Earl Jennings

Routine check in, four months after retirement and his wife's passing within the same season, seen through Carilion's community based collaborative care partnership rather than a hospital clinic. Earl reports he has restarted most of his woodworking hobby, has been attending his church group again most weeks, and says his appetite is close to normal for the first time since the fall.

Across his last four visits, Haven's read shows mood climbing steadily, the most consistent improving trend on his chart, tracking closely with what he describes in each visit without him filling out anything in between appointments.

Plan: continue citalopram 20mg, no dose change given the steady trend. Move from biweekly to monthly follow up intervals starting next visit, and continue the community agency's grief support group alongside his primary care visits.