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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.

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Patient #3: Poison Ivy

2/27/2020

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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.

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Patient #2: Catwoman

2/27/2020

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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.

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Patient #1: Mistah J

2/27/2020

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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.

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Patient #4: Black Mask

Patient #3: Poison Ivy

Patient #2: Catwoman

Patient #1: Mistah J

Doctor Harleen Quinzel

Patient files and whatnots

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