Random Thoughts - Harley Quinn

Patient #9: The Batman

5/18/2020

ARKHAM ASYLUM
PSYCHOTHERAPY PROGRESS NOTES

Date of Session: 4/29/20
Primary DX: Dissociative Identity Disorder, Depression, Obsessive-Compulsive Disorder, Post-Traumatic Stress Disorder, Antisocial Personality Disorder, Cluster B Personality Disorders, Cluster C Personality Disorders Considered

Facility Name: Arkham Asylum, Gotham City.

Name of Patient: Wayne, Bruce

Age: 30-32 Years of Age

Male

Length of Session: 1 Hour 30 Minutes
Type of Service Billed: 01 - Medical
Individual Therapy: 99876549326497
Group Therapy: Not Recommended
Crisis Codes: 964978965 x
Crisis Therapy Recommended
Outcome Measurement: Schedule Sessions To Be Announced

Treatment Issue/Target Symptoms/
Behaviors On Current Treatment Plan: Psychological Therapy

Symptoms Observed During Session:

Emotional Numbing
High Intelligence
Strategist
Poses Danger to Others And Himself
Vigilantism
Breaker of Societal And Policing Laws
Reckless
Self-Destructive Behavior
Hyper-Vigilance

Prone to Violence
Undergoes Intense Physical and Mental Training
Degrees In Criminal Science, Forensics, Computer Science, Chemistry, Engineering, Biology, Physics, Advanced Chemistry and Technology
Skilled In Martial Arts, Hand To Hand Combat
Skilled In Use Of Technological Gadgets, Mostly Own Personal Brand

Psychological Resilience
Hero Complex
Deep Psychological Trauma
Non-Compliance (Medical Care)
Not Willing To Be Treated

Therapeutic Techniques: Physical Therapy, Cognitive Behavioral.

Intervention Strategies: Batsy, Batsy, Batsy... I dunno what to say about him, he's definitely a special case!

Results: Staying as far away from him as I can!

Patient #8 : Bane

3/27/2020

ARKHAM ASYLUM
PSYCHOTHERAPY PROGRESS NOTES

Date of Session: 3/27/20
Primary DX: Sociopathy, Artificial Superiority, Psyche In Bondage

Facility Name: Arkham Asylum, Gotham City.

Name of Patient: Unknown

Age: 22

Male

Length of Session: 1 Hour 20 Minutes
Type of Service Billed: 01 - Medical
Individual Therapy: 94697569823641
Group Therapy: Recommended
Crisis Codes: 998636659 x
Crisis Therapy Recommended
Outcome Measurement: Schedule Sessions To Be Announced

Treatment Issue/Target Symptoms/
Behaviors On Current Treatment Plan: Psychological Therapy

Symptoms Observed During Session:

Passive-Aggressive
High Intelligence
Superior Strategist
Very Good At Feigning Pain
Still holds onto his judicial laws
Very Possible Danger To Others.
Signs Of Trust Issues

Skewed Morality
Best Thinking Comes Under The Influence
Highly Intelligent
Idealistic
Downright Insane!

Highly Trained In Hand-To-Hand Combat (Precaution Needed)
Usual Use of Close-Combat Quarters

Not Bothered When Intimidated

Non-Compliance (Medical Care)
Not Willing To Be Treated

Therapeutic Techniques: Physical Therapy, Cognitive Behavioral.

Intervention Strategies: I like Bane just fine, even know he's gotten my back a couple of times!

Results: Just let the Hawk fly, bebe! Hahahahahaha. Shit...

Patient #7: Two-Face

3/12/2020

ARKHAM ASYLUM
PSYCHOTHERAPY PROGRESS NOTES

Date of Session: 3/12/20
Primary DX: Bipolarism

Facility Name: Arkham Asylum, Gotham City.

Name of Patient: Harvey Dent

Age: 26

Male

Length of Session: 20 Minutes
Type of Service Billed: 01 - Medical
Individual Therapy: 9549786326547896
Group Therapy: Not Recommended
Crisis Codes: 965987365 x
Crisis Therapy Not Recommended
Outcome Measurement: No Schedule Sessions Needed

Treatment Issue/Target Symptoms/
Behaviors On Current Treatment Plan: Psychological Therapy, Emotional Therapy

Symptoms Observed During Session:

Aggressive
Obsessed With Justice
Still holds onto his judicial laws
Possible Danger To Others.
Signs Of Bipolar Distress

Sadness
Frustration
Unexpected Bipolar Cues

Highly Trained In Hand-To-Hand Combat (Precaution Needed)
Usual Use of Handgun

Hostile When Intimidated

Non-Compliance (Medical Care)
Not Willing To Be Treated

Therapeutic Techniques: Physical Therapy, Cognitive Behavioral. No, no, scratch those. Two-Face and I have an agreement! We leave him alone, he leaves us alone..

