Marisol Ferreira

Intake & Formulation / Structured Interview

Opening rapport notes:
Marisol arrived a few minutes early and apologised twice for taking the appointment. Guarded at first, warmer once the recording was explained. Said a colleague had pushed her to book.

Presenting concerns (client's own words):
Describes seven weeks of "running on a flat battery". Reports waking between 3 and 4 AM most nights and being unable to settle again. Says she has stopped answering her sister's calls because "there's nothing new to report and I hate the pity".

Emotional & physical symptom check:
Persistent worry present most days for roughly four months, described as "a hum I can't switch off". Four episodes of acute anxiety in the past three weeks — chest tightness, shallow breathing, hands going numb, lasting eight to twenty minutes and followed by several hours of fatigue. Triggers reported as unopened email and unexpected phone calls. Sleep onset delayed by 60–90 minutes; early waking as above. Appetite reduced, skipping lunch on most working days, weight down an estimated 4 kg since August. Concentration noticeably poorer — re-reads the same paragraph several times before it registers. No alcohol increase reported; caffeine up to five cups daily.

Brief life context:
Works as a logistics coordinator on a rotating shift pattern and has taken on a second team since a colleague's departure. Lives alone in a first-floor flat with a small balcony she has stopped watering. No current partner. Close friends nearby but declining most invitations. Family are overseas and contact has thinned to short messages; has not yet told them about the referral.