Age: between 16 & 21
2-3 paragraphs please!
2-3 paragraphs please!
Time spent at the institution:
I'd only like two people MAXIMUM to be newbies with everyone else being there a week or two.
Write this from the point of view of a staff member! Include things like noticeable habits, information disclosed to staff. Can also include what staff have been told by parents/carers/friends - just to give me an objective basis of what to work with. If they are already in the institute, include how they get along with other patients & if they are adjusting to being there.
(Example: Patient has a history of bipolar disorder with symptoms starting around age 12. Referred by her parents. She has a tendency to bite her fingernails when under duress and seems reluctant to engage in activities with other patients. Her parents have disclosed that she has a habit of rule-breaking and doesn't get along well with her siblings. This is a brief example but a paragraph or two would be beneficial)
very pale, with dark brown eyes and long dirty blonde hair. She stands about 5’5” and traditionally wears feminine clothing such as soft blouses, slacks, dresses and heels. But if in the facility she’s just wearing black leggings and a nice top with flats.
Brianna is a very genuine and kind individual. Her honesty is one of her most prominent attributes. For the most part she’s well mannered however, there can be a temper sometimes. When she does get angry, it’s a quick reaction. It can be difficult for her to control her emotions. Her moods can tend to fluctuate rapidly from 0/100 instantly though, it won’t always be expressed outwardly. Not to mention her mood swings from no longer relying on alcohol, she doesn’t always know how to behave appropriately.
She also very hardworking and organized while paying attention to detail. Brianna is typically very quiet but she’s not shy and definitely not afraid to share her opinion. In the facility you can normally find her being productive someplace. Monday’s and Thursday’s crafts are her favorite and she is usually being creative anyways whether it’s drawing, painting, etc.
As far as her life inside St. Ivy’s she struggles with coming to terms with her diagnosis. She has a lot of reservations about getting sober. Brianna is unsure if she really can stop drinking, it’s been apart of her life for so long. How does she go through life without it? For the most part she cooperated with treatment and the protocol of the facility, organized routine is sort of her thing. But on a day when she is extra lethargic, she’s less than willing.
Brianna’s life started out pretty average: a mom, a dad, house with a white picket fence. She didn’t understand at a young age that drinking everyday wasn’t normal, she had grown up watching her parents do it. The two adults eventually split which is taxing on any kid, whether they know it or not.
Not for any particular, she wasn’t a very popular child in school. She would have a couple friends come and go but none would really ever stick. Brianna just assumed she was meant to be alone. Eventually she found herself depressed and couldn’t tell when it had started. She experienced sadness and lack of energy as well as feelings of impending doom, which was anxiety.
Brianna began drinking at the age of 15. She had swore it off her whole life but when presented with the chance that she was comfortable with, she took it. Instantly she was hooked and thus began the unmanageability in her life.
It didn’t go all at once but after two dui’s and a final public intoxication charge, it landed her at St. Ivy.
Time spent at the institution:
Brianna has been at St.Ivys for about two weeks. One week of detox and another familiarizing herself with the routine.
Patient completed detox program and has been transitioned to general population. Patient Miller is stable after 14 days of abstinence and medication adjustments
Medications are as follows:
Escitalopram/ two 20mg tablets by mouth daily in the morning. (Anti- depressant & anti-anxiety)
Aripiprazole/ one 50mg tablet by mouth daily in the morning (Anti-psychotic)
Vitamin D tablet by mouth daily in the morning
Trazadone/ one to two 50mg tablet by mouth in the evening (Sedative)
Patient Miller is cooperative with treatment. It’s to be noted that Miller is responsive and motivated. Depressive episodes are at regular occurrence - moderate. Anxiety levels are severe and appear to have influence on Millers interactions with other patients.
Addictive behaviors still present.
Miller can be observed drinking high levels of caffeine: suspected substance substitution.
Obsessive behavior and control issues relevant. (Planner)
Over eating: suspected substance substitution
Diet will include portion control and time management
Patient Form #0003 Name: Lark Blackthorne Age: 17 Birthday: 14 August Gender: Cisgender male Sexuality: Heterosexual Hometown: Vernier, Switzerland
Appearance The patient is 170.6cm tall (around average height despite under average weight). They have pale, pasty skin. They have short, light brown hair and eyes that appear brown, hazel, green or grey at different times. They wear dark coloured t-shirts and long pants, even in summer. Their facial structure is tapered and somewhat delicate.