Intervention Strategies: Nope! Negatory. Noperino. We got enough crap to worry about with Romy and Batman out in the streets.... Let's leave this two-faced freakazoid alone.

Patient #6: "Batgirl"

3/12/2020

ARKHAM ASYLUM
PSYCHOTHERAPY PROGRESS NOTES

Date of Session: 3/1/20
Primary DX: PTSD, Severe Depression

Facility Name: Arkham Asylum, Gotham City.

Name of Patient: Barbara Gordon

Age: 22

Female

Length of Session: 1 Hour 10 Minutes
Type of Service Billed: 01 - Medical
Individual Therapy: 96497365897412365
Group Therapy: Recommended
Crisis Codes: 9964975987 x
Crisis Therapy Highly Recommended
Outcome Measurement: Scheduling Next Week

Treatment Issue/Target Symptoms/
Behaviors On Current Treatment Plan: Physical Therapy, Psychological Therapy, Emotional Therapy

Symptoms Observed During Session:

Aggressive
No Danger To Self, Possible Danger To Others.
Signs Of Bipolar Distress

Sadness
High Depression (Specially After Last Encounter With Mistah J)

Highly Trained In Hand-To-Hand Combat (Precaution Needed)

Hostile When Intimidated

Compliance (Medical Care)
Willing To Be Treated

Therapeutic Techniques: Physical Therapy, Cognitive Behavioral.

Intervention Strategies: Babs Just Needs A Little Push!!! Then We'll Be Besties Again!!! Tee-Hee!!

Patient #5: Clayface

3/11/2020

ARKHAM ASYLUM
PSYCHOTHERAPY PROGRESS NOTES

Date of Session: 2/14/20
Primary DX: Borderline Personality Disorder, Identity Disturbance

Facility Name: Arkham Asylum, Gotham City.

Name of Patient: Matthew Hagen

Age: Unidentifiable

Male

Length of Session: 1 Hour 20 Minutes
Type of Service Billed: 01 - Medical
Individual Therapy: 916873649823654
Group Therapy: Not Recommended
Crisis Codes: 9926497862 x
Unstable for Crisis Therapy!
Outcome Measurement: Unable To Schedule!

Treatment Issue/Target Symptoms/
Behaviors On Current Treatment Plan: Failed Results

Symptoms Observed During Session:

Aggression (Verbal & Physical)
Threatening Lives Of Others
Danger To Others
Intimidation

Imitation
Highly Unstable
Mockery
Bitter
Extremely Hostile
Deception
Paranoia
Strong Escape Risk!
Difficult To Injure While Shape-Shifting
Poisonous Touch

Non-Compliance (Medical Care)
Refuses To Be Treated

Therapeutic Techniques: Cognitive Behavioral.

Intervention Strategies: Another Villain Escaped! Where Is Clayface? Has Anyone Seen This Pile Of Mud? Tee-Hee!
Future Treatment/Follow-Up Issues: I Might Want To Skip Trying To Treat This Fella...

Patient #4: Black Mask

2/27/2020

ARKHAM ASYLUM
PSYCHOTHERAPY PROGRESS NOTES

Date of Session: 7/04/19
Primary DX: Paranoid Personality Disorder,

Facility Name: Arkham Asylum, Gotham City.

Name of Patient: Roman Sionis

Age: 36

Male

Length of Session: 1 Hour 15 Minutes
Type of Service Billed: 01 - Medical
Individual Therapy: 936826497891235
Group Therapy: Not Recommended
Crisis Codes: 9925387952 x
first 30 minutes, then each additional 10 minutes of crisis therapy.
Outcome Measurement: Unable To Schedule

Treatment Issue/Target Symptoms/
Behaviors On Current Treatment Plan: Weekly Therapy Sessions.

Symptoms Observed During Session:

Aggression (Verbal)
Threatening Lives Of Others
Danger To Others, Possibly Self
(Previous Multiple Bounties: Price On His Head)

Unforgiving
Holds Grudges
Cannot Accept Fault Or Responsibility For Actions
Hostile
Stubborn/Argumentative

Vengeful
Manipulative
Always In The Right Mentality
Likes To Remain In Control

"What I Don't Own, I Burn To The Ground" Mentality
Non-Compliance (Medical Care)
Refuses To Be Treated

Therapeutic Techniques: Cognitive Behavioral, Dialectical Behavioral Therapy.

Intervention Strategies: Impossible Since He Escaped Custody Last Month
Patient Response: No Comment
Future Treatment/Follow-Up Issues: Stay The Hell Away From Romy, He's A Loose Cannon! Plus, He's Got A Bounty On My Head.

