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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
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.
Posted by wendy b. on September 4, 2002, at 22:45:12
In reply to Case Study. A chronologie of patient X, posted by kid a on September 2, 2002, at 12:42:54
Actually, my dearest, another fine piece of torrid self-scrutiny. I know, I know, it's cold comfort. But there is a reason to live, if only to share these perceptions with others...
I will write my own Patient X. I think this is a great exercise for writers. Ever think about teaching writing? This is a perfect example of a rhetorical problem to set for a class... Like a self-portrait would be in a painting studio.
more anon, just thought I'd say hi, I hear you, you are in my thoughts,
love,
W.
Posted by alii on September 4, 2002, at 23:14:39
In reply to Case Study. A chronologie of patient X, posted by kid a on September 2, 2002, at 12:42:54
Posted by kid a on September 4, 2002, at 23:40:06
In reply to Patient X is dead? Or perceived to be that way? (nm) » kid a, posted by alii on September 4, 2002, at 23:14:39
Posted by alii on September 4, 2002, at 23:50:04
In reply to Re: is there a difference? (nm) » alii, posted by kid a on September 4, 2002, at 23:40:06
you tell us
Is there a difference of being dead or perceiving oneself to be dead? I would certainly say that there is a difference.
I'm guessing that the perception of already being dead has to do with the progression of the disease and the distortion of the thought process that is caused by severe flare ups of Patient X's disease.
C'mon and humour me/us (the board) and let's get into this.
--imperious alii
This is the end of the thread.
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