Observations ● Visual: staring at wall, Flat affect, Head tilted to left, scratching behind ear ● Skin: warm, dry ● Odor: strong body odor Questions 1. How can I help you today? a. The dean of engineering is trying to fail me. I am NOT going to elaborate. Why do you want to know? What is your role? 2. What is your name? a. Justin Johnson 3. Where are you? a. In the doctor's office? 4. What time is it? a. Around 5:40PM 5. What happened? a. I have to be careful. 6. Ask Mother: How can I help him today? a. Justin is having problems. He is concerned people are spying on him and stealing his intellectual property like his inventions. I don't know what inventions he is talking about. He refuses to share. The counselor told us he had been caught attempting to break into one of the campus buildings in the middle of the night. His roommate said he has stopped going to classes and was spending all of his time in the library researching something to do with academic plagiarism. I'm really worried. He is not the Justin I know. 7. Mother: has he been more irritable or angry lately? a. Angry and secretive, yes. He gets really angry if I ask him what he is mumbling about in his room. Sometimes we hear him talking aloud in his room like he is having a conversation with someone, sometimes he even yells and screams but when we try to go in his room he gets even more agitated. He gets agitated when i ask him about anything, really 8. Mother: when did his anger or irritability start? a. He was like this when we brought him home from college 2 months ago. His roommate said he was difficult to live with for 4 months prior to that. 9. Behaviors he repeats over and over? - Mother a. Checking the door locks and windows. Every night he makes about 11 trips around the house with these behaviors. We have observed him looking under his bed and inside his closet over and over again. He said he is searching for monitoring devices. He also covers all the electronic screens in the house and the televisions too. When the phone rings he wont answer it and he gets furious when we do. 10. Mother: Do his friends/family members find him to be more aggressive than usual? a. Yes, he scares people, he can be screaming and gesturing really wildly 11. Mother: Has he lost interest in or avoided social activities? a. It seems that way to me 12. Tell me about his family and friends. Has anything changed? a. What would you like to know/ 13. How are his grades in school? a. He stopped going to class, so of course his grades fell. 14. Has he experienced the death of a close friend or relative? a. No 15. Mother: has his level of activity recently changed? a. Yes, he’s staying in his room, sleeping during the day, and pacing around the house at night. I don't know if he is getting any sleep at night. I suppose you could ask him. Also he’d stopped using his bike and his computer 16. Mother: Does he have any difficulty performing activities of daily living? a. Difficulty doing them, idt so. Motivation to do them, yes. He just refuses to shower, do laundry, change clothes, etc. 17. Have you been more irritable or angry lately? a. I don't want to elaborate to you about any of this. 18. Have you been feeling sad, depressed, or hopeless? a. I don't want to talk about any of this. 19. Do you find that it is hard to experience feelings like happiness, love, or satisfaction? a. Why are you asking me that? 20. Are you having any difficulty sleeping? a. No 21. Have you lost interest in things that used to give you pleasure? a. I don't want to answer that 22. Do you hear or see things that others say they do not? a. I hear you. I hear my parents. There’s a male voice, I hear him, and he reminds me to be careful. I'm on top of that. Im careful. 23. Do you have recurrent intrusive thoughts that cause you to engage in repetitive behaviors? a. Well, I'm being monitored and my ideas are being stolen. I have to check and cover things like cell phones, to mak sure i'm not being watched. I'm just being practical, I'm taking action...why are you so curious about me? 24. Tell me about any negative thoughts you have about yourself, other people, the world. a. I will not elaborate...I have talked enough already. Don't you see the computer there? 25. DO you find that your friends/family members find you to be more aggressive than usual? a. Who told you that? 26. What threats have you received? a. I told you before. They are trying to get me expelled so the dean can retain total and exclusive right to all my intellectual property. I must be very careful, they could be monitoring me here. 27. Are you afraid something bad is going to happen to you? a. Won't answer