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Ryan GomezRole
Signed in — Ryan Gomez · System Administrator
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In context Ivan Anatoly Gomez MRN-100235 · born 1975-07-13 ✦ AI Ask ✦ AI Ambient note Chart
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Psychotherapy note

This read was logged as a psychotherapy disclosure against Ryan Gomez with purpose Health care operations — before the content was returned. In the deployable platform this content lives in a separate encrypted store under its own key, reachable only through four independent switches; no other role, including full clinical access, can reach it.

M. Okonkwo, LCSW · session of Dec 10, 2025

Intake, behavioral health. Referred by primary care following PHQ-9 of 16. Patient described a two-year arc beginning with the layoff, with sleep-onset insomnia, anhedonia weighted toward previously-valued activities, and a self-critical narration they describe as 'the commentator'. History taken; no prior psychotherapy; family history significant. Diagnosis deferred pending second session. Plan: weekly CBT, coordinate with PCP on the medication question, release signed for care coordination only - patient explicitly declined broader disclosure, discussed and documented.