Patient Name: O’Byrne, Kellin Jack
Date of Birth: ??/??/1989
Sex: Male
Medical Record: #1004
Identification:
Hair: Brown
Eyes: Blue
Ethnicity: Caucasian
Height: 5”7’
Recorded November 13th, 2014
Contact with the roommate Mr. O’Byrne had been with during his stay at Rosebay group home was successful. Mr. Finn McCormack initially had been unreceptive to answer any questions regarding the patient and ‘Keenan’. However, a call was received from him three days later, verifying their stay.
Patient refuses to take Risperdal for treatment. Has shown hostility and aggression when asked to take medications. Treatment shall be held off while diagnosis of delusional disorder is in question.
Sessions:
Sessions are recorded. Patient continues with his story, but seems to have trouble remembering. Unlike before, patient now takes long pauses and struggles to remember where he left off.
Psychotherapy should continue.