Patient’s Name: Algernon Greyson
Evaluator: Deleted
Date of Evaluation: 25 April 2011
1. Purpose for Evaluation:
This is the first inpatient admission for this 19 year old, single, white male who is a student at UW Madison. He was admitted due to abnormal psychological symptoms with possible danger of starving himself to death. The purpose for the current evaluation is to identify and clarify the nature of the patient’s underlying psychological symptoms and establish a proper treatment plan accordingly.
2. Relevant History and Background:
Personal Information:
Name: Greyson, Algernon
Age: 19
Sex: Male
Marital Status: Single
Occupation: UW student
Symptom Repertoire:
Positive Symptoms:
Hallucinations:
• Hears voices all night.
Delusions:
• Believes someone might come in his room and kill him or kidnap him.
• Feeling very fearful lately missing classes as a result.
• Thinks students are looking at him and judging him negatively.
• Believes receptionist talks behind his back and makes “evil” stares.
• Suspicions of being talked about behind his back, and criticized alienating his friends for the past 6 months.
• Afraid he may be attacked in the bathroom while showering has not showered in a week.
• Believes there are people stuck in his house walls thinks they might come out and harm him.
• Difficulty distinguishing unreality from reality.
Negative Symptoms:
• Flat in his affect.
• Became quieter Hard to extract information.
• Expressionless.
Unspecified:
• Difficulty sleeping at night.
• Undernourished. o Starving Won’t go shopping.
• Used to have a good support system of friends.
• Not suicidal, no depressive traits.
• Avoided seeing a psychologist.
3. Assessment Procedures & Findings
The patient was interviewed in a clinical setting. I find that positive and negative symptoms as in schizophrenia are present (detailed symptoms are listed under symptom