Patient Record: Jean Sawyer

Name: Jean Sawyer
Gender: Female
Species: Human
Age: 20
DOB: 08/13/1992
Height: 5'3"
Weight: 95 lbs

Symptoms: Obsessive compulsive disorder, depression and anorexia. This manifests in compulsive self-harm, severe social anxiety, and weight fluctuation with health problems arising from malnutrition. This all also seems to be causing her to have headaches and migraines. She also has developed a fairly severe stammer.

Biography: Jean Sawyer grew up in a very stressful environment full of pressure from her upper-addicted mom. Her father dropped out of the picture when she was a toddler. She was a hard worker, but was disorganized and forgetful - still, she managed to make excellent grades in a very competitive school. Though she was accepted to several prestigious schools, her mother refused to incur debt in sending Jean to school. Instead Jean was forced onto the street, where she eked a living out of an entry-level customer service job. Over the next two years she worked hard and earned several promotions, managing to make a comfortable enough income that she was able to move into an apartment and begin living independently. Upon this abandonment of the previous order of her life, however, some problems that she'd been struggling with her whole life - health problems leading to lack of appetite, anxiety, depression and later OCD - began to grow and consume her, to the point where she was in danger of losing her job and maybe even her life to stress.

Medical History: Jean was born with a congenital heart problem that wasn't diagnosed until she was an adult. This defect causes her to face weakness and fatigue constantly due to low blood pressure, which occasionally may also cause her to faint or go into severe cardiac crisis. The symptoms can be eased somewhat by medications, but serious episodes are frequently caused by stress and malnourishment. The stress and anxiety this causes Jean plagues her with nausea and acid reflex, which over the years began to evolve into a near complete lack of appetite. Jean can easily go a day or two without eating if she isn't careful and diligent about forcing herself to eat on a schedule. Jean appears very small and petite but not skeletal or malnourished at all, as she remembers to eat often enough to avoid this. This has allowed her to keep her appetite (but not always the subsequent health issues) problem very quiet and secret. A combination of constant near-malnourishment, high metabolsim, chronically low blood pressure, and a very stress-sensitive personally has caused her to begin experiencing chronic headaches and occasionally crippling migraines.

Has the patient been referred by a court ruling?: No. Jean Sawyer is self-admitted.

Has the patient been previously diagnosed with any mental or health illnesses?: Jean's got a serious aversion to talking to anyone, especially about herself. She is very aware of her OCD and understands depression and how it affects her life. She would never admit to being anorexic - she doesn't purposefully avoid eating, she just lacks a hunger response due to physical illness.

Has the patient been known to harm them self or others (or both)?: Not intentionally. Her OCD manifests largely in skin-picking, lip-biting and nail-biting, destructive behaviors that leave her somewhat scarred, and constantly embarassed and self-conscious about the state of herself. She is not at all a violent person and has been known to be meek and quiet in confrontations of any kind.

Privileged Patient?: No

Current Medications?: None

Dr. Kayoko Saito:

Patient entered in, displaying the symptoms prescribed on the record, but was otherwise calm and went through the intake as normal, and also did not seem as bothered by her health issues as anticipated. Doctor's response to her conditions to follow.

Dr. Allen Carter's report:

Patient's lab values from both the blood and urine tests were relatively normal with nothing of interest to note. The more pressing issue, medically, for the patient is her heart disorder. I recommend placing the patient on medications to increase her low blood pressure and a diet with extra salt, high calories (for weight gain), and lots of fluids. The patient will also be prescribed as needed medications for her stomach ailments and headaches. She is also to be kept in a low stress environment as much as possible.