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Chapter 6
Psychiatric Evaluation

Psychiatric Evaluation

Rene Johnson, MD, PhD, Gerald Franklin, M.D. & Maxwell Jorgenson M.D.

Fitzgerald Juvenile Psychiatric Institute

Quentinon Presbyterian Hospital

6678 W. 104th Street, Box 9964

Angela Chamberland, on behalf of the Department of Human Services Foster Care Division Recently consulted me for psychiatric evaluation of Jamie Morris, for possible inclusion in the HRT Regression Program.

Patient, Jamie Morris, is a 37 pound, 41 inch tall, 12 year old female introduced into the juvenile system upon the permanent incarceration of her mother. Patient suffers from Turners Syndrome, and has on this date begun hormone replacement therapy. Patient has never been hospitalized for psychiatric disorder, appears to suffer from mild malnourishment, depression and intermittent incontinence of the bladder. Patient, while responsive to questioning is very quiet and introverted. She has developed a rapid bond with Ms. Chamberland.

After review of the patients medical records by both myself and Dr. Jorgenson, it was determined that patient was an extremely positive candidate for the HRT RP. Primary focus of Morris’ participation in the program will be to help integrate her in with children of her perceived age so that she may grow up on the same pace as her new peers. Physically, patient exhibits outward characteristics of average 3-4 year old child. Patient’s guardian, Ms. Chamberland has been explained, and understands all possible complications of participation in the progam.

Patient was successfully subjected to round 1 behavioral modification hypnotherapy. (transcript infra) Level 1, (three year old) suggestions given to patient include:

1. Oral Fixation - patient was given mild suggestion that she would constantly desire something in her mouth... suggested objects included toys, blankets, other available objects... thumb if nothing else is available. Suggestion is to strengthen durring times of stress.

2. Decreased Urgency - Patient was instructed to disregard preliminary bladder urgency completely... instructed to react to moderate bladder urgency with "pee pee dance"... instructed to react to extreme urgency with active pursuit of adult to assist in toileting.

3. Decreased Dexterity - patient was given suggestion that will make any complicated clothing closure (to include pants buttons, shirt buttons, and overall straps) difficult or impossible to operate. This suggestion will be compounded when levels of urgency (supra) increase. Instructed to hold objects such as cups and larger toys in two hands.

4. Security Object - patient was given suggestion that a particular blanket "binky" will give comfort and support in times of stress.

5. Lysp/Adjective - patient was given suggestion that should lead to lysp in spoken speech, patient was also instructed to remove article adjuctives from spoken speech. (Patient is instructed to continue using proper grammer in written journals).

If any further information is required about this case please do not hesitate to contact me at the telephone number above.

Rene Johnson, MD, PhD

Manager, HRT RP