Patient is a 28 year old caucasian male seen via telehealth for an initial outpatient psychiatry evaluation.

Patient is a 28 year old caucasian male seen via telehealth for an initial outpatient psychiatry evaluation. He complains of anxiety and depression. He explain his anxiety is so bad especially in social situations and when meeting new people.He reports when he is in those situations he experiences his heart racing, palpitations, becomes sweaty, scared and fearful. He reports his nervousness has been present for many years but it is now becoming worse. He reports he worries all the time and finds it hard relaxing. Pt also reported being restless with poor concentration.Pt presented with increased symptoms of feeling down, depressed and feeling hopeless at times with a low motivation and decreased interest in doing most things. Patient expressed having symptoms severely feeling tired and having no energy to do anything .Pt. reports having fair appetite and reported having emotional feelings worried about the current state of functioning. Patient reported cocaine use atleast once a month.