Patient: Sandy Macxermillian
Session one
Struggling with suicidal thoughts
Tough time adapting to the environment
Constant negative thoughts
Feelings of loss not belonging
Session two
Anxiety?
Spends most time alone/dislikes his peers--why?
Has anhedonia
Pessimistic about the future
Crying spells and deep sadness “pulling him inside”?
Major depression?(should remember hm)
Session three
Loses track of thought, long silences – spacing-out?
Delusional
Lacks trust
Session four
Long sleeve shirts always, self-harming maybe? Winces a lot
Unhygienic/insomniac/ lethargic
Expresses apathy
Session five
Delusions? The calling?
“lifeling behaviour?
Rmbr : ask what is “lifeling” +“calling”
The crop?
The calling = depression?
Socially inept
Cnt. Speaks of death and killing
Macfeerson and Macxermillio derivatives of pat. surname. Hallucinations?
Not found in the univ. Records = Not students/not real/townies?
Rmbr : Give homework (social hm) =CBT
Spends all time with M+M (only friends mentioned)
Nts: should follow up on M+M