Diagnoses The patient has attended psychiatrist appointments three years prior but stopped before a proper diagnosis could be reached. The patient collapsed on the 16th and the follow-up appointments revealed no physical cause. The patient was found to be underweight and undernourished. Further examination revealed a chemical imbalance in the brain. The patient was sent to repeated psychiatrist sessions and with the support of his family and girlfriend, was finally diagnosed with a genetic vulnerability to depression and Major Depressive Disorder.
Personality Socialises very little with others and ignores most of those who approach him. When approached by peers and adults, the patient can be apathetic to outright hostile. Prefers to be alone and often plays computer games. The patient is not anorexic but shows near-complete apathy towards his own physical and mental health, often ignoring his own body's needs such as going to the bathroom, eating, drinking, exercising and sleeping.
According to his parents, he is the quieter and more reserved sibling, while his younger brother can often be energetic and overwhelming. They have observed that he is easily tired by interaction with others and not openly affectionate with anyone except his girlfriend. He tends to be sarcastic and has a dark sense of humour. Before being sent to St Ivy's, he sometimes stood inside the kitchen pantry in their home and did not come out for some time. He tends to prefer sitting in dark, small rooms and does not care if he is physically uncomfortable. The patient also makes a lot of sarcastic asides about death, the pointlessness of life and other morbid or violent subjects.
Biography In primary school, the patient displayed antisocial behaviours. In third grade, he was apparently bullied until he developed an ability to terrify or embarrass other children with just a look, which his girlfriend eventually described as 'a complete lack of anything at all except a slight underlying hostility'. By his seventh year of education, his parents organised for him to see a psychiatrist. He continued this for a couple of months before stopping. He went through middle school with few friends. A few years prior to high school, he showed an unexpected interest in pet fish, asking to adopt a neglected goldfish when he found it dying in an uncleaned tank. His parents have testified that he cares a lot about his fish.
When he started high school, he made two friends. Through one of them, he met his girlfriend. He showed a small amount of improvement in mood and self-care after this, though otherwise remained the same. Before going to St Ivy's, he would see his girlfriend every second week during school and every couple of days over the holidays. According to his parents, they have never seen him so open or talkative before.
Duration of Stay The patient has been at St Ivy's for one week and one day.
Initial Assessment Was diagnosed recently with Major Depressive Disorder and has a genetic vulnerability that requires taking medicine. The patient has several symptoms that need to be regulated and treated: muscle pain, trouble sleeping and staying asleep, no appetite, significantly underweight and Vitamin D3 deficiency. These are to be treated with exercise, vitamin tablets and balanced and varied meals. The patient must eat at every mealtime and must slowly work up to being able to consume a sufficient amount of food considering their metabolism, BMI and normal nutritional needs unless they feel sick.
As mentioned prior, the patient shows almost complete apathy towards their own physical and mental health, often ignoring bodily needs such as going to the bathroom, eating, drinking, exercising and sleeping. While at the institution, they have kept to themself, refused to participate in group therapy and behaved in an apathetic or outright hostile manner to other patients and staff. They draw the blinds in their room and turn the lights off or leave the room dim. Staff have observed him sitting in the cafeteria in free time and staring at the wall blankly.
They have been found wandering around at night and has once been found asleep on a bench in the garden. The patient has barely spoken since arriving at the institution and appears to hold a grudge against the psychiatrists working there. They have attempted to avoid group and individual therapy sessions multiple times. Despite their lack of participation in most activities, the patient does seem to enjoy swimming, though continues to ignore and avoid staff and other patients while doing so.
Has a history of anti-social behaviour and, according to, the patient's parents, rarely participates in class activities. Does say rude things to his brother, but both regard it as banter and get along well. The patient has been known to stand up for their younger brother. Appears to look forward to being visited by his family and girlfriend.
[div class=tag]appearance:[/div]Levi is tall and lanky, as if an average person was stretched out. he tends to fold in on himself when sitting, slumping over and keeping his hands in his lap. he is covered in self-inflicted scars, both old and new, so elects to keep himself covered up as much as possible. he always wears long sleeves. his hair is rarely combed, usually messy and knotted around his face. he often has a twinkle in his eye, regardless of his mood, and if it disappears, then it becomes obvious something is very wrong.
