Client is a mandated referral from the LAPD. Client was in a recent car accident in which his wife was killed but his son survived. Has acted out aggressively on at least one occasion. Client exhibits symptoms of mild PTSD, as well as a possible dissociative disorder, allowing him to experience a dream state in which the opposite has occurred - his wife is alive but his son is dead. Reluctant to grieve and refuses to acknowledge his loss, vis-a-vis his wife's existence in his dream "reality." In dissociative state, visits another "psychiatrist," who presents a seemingly convincing case that the dream state is, in fact, his true reality. Client is able to fulfill his duties at work, but co-workers and superiors are concerned that aggressive behavior may return. Dissociative state may temporarily act as a cushion to his grief, but I fear eventually it will become dangerous. Keeping the details straight in two "realities" will eventually become too taxing on his mind. This is a fascinating case study for many reasons, and over the next few months, I will endeavor to rehabilitate him, for the sake of his well-being and his career, as well as for the sake of his teenage son.
Awake Patient Files - Dr. Lee
PRIVILEGED and CONFIDENTIAL
Under normal circumstances, confidentiality is a prime condition in establishing an effective therapeutic relationship. Without confidentiality there can be no trust; without trust there can be no therapy. Nevertheless, in certain specific instances, statutes may require the production of records in an effort to report, warn or protect. Herewith are weekly session notes, created on behalf of the LAPD for the evaluation of Detective Michael Britten, as recorded by Dr. John Lee and Dr. Judith Evans.