Joseph Castillo
To: 
 Page: 22 of 56 
 07/12/2021 19:26:05 EDT 
 96582747558 
 From: Beachwood Medical Records Fax 
 Rosewood General 
 812 Clayton Stream
Adamton, NC 14989 
 Phone: (173) 179-9469 Fax: (139) 779-1127 
 Dr Jonathan Holder, DO 
 Visit Day: 04/09/2023 
 Joseph Castillo 
 DOB: 25/03/1998 
 Med Followup 
 Present at Session: Patient. 
 Chief Complaint: Extreme Anxiety -stress - 
 PTSD 
 Work/life balance 
 Uncontrollable emotions 
 Lack of desire for things I used to enjoy 
 Possible depression 
 History of Present Illness: Patient presents to follow up appointment for medication management of Bipolar Disorder. 
 At initial appointment, Effexor XR 75mg was started for Bipolar Disorder. 
 Side effects: has been trying to taper Effexor, didn't take yesterday but then felt "super out of control" 
 yesterday
 Current Medications: -Drug Name: dextroamphetamine-amphetamine, Strength: 30 mg, Directions: Form: 
 tablet, Route: oral, Quantity: 60, Duration: 30, Refills: 0, Prescription Date: 06/25/2019 