Patient: John H. Watson, M.D. (RAMC, Capt., Ret.)
Brief Summary - Cover Page for Quick View
Keep in Front of File
Pre-Visit Summary - for consultations separated by at least six months
Recommended frequency of consultation: Weekly
Previous visit: 18 months ago
Diagnosis: mild PTSD, trust issues
Prescriptions: none
Reason for next visit: not specified by patient, but I've seen the news.
Post-Visit Summary
Visibly distressed over suicide of best friend.
No PTSD complications due to viewing suicide requiring change in treatment… yet.
Trust issues compounded by loss.
Has things he wishes he would have said to friend, things he wishes to not have said.
Would not discuss those things with me.
Spent most of consultation quietly sitting. Obvious this visit was not his choice.
Recommendations: weekly consultations, limited use of alcohol due to family history
Prescriptions: none
Post-Visit Summary
Previous visit: one week ago
No obvious deterioration in condition since last visit.
No change in willingness to discuss emotional reaction to friend's death.
Says "being here is enough".
Admitted that visits were to satisfy demands of sister.
Recommendations: weekly consultations, limited use of alcohol due to family history
Prescriptions: none
Post-Visit Summary
Previous visit: one week ago
Mentioned that he'd moved from the flat he shared with deceased friend.
Said he kept expecting to see friend in the flat.
(Not as preposterous as it sounds - history.)
No obvious deterioration in condition since last visit.
Recommendations: weekly consultations, limited use of alcohol due to family history
Prescriptions: none
Post-Visit Summary
Cancelled
Post-Visit Summary
Previous visit: One month ago
Patient relieved that his name was cleared in investigation regarding deceased friend.
Returning to medical practice.
Writing up cases performed with friend perhaps to publish as blog/book format.
Goal is to clear friend's name.
Seems improved from past visits. Having concrete goals provides focus.
Still unwilling to discuss emotions, still trust issues, but not crippling.
Recommendations: Monthly consultations, limited use of alcohol due to family history
Prescriptions: none
Post-Visit Summary
Previous visit: One month ago
Patient asked if it is normal to think he sees his deceased friend lingering around.
Sighted him near surgery and new flat. Same build, different hair color.
Admits to having nightmares.
When asked, says he is not suffering from suicidal ideation.
(Asked because of history.)
Recommendations: Monthly consultations, limited use of alcohol due to family history
Prescriptions: none
Post-Visit Summary
Previous visit: One month ago
I did most of talking at this session.
Informed patient that his file had been viewed by unknown persons without my approval.
Patient made comment about friend's brother, then stormed out of session.
Recommendations: Monthly consultations, limited use of alcohol due to family history
Prescriptions: none
Post-Visit Summary
Cancelled
Post-Visit Summary
Previous visit: Three months ago
Patient was in good spirits, having made headway towards clearing deceased's name.
Asked if patient was engaged in social life - friends, yes. No romantic involvement.
Asked if it was time to move on romantically. Patient seemed confused by question.
Trust issues.
Recommendations: Monthly consultations, limited use of alcohol due to family history
Prescriptions: none
Post-Visit Summary
Cancelled
Post-Visit Summary
Previous Visit: Three months ago
Patient was more talkative, but mostly concerned about former landlady.
Patient concerned that landlady is having delusions or exhibiting dementia.
Patient only said "fine" when asked about himself.
Recommendations: Monthly consultations, limited use of alcohol due to family history
Prescriptions: none
Post-Visit Summary
Previous visit: One month ago
I did most of talking at this session.
Informed patient that his file had been viewed by unknown persons without my approval.
Patient did not storm out, as he did in previous instance.
Patient reacted as if I'd proven something to him, almost pleased, but I don't know what.
Recommendations: Monthly consultations, limited use of alcohol due to family history
Prescriptions: none
Post-Visit Summary
Cancelled
Post-Visit Summary
Previous visit: Three months ago
Patient asked me to record the following in his file:
"I wish I could take back the last things I said to him in person. He was my best friend."
Recommendations: Monthly consultations, limited use of alcohol due to family history
Prescriptions: none
Post-Visit Summary
Cancelled
Post-Visit Summary
Previous visit: Five months ago
Patient seemed in good spirits.
Patient is dating a female, one with a medical background.
Still concerned about landlady.
Recommendations: Monthly consultations, limited use of alcohol due to family history
Prescriptions: none
Post-Visit Summary
Cancelled
Post-Visit Summary
Previous visit: Three months ago
Patient and girlfriend have moved in together.
Claims that living with someone again is not exacerbating PTSD related to deceased.
Asked if new relationship has clarified feelings for deceased.
Patient did not respond. Slight tremor in left hand. Abrupt end to session.
Trust issues not improving.
Recommendations: Monthly consultations, limited use of alcohol due to family history
Prescriptions: none
Post-Visit Summary
Cancelled
Pre-Visit Summary - for consultations separated by at least six months
Recommended frequency of consultation: Monthly
Previous visit: 12 months ago
Diagnosis: mild PTSD, trust issues
Prescriptions: none
Reason for next visit: not specified by patient, but I've seen the news.