- Nursing staff report the patient has been cooperative with all orders, taken meds with no trouble. She has been eating fairly well, ~70% of her trays, no snacks. She has remained quite aloof in the milieu but responsive, polite, occasionally even humorous to specific questioning. Appears to sleep comfortably through the nights.
- Psychologist reports that patient has participated actively and very thoughtfully in thrice weekly therapy. Is in psychoanalytically oriented work as this approach is successfully uncovering underlying conflicts to which the patient is responding with new material and appropriately intense and varied affect. Work will continue at this level though admission and after.
- Occupational Therapy is seeing the results of intense therapy in the broad range of emotion and affect patient both presents and applies to her work. Also sees frequent confusional states which patient is able to work through with Irving, to whom she has formed an attachment. On occasion patient requires extended time away from the other patients in order to collect herself; is then able to return to the group.
- Group Therapy-Pt follows the context of the group; occasionally offers a powerful insight, but for the most part is unable to maintain a consistent presence in the group. Has developed an empathic interest from several patients rather than having built up a level of hostility from the group because of her low level of participation, which is seen as a hopeful therapeutic sign.
- Psychiatrist: have increased antidepressant to full therapeutic dose. Patient requires low dose antipsychotic to alleviate massive anxiety caused by childhood PTSD. Will continue working with her to work on social skills on the unit.
Thursday, February 3, 2011
Status Report
The treatment team met this morning re: blog immediately below. I will summarize reports from each of the participants:
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