Patient A.
Treatment management sample (CGI) tracking table
Patient: Joe Smith, age 38
Diagnoses: major depression and generalized anxiety disorder
| VISIT/DATE | SYMPTOMS | TOLERABILITY | ACTION | CGI-S | CGI-I |
|---|---|---|---|---|---|
| 1 1/7/07 | Depression and anxiety | N/A (no meds) | SSRI initiated [name and dose] | 5 | N/A (no meds) |
| 2 2/7/07 | Depression and anxiety | Slight headache one evening, now resolved | Raise dose | 5 | 4 |
| [name and new dose] | |||||
| 3 3/7/07 | Depression same; anxiety has significantly worsened | No problems | Switch to different SSRI | 6 | 5 |
| [name and dose] | |||||
| 4 4/7/07 | Minimal improvement in both depression and anxiety relative to Visit 1 | No problems | maintain dose | 3 | 3 |
| 5 5/7/07 | Virtually symptom free for depression and anxiety | Daytime sleepiness | Switch from am to hs dosing | 2 | 1 |