Subject Name: Doe, Jane
Jane Doe is a stated twenty two year old female. She has a history of reoccurring problems on the work site and at home. Most recently, Jane experienced a "psychotic" episode at work and was hospitalized for two weeks during which time she received treatment geared at stabilization of the acute episode. Little is known about Jane?s family history and she has had no prior hospitalizations. Information available comes from her current therapist, hospital reports, and coworkers. Jane also has presented some information though the credibility of her reports is questionable.
The client I am presented with is a woman who looks obviously much younger than her stated age. She is estimated as being within the above average range of intelligence. Her attire was extremely provocative and she was heavily made-up. She was demonstrating childlike mannerisms and speech. Ms. Doe carried only a large backpack that she described as her "safe".
She reports carrying all her important papers and items with her at all times "in case someone needs to know something about me". Her speech was extremely rapid and slightly pressured. She constantly fidgeted in the chair, dominating the conversation with drawn out explanations of her own history, behaviors, and problems.
Thought processes were organized and non-delusional with some bizarre paranoid and compulsive features. She did not appear to be experiencing the effects of any substances at the time of this interview. Ms. Doe admitted to frequent use of alcohol and marijuana, which she uses to make herself "feel better, and forget about things" but denies dependency to either substance.
Client?s mood at the time of this observation was somewhat elevated and anxious. She admitted to a history of attempted suicides and violent episodes but denied current suicidal ideation.