Psychologist

Psychological Report Upper St.Clair High School Telemachos Date Of Evaluation: 11/23/15 Case No.:1 Admission Date: 11/23/15 Date Of Report: 11/23/15

Purpose For Admission: This is the first admission of this patient. Telemachos is an adult male, age 21, with no prior referrals from other medical professionals or concerns reported by family or others around him. Based on his sudden condition, our team has decided that it would be best to mother about his past. As previously mentioned there are no previously reported incidents in his file, but we believe that there may have been other incidents in the past that may have gone either unnoticed for their lack of severity, or dismissed as something else.

Background Information: Telemachos was raised exclusively by his mother, who never remarried after the boy’s father disappeared after fighting in the war against Troy. His father, Odysseus, left to fight when Telemachos was an infant, and although he apparently did not want to leave, he never returned and it is uncertain whether he is alive or not. We believe that this may have been one factor that helped influence Telemachos into having the mental state that he holds today.

Mental Status Examination: After meeting with the patient in question, our team reviewed our recordings of the session to reveal several interesting phrases that were key in determining the conditions that we believe Telemachos has. During one part of the examination, Telemachos described how he met the goddess Athena herself, and that she was in disguise to send him on a quest. Aside from that, he said that she also turned into a bird afterward. This is clearly an example of a visual hallucination, and one of a rather grand scale at that. This type of delusion is typical of paranoid schizophrenia, one of two disorders we believe him to have. The fact that this type of behavior has never appeared before concerns us, as it begs the question; has Telemachos experienced other hallucinations of this kind in the past? Of course, we can’t be sure without his words, but he seems uncomfortable sharing when it comes to these delusions. He has no grasp of the fact that they are not real, making him feel judged and disbelieved by our staff. Unless he opens up more, we are worried that these hallucinations could lead to more rash actions, such as his running off to find his father. Not only is this type of quest unrealistic in its goal, but potentially very dangerous. If he does not open up to us soon, it may be best to try and keep him for 24/7 observation for at least a few days to see if there are any more issues. Aside from schizophrenia, Telemachus suffers from Antisocial Personality disorder. He was very naive and and childish. He blames the gods for his weaknesses because they do not provide him with strength. It seemed like it was difficult for him to tell the difference from right and wrong. Telemachus usually goes into situations he can not handle or that he has not thought through. For example, after seeing Athena he immediately listened to her and departed he never really thought through his plan.

Results of Evaluation: We believe Telemachus has Antisocial Personality Disorder and Schizophrenia because of the evidence stated above displaying his statements on what he has been experiencing.

Summary/Recommendations: Based on the results of Telemachos’ evaluation, we have decided that it would be best to keep him under observation and possibly send him to a psychiatrist to prescribe medication if the issues continue on this scale. Although there is not much we can do for his APD, it is likely that as long as his Schizophrenia is well-managed, he will be fine. In conclusion, our overall recommendation is that he is kept for observation and prescribed medication to control his hallucinations and other paranoid schizophrenia symptoms.