Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-08-03 Encounter: Spruce text message CC: Parent reporting resolution of motor tics and raising new concern about anxiety symptoms including repetitive worried thinking and sensitivity to overstimulating environments. HPI: Theo is approximately 8 years old and approaching his well-child visit. Motor tics that were present from late winter through early summer have nearly completely resolved. Parent now reports Theo gets caught in 'thought circles' about topics such as weather/smoke, wasps, illness, and exact timing of events. He also struggles in loud or overstimulating environments such as birthday parties and movie theaters, unless he is the one generating the activity. Parent notes Theo has never thrived in unpredictable environments. Parent also flags ongoing monitoring of growth at the 1-2nd percentile in collaboration with Dr. Pickett at Park Nicollet, who had no concerns at a November 2025 visit. Assessment: Dr. Hobbs acknowledged the parent's update and confirmed readiness to discuss anxiety symptoms and growth monitoring at the upcoming well-child visit. No formal clinical assessment or impression was rendered in this message exchange. Plan: Topics of anxiety (possible CBT referral), resolved motor tics, and growth curve monitoring to be addressed at Theo's 8-year well-child visit scheduled for 9:00 AM on August 24, 2026. Key clinical quotes: "And yes, ready to discuss those things" Source: Spruce conversation t_2IF1ANVTMQ000