Psychiatrist at St. Margaret’s, Nottingham Eng.
Evaluation – (Dr Paul Vradenburg MD)
Patient: J.
Date: #**
Referring Party: Judge Ruling
Chief Complaint (as stated by patient)
Patient believes she possesses the ability to manipulate the supernatural, hallucinates years of travel out of the country.
Note: Her confidence in these fantasies is notable; gentle confrontation produced visible confusion, suggesting she may be more unsure than initially presented.
She claims her father “visits in spirit,” though descriptions are vague and inconsistent when pressed for details. She becomes uncomfortable when inconsistencies are highlighted. Often believes her mother died violently, which is a lie.
Appearance: Appropriate attire for age; fidgety, avoids direct eye contact when challenged. Patient begins to pull out longer hair for some sort of ritual, head must be shaven.
Speech: Normal rate, but derails into supernatural topics without prompt— easily crude and accusatory.
Mood/Affect: Affect incongruent.
Thought Process: Tangential; constant mood of escape, medication necessary to focus in class.
Thought Content: Firm belief in supernatural abilities; interprets coincidences as messages.
Perceptual Disturbances: States she “hears ‘em- know me” though admits these are clearer “in the dark or when she’s alone.”
Judgment: Impaired. Unable to differentiate imagination from external events.
Note: A brief pause after questioning her “powers” resulted in noticeable hesitation — a promising indicator that her confidence can be destabilized with further evaluation.
Note: Refuses to lay in provided bed, distrusts teaching staff.