Patient Record: Dakota Reynolds

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Patient Record: Dakota Reynolds

Post  Mason on Mon Feb 20, 2012 9:38 pm

Name: Dakota Reynolds
Gender: Male
Species: Human
Age: 23
DOB: January, 20, 1989
Height: 6'
Weight: 140 lb

Symptoms: Depression, Anxiety, Suicidal thoughts and self harm, Ochophobia

Biography: Dakota grew up in a relatively normal middle class family. While not particularly privileged in any regard, he was happy, performing adequately in school while still maintaining a small group of friends.

At age 15, Dakota got into a terrible accident. While driving learning to drive with his father, a drunk truck driver ran through a stop sign he was passing through and slammed into his car, sending the car spinning to where it eventually fell into a ditch. Dakota was crushed by the passenger seat, leaving the crash site with many broken bones on the right side of his body as well as a face full of glass. While his broken bones healed, he was never able to regain his eye, and had it replaced with a glass one.

Upon returning to school, his friends were keen to joke and laugh about the accident, though Dakota was not, and from that point on began distancing himself from his fellow students to complete isolation. He also began distancing himself from his parents, who did not believe depression and anxiety were actual disorders and thus did not treat their child. Dakota grew increasingly frustrated over time, despite his seemingly adequate housing situation, and moved out at the age of 18.

Dakota's fear of vehicles still persisted, and thus he was still stuck near his parents and living in terrible neighborhoods and apartments in order to be close to work. His jobs were nothing to brag about, though he was getting by. Often he would contemplate suicide, though couldn't exactly pinpoint why he was so frustrated with life as a whole. That is, until he met a women named Emily on the job.

As fate would have it, they fell in love. After a year of dating, Dakota invited Emily to live with him, and she happily agreed to the proposal. However, his relationship did not changed the fact that his living situation was terrible. One night, Emily was walking out of a bar, to be forcibly pulled into an ally way and raped by a group of men, whom were never caught, and a few weeks later she found out she was pregnant. Dakota was incredibly angered by the news at first, knowing they didn't have the funds to take care of a child. After about a month, he would realize the error of his ways and attempt to make it up to it, but he was too late. The trauma of the assault as well as the emotional abuse she received from Dakota had finished her off, and Emily killed herself by slitting her throat in their bathtub.

It wasn't long after the incident that Dakota began cutting himself, distancing himself even further from his co-workers. They would notice the cuts on his hands, and the occasional bloodstains on his cloths, but they would never say anything. It wasn't until one day he did not show up to work that one of them left to check on him in his house, where they saw his own suicide attempt in process through the window. Police arrived quickly on the scene, and then later convinced Dakota to seek help.


Medical History: His right eye is made of glass.

Has the patient been referred by a court ruling?: No; he is voluntary.

Has the patient been previously diagnosed with any mental or health illnesses?: No

Has the patient been known to harm them self or others (or both)?: Yes; self harm.

Privileged Patient?: No

Current Medication: Sleeping pills, Antidepressants.


Last edited by Mason on Sun Oct 07, 2012 8:12 pm; edited 2 times in total
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Re: Patient Record: Dakota Reynolds

Post  Zephyrus on Tue Feb 21, 2012 1:05 am

Dr. Stefan Caprioli's report:

Patient seemed very nervous when he was brought in. When I mentioned it he attributed it to his apprehension with cars but as his shaking continued throughout the section it seemed like there might have been some additional cause. The patient, when asked about why he thought he was told to come to the hospital, said he believed he deserved to die, he deserved to receive punishment for 'killing Emily'. He likened himself to a murderer in prison who receives the death penalty.

Guilt and depression seem to be his main issues. The fear of cars isn't something that should come up often in the hospital setting so it can be addressed more later. Due to his history with suicide I request that an orderly come by to check on him every half hour and that his room be stripped of objects that could easily be used in a suicide attempt.

On a side note: the patient passed out shortly before leaving for the infirmary. It was determined this was due to the blood loss from his previous suicide attempt. The blood work from the infirmary confirmed this. The orderlies are to make sure he eats at least two whole meals a day.

During the strip search a pocket knife was found in his clothes and confiscated.
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Re: Patient Record: Dakota Reynolds

Post  Lillian on Thu Mar 01, 2012 3:14 pm

Patient remained adamant that he did not deserve to call people by name, only by "ma'am" or "sir". Obviously blames himself for the death of 'Emily'. As far as aware, has been keeping up to his meal requirement.
Distraction recommended - will talk to Dr. Ross Carter regarding maybe some Science tutoring at some point.

