Posted by kid a on September 2, 2002, at 12:42:54
August 15th, 2002.
Patient X suffers from chronic lifelong treatment resistant depression as well as an overall sense of panic and anxiety that goes beyond the diagnoses of DSM IV General Anxiety Disorder but yet not quite as prevalent as would be considered panic disorder. Patient X suffers from minor panic attacks, loss of breath, bouts of crying, overall nausea, lack of appetite, lack of sleep, oversleeping, suicidal ideation, paranoid delusions, daytime and nighttime depression, bouts of mania and various other symptoms at random.Patient X has been on some combination of Remeron, Effexor, Lamictal, Norpramin, Pamelor, Xanax, Geodon, Zyprexa, Ambien, Thorazine, and Benzotropine for symptoms caused by antipsychotic medication. Patient X is currently taking Effexor 150mg 75mg twice daily, Lamictal 25mg once daily, Thorazine 50mg combined with Benzotropine 25mg once nightly, Xanax .25 milligrams up to four times daily, as well as Ambien 10 milligrams as needed for sleep.
Patient X has been in a combination of psychiatric and talk therapy between the dates of May 2001 to present with mixed results. Patient X has at times shown signs of progress however eventually and inevitably, Patient X experiences what would be considered either real or imagined life traumas which retard the treatment process and furthermore regress it at often to it's initial starting point.
Patient X is self injurious and lacks any ability to prevent such injury. Patient X can not, or will not seek assistance when urges to self injure arise. Patient X as said before expresses suicidal ideations but admits to no known plans of suicide, although there is some speculation that Patient X is concealing emotions when being questioned.
Patient X's history includes cranio facial malformations at birth including long time clinical treatment and residual emotional stress from this, including early trauma induced by socio-agressive environmental stressors. Patient X suffers from a general sense of anomie and disassociation from societal norms, though oddly enough Patient X easily integrates into a small societal environment. This leads one to believe that this disassociation is self invented and part of an overall paranoid delusional thought process.
Patient X is an enigma. It seems to this doctor that Patient X is beyond these initial steps of treatment and may or may not require future hospitalization and or some form of ECT and or extensive psychological therapy. Patient X is a nightmare, a void inside an otherwise meaningless shell transgressing this sphere as a walking human though closer in this doctor's opinion to some form of spectre or ghost. In this doctor's opinion, Patient X can not be treated, will not be treated in a means that is available to modern science. It is in this doctor's opinion that Patient X should be confined to watchful psychiatric care for the duration of the period that Patient X continues to show these seemingly untreatable symptoms. Patient X is without a God, Patient X is dead, Patient X is not living in this world, nearly wasting time.
poster:kid a
thread:29763
URL: http://www.dr-bob.org/babble/social/20020829/msgs/29763.html