra questions to get your background history. Do you have any ongoing medical conditions or past surgeries?

18 hours ago

Patient turn 33

No, nothing else. Just the anxiety. No surgeries.

18 hours ago

Audri turn 34

Thank you. Have you had any care for your mental health, such as a psychologist, counsellor, or psychiatrist?

18 hours ago

Patient turn 35

A few sessions with a counsellor at uni. Never a psychologist or psychiatrist, and no admissions. My GP started the sertraline.

18 hours ago

Audri turn 36

Thank you. Apart from the sertraline and propranolol, are you taking any other medications or supplements?

18 hours ago

Patient turn 37

The pill, and magnesium at night.

18 hours ago

Audri turn 38

Do you have any allergies to medications, foods, or anything else?

18 hours ago

Patient turn 39

No.

18 hours ago

Audri turn 40

Thank you. In your immediate family, do you have any history of heart disease, stroke, abnormal blood pressure or cholesterol, diabetes, or cancer?

18 hours ago

Patient turn 41

Dad has high cholesterol. Nothing else that I know of.

18 hours ago

Audri turn 42

Thank you. And in your family, has anyone had a mental health condition, such as depression, anxiety, or bipolar disorder, or died by suicide?

18 hours ago

Patient turn 43

Mum's always been an anxious person, I reckon she'd have been diagnosed if she'd ever seen anyone. My brother had depression in his twenties.

18 hours ago

Audri turn 44

Thank you. Do you smoke or vape?

18 hours ago

Patient turn 45

I vape. Pretty much all day if I'm honest, more when I'm anxious.

18 hours ago

Audri turn 46

Do you consume alcohol, and if so, how often and how much?

18 hours ago

Patient turn 47

No. I stopped a bit over two years ago and haven't had a drink since.

18 hours ago

Audri turn 48

Thank you. Do you use any other drugs, such as cannabis?

18 hours ago

Patient turn 49

No.

18 hours ago

Audri turn 50

Thank you. Who do you live with, and who do you have around you for support?

18 hours ago

Patient turn 51

I live with a housemate. My family's all interstate. I've got two good friends here, they're the ones who come places with me.

18 hours ago

Audri turn 52

Thank you. What kind of work do you do?

18 hours ago

Patient turn 53

Graphic designer at an agency. Three days in the office, two at home, and the home days are so much easier.

17 hours ago

Audri turn 54

Thank you for that information. Is there anything else you would like to add or feel is important for the medical team to know?

17 hours ago

Patient turn 55

Just that I really want the referral this time. I've put it off for years thinking I'd get on top of it myself, and I can't keep making excuses to my friends. Sorry if some of that was all over the place, it's hard to explain.

17 hours ago

Audri turn 56

Thank you. The intake is now complete, and the information will be reviewed by the medical team. Thank you for speaking with me today.

17 hours ago