DATE: 05/17/1993 (Monday)
DOCTOR: TAYLOR, DANIEL (Child psychiatrist)
PATIENT: BAKURA, RYOU; AGE: 11
Patient has seemed to have harmed himself repeatedly by stabbing himself, attempting to suffocate himself, and has even gone to the stretches of suicide in several ways which have not been recorded. The father of the patient (who is the only living relative of the patient) claims that the patient has been going to church on Sunday mornings, which he had not done until almost three days before the self-harming began.
The patient has been recorded to be hearing a voice in his head, which he calls "Bakura" when speaking to it. When talking about this voice to others, he calls it "Yami" (in the form of "my Yami"), a word literally meaning "darkness". This suggests that the voice the patient hears in his head is a dark spirit of some sort. Whenever patient is questioned about the self-harming, he responds that "his Yami" injured him, or it told him to harm himself. Similar occurrences and blames have been recorded, as a result of schizophrenia.
The patient does not completely seem to be a victim of schizophrenia, however. It could be possible that this "Yami" is a result of Post Traumatic Stress Disorder (PTSD), which the patient is a possible victim of. The patient's mother (Lucretia Bakura neé Adii) and younger sister (Amane Bakura) died in a car crash that the patient was also a victim of. However, the patient was the only surviving victim. The patient's father was not in the car at the time, but was at his house when his wife and children were reported injured and/or deceased.
Bipolar disorder is also a possible diagnosis for the patient. He has been known to be extremely angry at this "Yami", or possibly be in tears from something "Yami" said, then be feeling another emotion as intense as the one felt previous. This leads both me and doctors at the hospital the patient is staying at to believe that the patient is suffering from a mix of Post Traumatic Stress Disorder (PTSD) and bipolar disorder. However, we cannot be certain to this, as hearing voices in one's head and injuring one's self are not common symptoms of either mental illness, although these symptoms can occur.
It is possible that the child is also suffering from child abuse by his father. If this is true, he continues to deny it, and his father does, as well. The self-harm scars seem too strong and continually applied to fully be self-harm scars, making child abuse a possible conclusion for the boy's injuries. However, this does not explain the mysterious "Yami", who we have been told nothing about except gender (male) and age (16; est.). Schizophrenia is still a possibility for the mysterious "Yami"'s existence, but we cannot be sure of our diagnosis as of yet. This makes our prognosis unknown, as well.
DIAGNOSIS: MENTALLY ILL (SCHIZOPHRENIA; BIPOLAR DISORDER; ANXIETY; POST TRAUMATIC STRESS DISORDER (PTSD) ETC.); CHILD ABUSE
UNSURE OF OFFICAL DIAGNOSIS; ASSUMPTION UNTIL MORE INFORMATION IS RECEIVED.