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Re: Patient Record: Dakota Reynolds

Post  Zephyrus on Wed Apr 25, 2012 2:37 am

Dr. Allen Carter's report:

Patient was brought to me by patient Ross Sharpe who claimed that Dakota was having issues. When I questioned him he claimed to not remember many things so I deduced that he is having memory troubles. Further tests need to be run and I need to look at security footage from his room but I would guess the memory issue has something to do with malnutrition and possibly sleep deprivation. I've requested he be put on a special diet and that an orderly bring him to the cafeteria at least twice a day for a meal and vitamin supplements. The sleep deprivation issue is still being reviewed and I will address it once I have more information.

As per Dr. Sharpe's request, I also discussed tutoring with Dakota. He claimed to have an interest in science and possibly pursuing it in college so we decided that he would be brought to my office 4 times a week for natural science lessons.
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Re: Patient Record: Dakota Reynolds

Post  Mason on Sun Apr 29, 2012 2:44 pm

Written by Mason Conrad:

Patient 'Alexandra Webb' accused Reynolds of rape, albeit this was quickly proven wrong after cross referencing profiles and viewing footage. The patient seemed to be in an extreme state of fatigue; falling asleep as I talked and seemingly lacking in concentration. This should be addressed in a future session.
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Re: Patient Record: Dakota Reynolds

Post  Mason on Mon May 14, 2012 5:57 pm

Written by Mason Conrad:

I called in Dakota to discuss with him about treatment options concerning his depression, memory impairment, and sleep loss. Albeit he claimed to have suicidal thoughts (deriving off frustration over his memory issues), Dakota seemed more optimistic after I gave him a journal, which he'll write daily about his ongoing affairs. The journal is small; enough to fit in his pocket, but having enough pages to last awhile. The patient has been instructed to follow a specific format, and an orderly will now visit him daily as a reminder to write.

Although I've given him a 'memory journal', it won't suffice in the long run. His memory and sleep loss are more than likely connected with an underlying issue; his depression. Dakota will be receiving antidepressants, which should help improve his major issues little by little.
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Re: Patient Record: Dakota Reynolds

Post  Zephyrus on Tue May 22, 2012 12:27 am

Dr. Allen Carter's report:

Patient was brought in by patient Alexandra Webb with what appeared to be self inflicted gashes on his forearm and wrist. The self inflicted part was confirmed when I spoke to the patient as I bandaged him; he stated that he used the mirror in his room. He claimed that he 'needed' to do it for some sort of punishment, hinting at a first step towards suicide. I kept the patient overnight to sleep in the infirmary, as quite a bit of blood was lost and he was given nutrients via IV throughout the night to help counteract those effects.

I spoke with the patient who brought him in and she confirmed what parts of the story that she could. She did not have much information to add aside from that.

I recommend that the patient meet with his therapist as soon as possible.
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Re: Patient Record: Dakota Reynolds

Post  Mason on Wed May 30, 2012 10:55 pm

Written by Mason Conrad:

I called in the patient today in concerns with his self-inflicted wounds. The man had no sense of self-worth; claiming that his 'crude' existence called for punishments/reminders. A currently unnamed female patient, however, had some influence on this sudden behavior. Reportedly, she told the patient that he 'wasn't worth wasting time on'. I've managed to reason with him, albeit a much more viable solution will be needed. Furthermore, we discussed possible changes in his sleeping patterns, but the patient couldn't provide any information.

For now, I've assigned a shift of guards to oversee the patient for his safety. They'll also report any other useful information they've gathered (his sleeping pattern, etc.)
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Re: Patient Record: Dakota Reynolds

Post  Mason on Thu Jun 21, 2012 1:53 am

Written by Mason Conrad:

The patient was called in to review his progress. The guard's reports show that Dakota sleeps an average of four hours per day. Beforehand, however, he lays down; looking as if he could be sleeping but still wide awake. The patient claims that, during those times, he's caught up in thought concerning his situation. I've offered to allow the patient to visit his girlfriend's grave; an offer in which he took. Considering he was unable to attend his girlfriend's funeral, and with so many unresolved issues linked to his underlying disorder, a chance for the patient to visit the grave is highly necessary. A date and time will be given to Reynolds as soon as the visit is set up.

