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Sheila Brown Case Summary

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Sheila Brown has been a patient of mine since 9/3/2014, and since admission, she’s had 3 admission to PHEP (she was discharged administratively during PHEP last admission after placing rat poisons in the PHEP room), 3 admissions ED/St. Gerard (last admission to St. Gerard was on 8/2017), and 2 admissions to PRP program (New Phases and Harbor City – administratively discharged from both programs).
Sheila has been diagnosed with Schizoaffective, bipolar types, and I am concerned about the steady decline of her symptoms. She continues to believe that the 4 invisible animals (crocodile, snake, rat, and dog) reside in her apartment and wait for the opportunity to kill her. She has expressed frustration from not being able to employed, suspicion from having her disability benefit to be cut off within the end of the year, and sadness from her mother’s decision to move out to different places without telling my pt about the new address. Over the years, Sheila hasn’t been able to stay long enough at PRP due to paranoia and trepidation of other people’s intention. …show more content…
She has also expressed frustration from not finding the responsible person who will take care of her ashes after the cremation. Sheila told me that she didn’t have any plan of wanting to kill herself, but she truly believed that the animals would succeed in killing her in the middle of the night. On some occasions, she would vaguely mention to me about being sick and tired of living and shared occasional image coming through her mind, where she would run into a heavy traffic and get hit by a car. Within the same breath, she would repeatedly state that she didn’t have a plan of killing herself and tell me about her plan to find a

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