[div class="tabsContent tabsContentPersona" style="display: none;"][div class=textcont][div class=text][div class=tag]persona[/div]Levi is very mischievous and always has an eye open for opportunities; he's been known to swipe things in order to give them to other patients. his quick mind and impulsive ways would be the bane of the staff's lives, if he wasn't so skilled at charming them. as it is, he generally seems able to get them to come round to his way of thinking or at least is able to convince them to take it easy on him. Once he sets his mind on something, he's determined to get it, regardless of the cost. he doesn't give up easily and often persists even when told to drop something. but as stubborn as he is, Levi usually puts other people before himself and keeps their interests at heart. his therapist has noted that he shows much more interest in the recovery of others than himself.
generally, Levi gets along well with others as well as the staff. however, underneath the guise, he has very low self-esteem and sincerely doubts that anybody actually likes him. he's reluctant to open up honestly, even though he always encourages others to do so, and tends to deflect any concerns with humour. the majority of time, he prefers to be around other people and likes sharing a room as he finds it comforting to listen to his roommate breathe. when he has a mood swing, his personality can amplify dramatically; he is either a maniacally good time, cracking plans to sneak out after hours and being far too affectionate with everybody, or he can barely summon the energy to crawl out of his bed.
[div class=tagb]triggers[/div]changes in sleeping patterns, stress, problems in family relationships, and substance abuse are all major triggers for Levi to have a mood swing. when something exciting or dramatic happens, he can also easily become manic, so the staff usually try to keep him stable. he also has a tendency to bounce off the people around him, meaning that if there's a generally low mood he's more likely to have a downswing. although his mood swings aren't always obvious at first, they can become pretty scary if they get out of hand. some obvious signs of his mood can be his talking patterns, how much energy he has, and what activities he shows interest in.
[div class=tagb]depression[/div]when Levi has a downswing, he often struggles to get out of bed in the morning. he is lethargic and shows less interest in any activities, often unwilling to engage in them like he usually does. several times, he's been caught using yoga as an excuse to nap on the mats. he shows little appetite and often doesn't shower or change clothes. his self-harming is more common than ever. he is more likely to show vulnerability when he's feeling low and be more honest about his feelings.
[div class=tagb]mania[/div]when Levi has an upswing, he feels completely unstoppable and invincible. he is more chatty than ever, often talking a mile a minute, and often has to be reminded to slow down so that people can understand him. he usually struggles to sit still as he has endless energy and can often be found pacing the lengths of the halls at night. he is very productive when manic, writing pages and pages in study hall, and often comes up with brilliant ideas that he thinks are genius. he often entices others into rule-breaking. he can crash very abruptly after a manic episode. [/div][/div][/div]
[div class="tabsContent tabsContentBackground" style="display: none;"][div class=textcont][div class=text][div class=tagb]biography[/div]Levi was born into a family of four siblings, the second youngest, and always had a talent for troublemaking. he grew up in Northern Ireland with his father, as his parents split not long after he was born. he had a fairly standard catholic upbringing, bouncing between church, school, and Sunday school. although he was a somewhat quirky child, he had friends and was a ringleader of a gang of misbehaving boys. Levi did well academically but his manic behaviour often got him into trouble and his depression pushed him to attempt suicide.
he earned a reputation at his catholic school, so his parents agreed it would be beneficial for him to live with his mother for a while instead. Levi moved to the US in time to start high school there and did well despite the odds, now having picked up a diagnosis for bipolar disorder. now that he was on medication, his condition was a lot more easier to manage and he learned to cope well with it. he even managed to secure a place at New York university and this was where things started falling apart again. he had a manic break during the first semester, pushed by stress, and managed to get halfway across the country before police tracked him down.
he went into st ivy's for the first time, seemed to recover adequately, and was released after six weeks. Levi swore that he would never let himself get out of control like that again. he promptly crumbled again, though this time over a longer period of time, but refused to drop out of college. after a self-harming attempt got out of hand, he was readmitted to st ivy's by his mother. Levi likes to joke that he came back because he liked it here so much. [/div][/div][/div]
[div class="tabsContent tabsContentGallery" style="display: none;"][div class=textcont][div class=text][div class=tagb]initial assessment:[/div]
NOTE: patient is no longer allowed to use pencils during arts and crafts.
it should be noted that patient prefers to go by his middle name and is unlikely to respond if addressed by his first name. his mother was absent in his earlier years but confirms he adopted this nickname very young as he shares the same name as his father.
patient has a history of bipolar disorder with symptoms starting before adolescence. his mood swings seem to be fairly regular, although he experiences fewer manic episodes, and medication seems to help control these. staff are to report any unusual behaviour displayed by the patient. as well as bipolar, patient has an ongoing addiction to self-harm and this seems to stem from adolescence. he should be kept away from anything that could potentially be used to harm himself.
