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
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
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.
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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