East Haven Mental Hospital
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Patient Application: Jorden Belle Johnson

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Patient Application: Jorden Belle Johnson Empty Patient Application: Jorden Belle Johnson

Post  JordenBelle Sat Oct 15, 2011 5:52 pm

Name: Jorden Belle Johnson
Gender: Female
Species: Human
Age: 18 [Believes she is 5]
DOB:08-15-1993
Height:5'2
Weight:115

Symptoms: (What makes you think that your character needs help?) The belief that after 18 years of life that she is still 5.
Biography: (Anything in your past that may be a factor in whatever mental illness you may have/Tell us about yourself!) Her Mother kept her believing she was five, by reinforcing it by toys, langue, environment, and behavior. Her mother passed away when she was 16 and put into the foster system. Countless tries by counselors and foster parents to try to convince her she was her real age failed. At 18 she is no longer the state's responsibly but the court suggested she be put in a hospital so that maybe she may live a normal life after treatment.
Medical History: (Any health problems we should know about? Allergic reactions?): has had chicken pots.

Has your character been referred by a court ruling?: (Is coming here their decision?)
If so, Why?: Yes by court ruling. She agreed after she was promised a family after treatment.

Has your character been previously diagnosed with any mental or health illnesses?:
If so, what? No. but has great fear of being alone. Convinced her Mommy was taken away, wants her mommy back or would like a new mommy or daddy.

Has your character been known to harm them self or others (or both)?: No

Anything else? (Questions, comments, concerns, anything you think we need to know about your character IC and/or OOCly): She carries a blonde haired doll named Lucy around. She must have her with her at all times.


JordenBelle

Posts : 1
Join date : 2011-10-15

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