Diagnosis : Major Depressive Disorder

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This is a 47-year-old male with a 12/15/2005 date of injury. A specific mechanism of injury has not been described.

DIAGNOSIS: Major depressive disorder, recurrent.

01/11/16 Progress report by the requesting provider documented that the patient was unable to come to the appointment due to his physical condition and distance. Phone conversation with the patient was noted. He described his depression s mild. His sleep has been decreased. He uses CPAP machine. He enjoys being outside. He has occasional feelings of hopelessness. His energy and concentration have been fair. His appetite has decreased ad he has lost weight. He now weights 207 pounds. He denies any suicidal or homicidal ideation. Plan was to continue Pristiq 100 mg daily for depression. He also gets Temazepam, methocarbamol muscle relaxants, and Buspar. Patient education was discussed in detail about medication risks and benefits, adverse effects, side effects and therapeutic effects.

12/03/15 UDT Report showed that the patient is consistent with the opioids.

10/29/15 Psychological QME indicated that the patient had an injury in December 2005. He noticed an immediate onset of soreness in the right elbow. He was diagnose dwith right epicondylitis. According to 10/29/13 report the patient was stable on his current pain medication regimen. He was having a lot of trouble sleeping. He brought his old sleep medications, including Benzodiazepines, Trazodone, and Ambien. He had been taking Relpax intermittently for

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