[MUSIC PLAYING] DR. MOORE: Good afternoon. I'm Dr. Moore. Want to thank you for comingin for your appointment today. I'm going to be asking you somequestions about your history and some symptoms. And to get started,I just want to ensure I have the rightpatient and chart. So can you tell me yourname and your date of birth? SHERMAN TREMAINE:I'm Sherman Tremaine, and Tremaine is my game game. My birthday is November 3, 1968. DR. MOORE: Great. And can you tellme today's date? Like the day of the week,and where we are today? SHERMAN TREMAINE: Use any recentdate, and any location is OK. DR. MOORE: OK, Sherman. What about do you knowwhat month this is? SHERMAN TREMAINE: It's March 18. DR. MOORE: And theday of the week? SHERMAN TREMAINE: Oh, it's aWednesday or maybe a Thursday. DR. MOORE: OK. And where are we today? SHERMAN TREMAINE:I believe we're in your office, Dr. Moore. DR. MOORE: OK, great. So tell me a little bit aboutwhat brings you in today. What brings you here? SHERMAN TREMAINE: Well,my sister made me come in. I was living with mymom, and she died. I was living, and not botheringanyone, and those people– those people, they justwon't leave me alone. DR. MOORE: What people? SHERMAN TREMAINE: The onesoutside my window watching. They watch me. I can hear them, andI see their shadows. They think I don'tsee them, but I do. The government sentthem to watch me, so my taxes are high,so high in the sky. Do you see that bird? DR. MOORE: Sherman,how long have you saw or heard these people? SHERMAN TREMAINE: Oh, for weeks,weeks and weeks and weeks. Hear that– hear thatheavy metal music? They want you to thinkit's weak, but it's heavy. DR. MOORE: No, Sherman. I don't see any birdsor hear any music. Do you sleep well, Sherman? SHERMAN TREMAINE: I try tobut the voices are loud. They keep me upfor days and days. I try to watch TV, but theywatch me through the screen, and they come inand poison my food. I tricked them though. I tricked them. I locked everythingup in the fridge. They aren't getting in there. Can I smoke? DR. MOORE: No, Sherman. There is no smoking here. How much do you usually smoke? SHERMAN TREMAINE: Well,I smoke all day, all day. Three packs a day. DR. MOORE: Three packs a day. OK. What about alcohol? When was your last drink? SHERMAN TREMAINE: Oh, yesterday. My sister buys me a 12-pack,and tells me to make it last until next week's grocery run. I don't go to the grocery store. They play too loud ofthe heavy metal music. They also follow me there. DR. MOORE: What about marijuana? SHERMAN TREMAINE: Yes,but not since my mom died three years ago. DR. MOORE: Use any cocaine? SHERMAN TREMAINE: No,no, no, no, no, no, no. No drugs ever, clever, ever. DR. MOORE: What aboutany blackouts or seizures or see or hear thingsfrom drugs or alcohol? SHERMAN TREMAINE: No, no, nevera clever [INAUDIBLE] ever. DR. MOORE: What aboutany DUIs or legal issues from drugs or alcohol? SHERMAN TREMAINE:Never clever's ever. DR. MOORE: OK. What about any medicationfor your mental health? Have you tried those before, andwhat was your reaction to them? SHERMAN TREMAINE: I hateHaldol and Thorazine. No, no, I'm notgoing to take it. Risperidone gave me boobs. No, I'm not going to take it. Seroquel, that is OK. But they're all poison,nope, not going to take it. DR. MOORE: OK. So tell me, anyblood relatives have any mental health orsubstance abuse issues? SHERMAN TREMAINE:They say that my dad was crazy withparanoid schizophrenia. He did in the oldstate hospital. They gave him his beer there. Can you believe that? Not like them today. My mom had anxiety. DR. MOORE: Did any bloodrelatives commit suicide? SHERMAN TREMAINE:Oh, no demons there. No, no. DR. MOORE: What about you? Have you ever done anythinglike cut yourself, or had any thoughts about killingyourself or anyone else? SHERMAN TREMAINE:I already told you. No demons there. Have been in the hospital threetimes though when I was 20. DR. MOORE: OK. What about any medical issues? Do you have anymedical problems? SHERMAN TREMAINE: Ooh, Itake metformin for diabetes. Had or I have a fattyliver, they say, but they never saw it. So I don't know unlessthe aliens told them. DR. MOORE: OK. So who raised you? SHERMAN TREMAINE: Mymom and my sister. DR. MOORE: And whodo you live with now? SHERMAN TREMAINE:Myself, but my sister's plotting with thegovernment to change that. They tapped my phone. DR. MOORE: OK. Have you ever been married? Are you single,widowed, or divorced? SHERMAN TREMAINE: I'venever been married. DR. MOORE: Do youhave any children? SHERMAN TREMAINE: No. DR. MOORE: OK. What is your highestlevel of education? SHERMAN TREMAINE: Iwent to the 10th grade. DR. MOORE: And what doyou like to do for fun? SHERMAN TREMAINE: I don't work,so smoking and drinking pop. DR. MOORE: OK. Have you ever been arrested orconvicted for anything legally? SHERMAN TREMAINE: No, butthey have told me they would. They have told me they wouldif I didn't stop calling 911 about the people outside. DR. MOORE: OK. What about any kind of traumaas a child or an adult? Like physical, sexual,emotional abuse. SHERMAN TREMAINE: My dad wasrough on us until he died. DR. MOORE: OK. [MUSIC PLAYING] So thank you for answeringthose questions for me. Now, let's talk abouthow I can best help you. [MUSIC PLAYING]
CaseStudy.txt
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