Medical Necessity Sample Statements: F, D, IOF

Sample Statements to demonstrate -- Frequency, duration, and impact on functioning.

Frequency

  • According to the client, these symptoms occur daily starting around 5 p.m.
  • She reported that she continues to experience obsessions and compulsions, which have been occurring every day of the week.
  • He reported that these symptoms come and go, occurring more than half of the days in a week.
  • The frequency of symptoms varies, with anxiety being a daily occurrence and anger episodes happening intermittently (no more than 3 days each week).
  • They are most common 4/7 days with them being most present in the evening and on the weekend.
  • .. intrusive trauma reminders on several occasions (daily for about five days while visiting her mother)
  • The frequency of symptoms varied, with some being persistent over the weekend such as worry and inability to concentrate, and others, like racing thoughts, being more prominent in the mornings.

Duration

  • ….last anywhere from 10 minutes to several hours
  • She reported that the symptoms have been lasting between an hour to several hours.
  • …lasting less than a few hours each day in the past week
  • … for several minutes to an hour or so each time
  • … lasting a few minutes to a few hours
  • …the duration lasting through the weekend and into the current session.
  • …occurring for a minimum of 3 hours and a maximum of 8 hours for each of those days

Combining Frequency & Duration (into one sentence)

  • The client experiences these symptoms at a severe level 1-2 days per week, with each episode lasting between 4 and 12 hours.
  • The client reports experiencing mild symptoms (with a client rating of 4 out of 10) consistent with OCPD since the intake session with symptoms present 4 hours, per day for 6 days this week.
  • The client reported that their symptoms are "off and on, every day" and have become overwhelming "daily after school for a little" (symptoms lasting up to an hour a day.)
  • The client reports these symptoms occur for 1 hour a day every day.
  • He reports he experienced his symptoms three to four days in the past two weeks intermittently from 1 to 4 hours a day.
  • ..beginning last Friday for most of the day, impacting almost every awake hour since then to present.
  • The client experienced these symptoms more days than not, nearly every day at varying durations from several minutes to many hours per day worsening in the morning hours, reportedly
  • …low mood daily for at least part of the day.
  • These symptoms were experienced every day, off and on, with distress levels ranging from 5 to 7 out of 10.

Impact on Functioning

  • The client reported symptoms have impacted her financially as she will spend an excessive amount of money on food and will skip paying bills in order to buy more food.
  • significantly affecting her home life, personal relationships, and daily functioning
  • The client shared that this anxiety significantly disrupts his daily life and school attendance, particularly in the 24 hours leading up to each meeting.
  • The client's symptoms impact her ability to complete school assignments as indicated by the client stating, "I am currently failing biology."
  • These symptoms are clinically significant according to the client and impact his life personally (I'm just sad that things had a chance to tie off loose ends and now we don't get that and I have to move on) and socially (Now that this shadow isn't looming this expectation maybe it should impact me more but it hasn't really hit yet.).
  • The client reported that these symptoms impact various areas of her life, including work relationships, parenting, and overall emotional well-being.
  • Over the last 2 weeks, the client's symptoms made it difficult for him to make new friendships or relationships, focus on work or home tasks, and communicate assertively with others.
  • As a result of these complications, the client shared that she had bouts of self-isolation (where she is typically very social), avoiding and not completing tasks around the home over several days, avoiding paperwork for her divorce, and declining social gatherings on at least a few occasions.
  • The client expressed a moderate severity of symptoms and impact on overall functioning (i.e. decreased motivation, skipping meals, forgetfulness, low confidence, decreased productivity at work, etc).