Depression, depressed mood or anxiety. Impaired impulse control and its effect on motivation or mood. Sleep impairment and describe extent it interferes with daytime activities. The Diagnosis must conform to DSM-IV and be supported by the findings on the examination report. If there are multiple mental disorders, delineate to the extent possible the symptoms associated with each and a discussion of relationship.
Evaluation is based on the effects of the signs and symptoms on occupational and social functioning.
If it is not possible to separate the effects, explain why. If so, include the GAF score and note whether it refers to current functioning. If separate GAF scores can be given, an explanation and discussion of the rationale is needed. If it is not possible, an explanation as to why not is needed. If the requested opinion is medically not ascertainable on exam or testing please state why.