case file 0376-a
patient: [name omitted]
age: 23
preliminary diagnosis: unspecified dissociative disorder. possible parasomnia.
physician's notes: patient responds with evasive metaphors. shows fixation on inverted religious symbols. describes traumatic events in poetic language.
medical history: patient reports recurring episodes of dissociation since late adolescence. history of severe childhood trauma. multiple psychiatric hospitalizations between 1996 and 1999.
presenting symptoms: auditory hallucinations, episodic amnesia, nocturnal parasomnia with violent movements, ritualistic self-harm behaviors.
psychological evaluation: elevated anxiety and depression scales. persistent mistrust towards caregivers. emotional detachment combined with intermittent emotional outbursts.
treatment plan: temporary isolation and night supervision. medication paused temporarily per patient request. scheduled for cognitive behavioral therapy sessions starting 02/25/07.
recommendation: continued monitoring of self-harm tendencies. environmental modifications to reduce triggers. family counseling advised.
final observation: patient left a message on the wall written in blood: “this is where i breathe without being human.”