patient shows an active interest in his own recovery, although he seems even more interested in assisting the recovery of other patients. he gets along well with other patients and staff, but has a tendency to break rules. patient does not have a diagnosis of kleptomania but often takes things which do not belong to him and has been found in possession of several banned items in the past. this patient is also suspected of dealing banned items to other patients. he seems to enjoy group activities more than individual therapy.
patient has poor cleanliness habits and little appetite during depressive episodes- mother confirms that this was also the case at home. he has a tendency to deflect concern about his behaviour- a reflex? [/div][/div][/div][/div][div class=credit]code by [COLOR=#94A24B]sox[/COLOR][/div]
Cain Tanner (goes by "Cornyx") ✧ 19 years old ✧ male ✧ gay ✧ Redding, CA, USA
Post-traumatic Stress, Autistic Spectrum, Substance Abuse, Depression, Depersonalization-derealization
6' 5" tall; black hair/eyes; pale skin; neat, clean, put-together appearance; organized; incredibly lanky. He always wears sleeves to cover the tattoo and scabs/scars, usually in the form of a neutral-colored, patternless button-up, alongside jeans and clean sneakers. The tattoo is sometimes visible if the sleeve rides up, however, and is on the inside of his left forearm: a rose in black ink but for the red petals, with a small triangle of three dots arranged at the stem. He's never seen without his silver pocket watch.
Referral from Doctor Elena Christiane, Psychiatrist at Edgefield Correction Center.
An accurate and well-recorded patient history is difficult to ascertain, as he is somewhat resistant to discussing his own recollections in any detail and his homes have changed repeatedly. However, it is recognized that the patient has a history of violence beginning at a relatively young age (having entered detention facilities at nine years of age) as well as of substance abuse (repeated offenses involving alcohol and drug use, primarily narcotics and specifically heroin and cocaine). He was diagnosed with autistic spectrum upon entrance to high school when he was fourteen years old. Ultimately, he was referred for self-harming behaviors in conjunction with his history of substance abuse and inability to be successful in more traditional and broad rehabilitation programs. His most recent symptoms primarily consisted of intravenous heroin use, self harm (cutting), extreme antisocial episodes, episodes of emotion and physical disassociation, and persistent panic attacks.
During intake, the patient was rather resistant to full cooperation. He exhibited no outright defiance, complying with rules and obeying directives, but he either refused or deflected most queries pertaining to himself. However, he became more open, if hesitantly so, after given some time to adjust his surroundings. Later discussions since revealed (according to the patient) that his first foster father, who raised him until he was nine, was physically and psychologically abusive; he has and often does experience suicidal ideations and self-harming has been an inconsistent but ultimately persistent symptom for the course of a couple years; and he holds severe regret for his violent episodes, but, in the moment, experiences an inability to recognize or perceive his own emotions, heightened clarity in his senses, and a sense of watching himself from 'the outside.' He proceeded to explain that many of these episodes were preceded by recollections of trauma, often triggered by an event in some way similar to the traumas themselves.
Patient entered St. Ive's ten days ago, having successfully detoxed at the Edgefield Correctional Center, where he was initially admitted to for the possession of illegal narcotics. The first week was turbulent--the patient was avoiding as much social contact as possible, keeping sentences to an absolute minimum or even maintaining extended periods of silence for hours or days at a time, as well as rejecting most regular meals and presenting an unwillingness to speak to other patients or staff. However, he has recently begun to speak and interact with others, resumed eating at a regular pace, and shown a significant decrease in anxious behaviors (including stuttering, picking at scabs or skin, tapping, rocking, severe avoidance of eye contact).
He has shown resistance to medication, including engaging in deceitful acts to avoid taking them and, when addressed, either denies it altogether or replies with an effective excuse. He's very sensitive to raised voices and to physical contact--particularly if he's unaware of someone's presence until they are within his personal space--and it can trigger an episode of panic. Allegedly, it can also trigger a violent episode, but he has shown no signs of aggression while at St. Ivy's. He's been somewhat responsive to individual therapy but struggles with speaking in groups and generally does so very little, if at all. His motivation to work towards his own recovery is minimal at best, and can vary day-to-day.
