Patient number 3667776
Name:
Birth date:
Sex:
male
there are no documents, no identity card or birth certificate on this Patient, he isn't known among the police either; he seems to exist outside the system
Diagnosis:
Anorexia nervosa (Patient weighs currently ca. 104 pounds by 5,6 ft height; there are some episodes of bulimic behaviours);
Dissociative amnesia (Patient remembers less than two years prior but has a rather impressively easy access to memories from his childhood); Patient tells stories that could have never taken place, mixes facts and keeps thinking out new facts from his life;
Obsessive–compulsive disorder (nervous habits e.g. rhythm tapping, leg or hand trembling, lips licking); obsessive thoughts (Patient talks constantly about a friend of his from childhood and Patient's mother); Patient washes his hands every time he touches something (he counts his moves - their number must be 7 or 13);
Bipolar disorder (at least three manic and two depressive episodes in the last four years); during depression, notes of self-harm; Patients constantly talks to himself;
Panic attacks three or four times a month;
Patient has undergone two psychotic breaks since coming to the asylum; the cause of them has still not been discovered;
Treatment:
•25 mg Clomipramine tablets three times daily;
•Benzodiazepine (only when panic attacks occur);
•0,5 mg Fluanxol tablets three or six times a day (depends on the Patient's current state );
•15 mg Abilify tablets once a day (during manic episodes);
Side-effects: Patient often suffers from splitting headaches, anxiety, insomnia and itchy skin (mostly hands or throat); his vision sometimes blurs.
As for now, this treatment hasn't changed Patient's state noticeably.