Patient reported to session after emergency evening call. Filled with restless intensity, he could barely sit still. It seems that patient believes that the sight of a co-worker on the night of the bungee-jumping incident has jogged his memory of the night of his accident. Now patient claims that this same detective ran him off the road and was thus responsible for the death of his wife, and his fractured existence. Despite his own experience as a detective, dealing with eyewitnesses, the impact of trauma on memory etc., patient frantically insists on the reliability of his memory - and his vision of this man in the dark, just prior to the accident. Also, he clearly blames this man for the entirety of the state of his current life affairs. Determined in his conviction to gather more evidence of this detective's "guilt," patient cut short the session, leaving the office in what I would call a cold fury, stating, "I don't have time for this." I am afraid that after the trauma of the feeling of nearly losing his son last week, patient is regressing into feelings of conspiracy and persecution.
Incident report: Patient's partner stopped by the office asking if there was a reason to be worried about patient's mental state, reminding me of my professional obligation to inform the LAPD. Ha! While he was clearly aware of the difficult issue of confidentiality, the most I could do was sidestep his questions while doing a little information gathering of my own. Patient has begun to assemble an evidence board in the garage, of the sort frequently seen in movies about serial killers... Clearly, patient's partner is not aware of the duality of his mental state. And judging from partner's demeanor, I fear patient may be nearing a crux point... I'm not entirely sure what I can do to help, other than call him into another session, which I will do now.