Mental Health

These disorders must be supported by medical records from your mental health providers, including psychiatrist, psychologist, physician assistant, or psychiatric nurse practitioner. Records from such providers should include information regarding: your reported symptoms; your medical, psychiatric, and psychological history; the results of physical or mental status examinations, structured clinical interviews, psychiatric or psychological rating scales, measures of adaptive functioning, or other clinical findings; psychological testing, imaging results, or other laboratory findings; your diagnosis; the type, dosage, and beneficial effects of medications you take; the type, frequency, duration, and beneficial effects of therapy you receive; side effects of medication or other treatment that limit your ability to function; your clinical course, including changes in your medication, therapy, or other treatment, and the time required for therapeutic effectiveness; observations and descriptions of how you function during examinations or therapy; information about sensory, motor, or speech abnormalities, or about your cultural background (for example, language or customs) that may affect an evaluation of your mental disorder; and the expected duration of your symptoms and signs and their effects on your functioning, both currently and in the future.