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This Write Up Is Not For A Real Person
This Write Up Is Not For A Real Person
DOB: November 15
Gender: Male
Age: 19
Marital Status: Single
Place of Examination: ISO Health Center
Presenting Problem:
Joe describes himself as "someone who likes to be left alone," who would
"rather do something than stand around discussing options," and who has at
times been censured for his temper and behavior, including recently "taking
off when Dr. Nambu told me he wanted me to talk to a head-shrinker." He
noted that he was speaking with the interviewer under duress, and had
agreed to do so to keep from being removed from the Gatchaman team.
Behavioral Observations
Joe arrived for his intake appointment several minutes late. He was
appropriately dressed but initially reticent with the interviewer. His affect [2]
was slightly depressed, bordering at times on sullen.
Family History
Joe states that his parents were killed when he was a child; this information
is confirmed by Dr. Nambu. The client found his parents' bodies, and was
confronted with "the bitch that murdered them." He reports that he
experienced feelings of horror and rage and, in spite of significant reported
derealization [3], he attempted to shoot the assassin, but instead was
caught in the explosion caused by her rose grenade. Though Joe is able to
recount what happened to him after the explosion (being taken to the
hospital, going to stay with Nambu), he says these are repetitions of what
he has been told; he has no memories for several days following the
explosion.
Joe reports that his memories of his parents, Giuseppe and Katarina
Asakura, are warm, which is "why Jun says I'm still so pissed off that
Galactor killed them." Joe's memories of his parents' murder were repressed
until recently. At that time, with the help of Ken, he was able to recover
them. Prior to the recovery of the memories, he reports intrusive and
distressing piecemeal recollections in response to particular stimuli, including
bright lights. These recollections took the form of dreams, illusions [4],
visual and auditory hallucinations, and dissociative flashbacks [5], and left
him in a state of heightened arousal, indicated by a racing heart, panting,
and sweating. His repeated attempts to avoid or push away the memories
were futile.
Relationship History
Occupational History
Joe is a member of the Kagaku Ninjatai, "the best shot on the team," and
maintains a cover occupation of private race car driver. He reports that he
enjoys the "adrenaline rush" of both occupations and "can't imagine doing
anything else."
Medical History
Joe states that he has not used recreational or illegal drugs, though he
commented that he wouldn't tell the interviewer if he had. When assured
that a full assessment of drug and alcohol history is necessary to rule out
the influence of a substance, he reported that he drinks "rarely" and "tried
marijuana a total of once…I'm not good to be around when I'm paranoid."
He noted that at times he resents not being able to live "a normal life like
other kids…being able to drink and party," but rather one that requires him
to constantly be alert.
Axis III: Traumatic brain injury, including shrapnel lodged in the brain.
[3] Derealization is feeling like things aren't real, like they're happening in a
dream, or are otherwise strange -- sounds, time, and objects can be
distorted.
[5]Dissociation is when you split off from yourself in some way -- for
example, derealization is a kind of dissociation.
[6] Associative areas are parts of the brain that do whatever specialized
parts of the brain don't -- mostly, they hold memories.
[7] Under the medical model of psychology, you make an actual diagnosis
(so you can bill the insurance!) but you "rule out" the diagnoses you're not
sure about. They're things you need to get more information about before
you're prepared to make an official diagnosis.
Actually, the way I wrote this, if this was real, I wouldn't have ruled out
depression, I'd have made the actual diagnosis, but since I know there are
people who won't like the idea of Joe being depressed, I left it as a rule-out.
(In the biz, we call that "politics." ;-)
And I know, my numbers are out of order. Sue me. (Well, don't -- I don't
have any money :-)
[11] Global Assessment of Functioning – let's just say that's as high as the
number can possibly be, and if he goes much lower, he's not going to be
functioning much at all. But then, that's the problem he's facing, isn't it?