Lost Boy

by my own patronus

In September 1999, Pam and James Anderson's world was shattered when their youngest son, Blaine, was abducted from a local park. 12 years later, after pain, healing, and tireless searching, the family is reunited. But the boy who comes home to them isn't the same one they lost so long ago. The Anderson family must learn to change and grow as a lost boy is found once more.

17. Interlude 8

Sorry for posting a day late. A client had a crisis so I was in the hospital with them until 3 am. Regular posting schedule from now on, fingers crossed!

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Marilyn Walker's Mental Status Examination, conducted by Dr. Emily Porter, MD, PhD, in January 2012.

Marilyn Walker, a 49-year-old woman, appeared disheveled when meeting with the examiner for her sessions. Her hair was tied back in a ponytail that looked like it hadn't been attended to for several days due to flyaway hairs and knotted mats. Her clothing, a prison-issued blue jumpsuit, hung from her frame, suggesting that she has recently lost weight. Marilyn walked in small, shuffling steps with her head downward. Throughout the interview, Ms. Walker was rarely still; she shuffled her feet, wrung her hands, and smoothed wrinkles in her clothing. Ms. Walker seemed open to speaking with the examiner, though became less compliant when the examiner would not provide updates on her son. Ms. Walker had difficulty making and maintaining eye contact with the examiner. Ms. Walker occasionally displayed appropriate affect (e.g. smiling when relating happy memories of her son, crying when asked about her separation from him), but was often withdrawn and had flat affect when speaking about anything unrelated to her son. Ms. Walker's thought patterns appear to be quite disorganized; she did not relate information in any logical order. Her speech was rapid. Ms. Walker reported no perceptual disturbances such as visual or auditory hallucinations, but does continue to insist that her son is alive and either has no memory of or refuses to acknowledge the fire that killed her family. She was oriented to time and place, but insisted that she did not understand why she has been imprisoned. She denied suicidal and homicidal ideation. Ms. Walker's memory and intelligence appear average.

Ms. Walker was previously diagnosed with Bipolar Disorder (296.41) and has been prescribed Seroquel. This examiner recommends further psychological and personality testing to determine a more accurate diagnosis and treatment plan for Ms. Walker. This examiner would preliminarily diagnose Ms. Walker with Borderline Personality Disorder (301.83) and Bipolar Disorder (296.41).