Afterwards, I began speaking to the patient about his social issues. Reynolds feels 'isolated', and that he 'holds everyone back'. Considering his memory issues, he seems to hold one memory to judge a person. For now, however, it seems that he holds bad memories towards some of the other patients. This should be worked on in future sessions.

The patient will be receiving sleeping pills due to his little sleep hours.
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Re: Patient Record: Dakota Reynolds

Post  Mason on Wed Jul 25, 2012 2:43 pm

Written by Mason Conrad:

The patient and I were allowed to spend a day visiting Emily's grave. Given the circumstance, Reynolds was extremely anxious, although he seemed reluctant to reveal his emotions. In terms of recovery, he made it clear that he stood in a "why bother?" mentality, albeit the discussions we held and the visit itself allowed him to question whether or not "killers deserved to be killed." In the end, the patient decided that he'd like to process everything before proceeding forwards.

Health-wise, the patient seems to be showing improvements. The sleeping pills are allowing him to rest the proper amount of hours.
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Re: Patient Record: Dakota Reynolds

Post  crystalofchaos on Sun Sep 16, 2012 3:28 am

Dr. Jezebel Tahara's report:

Patient Reynolds was brought in by Alexandra Webb who complained that she had been trying to get him to visit the infirmary for a while. Webb related that Reynolds had been complaining of being cold, having trouble eating, and lacking sleep. Reynolds confirmed these problems as well as his own memory difficulties. He explained that he feels as though he will throw up if he eats and so avoids eating. An anti nausea medication was prescribed to ease this condition as further deterioration of malnourishment could quickly become dangerous to the patient. Anti nausea medication is recommended to be given to the patient with his meals so that it is not forgotten. It is highly recommended that the patient's meals be monitored to ensure that he is eating sufficiently. Extra blankets and warmer clothes have also been requested to make the patient more comfortable. If the patient's condition does not improve observation may become necessary.
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Re: Patient Record: Dakota Reynolds

Post  Zephyrus on Sat Sep 29, 2012 7:43 pm

Dr. Allen Carter's report:

Patient passed out in the hallway following a verbal argument with patient Alexandra Webb. There doesn't appear to be any injuries aside from slight bruising and he likely passed out due to overexertion. Patient will be kept overnight in the infirmary for observation and fluids will be administered via IV.
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Re: Patient Record: Dakota Reynolds

Post  Sana on Sun Sep 30, 2012 9:56 pm

Patient was found out in the garden using his nails to harm herself. Injuries were minimal. An orderly will be sent by his room to cut his nails later.

Patient was also speaking of suicide. Therapy session recommended.
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Re: Patient Record: Dakota Reynolds

Post  Mason on Sun Oct 07, 2012 8:18 pm

Written by Mason Conrad:

The patient was called to a session with concerns to his recent happenings. He was incredibly demoralized; refusing to talk about anything if it didn't directly help his memory issues. To proceed, I prescribed to him anti-depressant medication, considering how his memory loss is directly linked to his depression. A follow up session should be committed to see how the medication is working. Furthermore, it is recommended that his depression be worked on the most as opposed to other issues, as it will be difficult to make progress if he cannot remember the sessions.
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Re: Patient Record: Dakota Reynolds

Post  Mason on Sun Apr 14, 2013 12:29 am

Written by Mason Conrad:

The patient was called to a long-overdue session. I immediately began assessing his responses to my various questions, and concluded that he has a negative explanatory style to the stressors in his life. This is quite typical of a depressed individual. I approached the problem by proposing that we begin giving the patient a stress innoculation training; a type of training that works to reverse a negative explanatory style. This training has proven to be very efficient in aiding depressed patients, and it seemed like the most viable option.

Furthermore, I recommend that if other therapists see Dakota, they begin a process of desensitization of his past, perhaps through traumatic narratives or other techniques, to aid in alleviating his depression.

I've asked the patient that he begin an exercising routine. It is known that exercise can also alleviate anxiety (through the releasing of endorphins, or if the patient approaches it as a psychological catharsis). The patient is also known to have an incredibly low appetite. Exercising would make it more likely that the patient eat more, as the physical activity would release ghrelin into the body. I've asked guard Azrael Boyka to come off his medical leave and coach him through the exercises.

It is far too soon to conclude whether or not Dakota's anti-depressants have helped with his memory issues. If his memory issues prove to persist, it may be necessary to give him a higher dosage.
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