Paint the World in Crimson Dread. Season 2, Episode 4.
Manage episode 444143723 series 3525431
Patient Name: Corazon, Regina
Diagnosis: Narcissistic Personality Disorder (NPD) with paranoid features
Current Location: The Carcosa Institute
Attending Physician: Dr. King
Background: Ms. Corazon was admitted to The Carcosa Institute following a series of public incidents involving grandiose behavior and aggressive outbursts. She first came to psychiatric attention in her late 20s after conflicts in her workplace and personal relationships.
Presenting Symptoms:
- Grandiose sense of self-importance
- Preoccupation with fantasies of unlimited power
- Belief in her own uniqueness; can only be understood by "special" people
- Requires constant admiration and attention
- Sense of entitlement
- Interpersonally exploitative behavior
- Lack of empathy
- Envious of others and believes others are envious of her
- Arrogant, haughty behaviors and attitudes
- Paranoid ideation, particularly regarding perceived threats to her authority
Treatment History:
- Previous outpatient therapy (discontinued due to non-compliance)
- Brief hospitalization following a particularly severe public outburst
- Admitted to The Carcosa Institute for comprehensive treatment (date of admission to be added)
Current Status: Ms. Corazon is under the care of Dr. King at The Carcosa Institute. She struggles with the structured environment and often attempts to manipulate staff and other patients. Treatment focuses on developing empathy, managing anger, and addressing her paranoid thoughts. She participates in individual and group therapy sessions, though engagement is inconsistent.
Note: Staff should be aware of Ms. Corazon's tendency to issue "royal decrees" and attempt to order others around. Firm, consistent boundaries are essential in her care plan.
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