Patient #3: Poison Ivy

2/27/2020

ARKHAM ASYLUM
PSYCHOTHERAPY PROGRESS NOTES

Date of Session: 3/10/18
Primary DX: Possible Delusional Companion Syndrome, Radicalism/Extremist, Mania, Abandonment Issues.

Facility Name: Arkham Asylum, Gotham City.

Name of Patient: Pamela Lillian Isley

Age: Unable to Determine.

Female

Length of Session: 1 Hour
Type of Service Billed: 01 - Medical
Individual Therapy: 939873048127392
Group Therapy: Not Recommended
Crisis Codes: 9948603558 x
first 20 minutes, then each additional 15 minutes of crisis therapy.
Outcome Measurement: Three Timely Sessions A Week

Treatment Issue/Target Symptoms/
Behaviors On Current Treatment Plan: Weekly Therapy Sessions.

Symptoms Observed During Session:

Aggression (Physical Via Intimidation)
Verbal Threats
Danger To Others
Delusion

Manic Episodes
Vengeful
Manipulative
Fanaticism With Plants And The Environment

Desire To Stay With Her Plants At All Times
Impulsivity
Non-Compliance (Medical Care)

Therapeutic Techniques: Cognitive Behavioral, Dialectical Behavioral Therapy, Supportive, Reflecting.

Intervention Strategies: Implemented And Session Focused.
Patient Response: A Little Improvement; Needs More Work.
Future Treatment/Follow-Up Issues: Gestalt Therapy, Eye Movement Desensitization And Reprocessing.

Patient #2: Catwoman

2/27/2020

ARKHAM ASYLUM
PSYCHOTHERAPY PROGRESS NOTES

Date of Session: 1/07 /20
Primary DX: Conduct Disorder: Antisocial Personality Disorder; Anxiety, Occasional Depression, Kleptomania, Episodic Amnesia.

Facility Name: Arkham Asylum, Gotham City.

Name of Patient: Selina Kyle

Age: 23.

Female

Length of Session: 30 Minutes
Type of Service Billed: 01 - Medical
Individual Therapy: 908329083490837
Group Therapy: Recommended
Crisis Codes: 9123547965 x
first 15 minutes, then each additional 10 minutes of crisis therapy.
Outcome Measurement: Weekly Treatment

Treatment Issue/Target Symptoms/
Behaviors On Current Treatment Plan: Weekly Therapy Sessions.

Symptoms Observed During Session:

Aggression (Verbal)
Aggression (Physical When Cornered)
Danger To Others
Deceitfulness
Extortion

Violation of Rules
Socially Inappropriate Behavior

Anger
Impulsivity
Compliance (Medical Care)

Therapeutic Techniques: Cognitive Behavioral, Behavioral Modification, Supportive, Group Inclusive.

Intervention Strategies: Implemented And Session Focus.
Patient Response: Some Improvement.
Future Treatment/Follow-Up Issues: Team-Up.

Patient #1: Mistah J

2/27/2020

ARKHAM ASYLUM
PSYCHOTHERAPY PROGRESS NOTES

Date of Session: 12/26 /19
Primary DX: Bipolar Disorder Type 1, Manic Severe Episodes with Psychotic Features; Pseudobulbar Effect.

Facility Name: Arkham Asylum, Gotham City.

Name of Patient: (Unknown; No Fingerprint Match); Goes By "The Joker."
Notable Aliases: Jack Napier, Melvin White, Jack White, Joe Kerr, Dr. J Reko, Oberon Sexton, Red Hood.

Age: 30-44, Unable To Determine.

Male

Length of Session: 45 Minutes
Type of Service Billed: 01 - Medical
Individual Therapy: 908329083490837
Group Therapy: Not recommended
Crisis Codes: 9083990840 x
first 60 minutes, then each additional 30 minutes of crisis therapy.
Outcome Measurement: Periodic Treatment

Treatment Issue/Target Symptoms/
Behaviors On Current Treatment Plan: Weekly Therapy Sessions.

Symptoms Observed During Session:

Aggression (Physical)
Danger To Self And Others
Hallucinations (Visual)
Sad/Pained/Worried Expression

Aggression (Verbal)
Agitation
Delusions
Socially Inappropriate Behavior

Anger
Impulsivity
Negative Statements
Thought Disorder
Noncompliance (Medical Care)
Restlessness

Co-morbid medical condition impacting psychological status.
Therapeutic Techniques: Cognitive Behavioral, Insight-Oriented, Behavioral Modification, Supportive.

Intervention Strategies: Implemented And Session Focus.
Patient Response: No Improvement.
Future Treatment/Follow-Up Issues: Inconclusive/Patient Escaped Living Quarters.