V

 

 

 

 

 

Axis I:
Deferred Diagnosis
Sexual Abuse of Childhood
r/o Physical Abuse of Childhood
r/o PTSD
r/o Depersonalization Disorder

 

AXIS II: Deferred
AXIS III: Deferred to OPMR
AXIS IV: Occupational
AXIS V GAF: 51-60

 

Impression:

Provider was trying to teach patient the breathing technique used in the first lesson of Prolonged Exposure therapy. Patient had trouble getting it right and had to be instructed several times. As provider observed patient, his breathing would go rigid, he would stop saying the ‘calm, relax’ phase, his eyes would open without seeing the room, then close and his breathing would become increasingly erratic. His breathing would be fast, then slow, then fast again. When provider spoke to patient, no response was recieved. Patient was clearly disassociating from the experience. He was able to report depersonalization sensation and his appearance altered. Patient was not able to complete the breathing technique in the first session.

Reviews

[Coyote Poetry]

A powerful story. Mental illness is hard to write about. Most of us ride on the edge of insanity anyway. Great description and story made this story a pleasure to read. A outstanding story so far.
Coyote

[Ama May Cooper]

This was a brilliantly written piece of work. Massively intellectual and a enjoyable read. I found it all very interesting and the flow is perfect. Written like a true journal. I do hope there are further instalments of this :)