[/div][div=margin-top: -12px;][/div][div=float: left; width: 220px; margin-left: auto; margin-right: auto; margin-bottom: auto; margin-top: auto; border: 1px solid #4C5852; height: 200px; padding: 5px;][div=position: relative; width: calc(100% - 0); height: 200px; overflow: hidden;][div=width: 100%; padding-right: 150px; height: 100%; overflow-y: scroll;][div=font-size: 12px; line-height: 14px;] personality: Typically, Cornyx is rather quiet, preferring to watch people and observe before he gets involved in any given situation. He's the sort of person who sits towards the back of class, sketching in his notebook, silently listening to what's going on around him. He's sensitive, too, especially to the loud noise or bright lights or groups of people--probably too much so, as it's all too easy for him to become overwhelmed and struggle with shutting down because of it. He has significant difficulty reading other people and their emotions, which can make him come across as callous or uncaring, but in reality, he's usually genuinely just oblivious. Even worse, he knows he's missing something and can't determine what, leading to conflict for him as well as whoever he's trying to deal with.
Between this fact, his anxiety, and his general antisocial/introverted tendencies, he tends to stick to himself. He's certainly not beyond interaction if he's approached but he's aware that he can accidentally step on toes and he doesn't want to get hurt, nor hurt anyone else, so he stays out. When he is with other people, he tends to take his time to process things, but he's very intelligent and caring. He uses his intellect to compensate for his lack of intuitive social understanding and is very quick when it comes to analysis, patterns, manipulation, and the like.
He spends most of his down time either reading comic books, playing on his very old and scratched handheld Playstation, or reading a book of poetry or fictional novel. Robert Frost's, Edgar Allen Poe, and Keats are among his favorites, as well as Tolkien's Lord of the Rings. Sometimes he'll move towards drawing instead, sketching his own characters in the same comic book style that's inspired him.
Nonetheless, that isn't to say there can't be a bit of a darker side to him. He knows what it's like to end up on the ground and he'd rather be the one doing the hitting than the one being beaten. His inability to easily empathize, or even move beyond sympathy at all, paired with an already unclear moral compass that's been marred by an abusive upbringing, can lead to a severe lack of remorse. Usually, his general care overrides this, but in instances where he's in flight/fight or where he's disassociating, that typical impulse to at least try to be good leaves the building. This can, in severe instances, even result in violent outbursts.[/div][/div][/div][/div][div=float: left; width: 220px; margin-top: -214px; margin-left: 238px; margin-bottom: auto; margin-right: auto; border: 1px solid #4C5852; height: 200px; padding: 5px;][div=position: relative; width: calc(100% - 0); height: 200px; overflow: hidden;][div=width: 100%; padding-right: 150px; height: 100%; overflow-y: scroll;][div=font-size: 12px; line-height: 14px;]biography; Cornyx's life is anything but normal, which is the least of the reasons for his fucked-upness, as he would so eloquently phrase it. He never knew either of his parents and was raised in an orphanage in the mountains of California until he was nine and seriously injured one of the other kids. This was followed by his first stint through juvenile detention that gave him more bad habits than it fixed--including smoking cigarettes and, towards the end of his stay, drinking, neither of which are things he's kicked--and after that, he ended up bouncing through the foster system. He met a girl named Evelyn who'd seen an equally bad run of things but managed to maintain and empathy and compassion that Cornyx struggled with. They became very close and when he was young he ran away, skipping across two state lines to get into Washington so he could find her. He was ultimately taken in by a group home there and stayed there until he was fourteen and the home shut down, then it was back into the foster system.
The orphanage that he was raised in wasn't a particularly kind one. The man who ran the place was extremely religious (Roman Catholic), and not in a good way, and was abusive in more ways than one. This bred a deep-seated fear in him, one that he's worked hard to repress, and as he got older and roughed his way through the world, this was less and less effective. When he was fourteen, in a period of time when his home life was unstable and he was mostly on his own, struggling with coping with the things he'd experienced and overall beginning to slip into depression, he ended up turning to the drugs floating around the underbelly of high school. It started with cocaine and ended with heroin, and then his friend overdosed and he called 911. His friend didn't make it and he was caught red-handed with illegal drugs when he was fifteen. The saving grace was that he wasn't dealing. He went back into juvenile detention, then into prison when he hit the age cutoff, and that was when he got involved with gangs. Fast forward to his release at eighteen years old and he was determined to get clean. He cut ties with the gang (the Blackthorns), got a job, and was doing well enough to get by until Evelyn died. One relapse later and he went into jail again, but this time, he was referred to St. Ive's for rehab instead of incarceration. [/div][/div][/div][/div]