
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
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.
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.