Send us a textTHE CARCOSA INSTITUTE Psychiatric Evaluation and Treatment RecordPATIENT NAME: Alice Liddell PATIENT ID: AL1865 DOB: May 4, ADMISSION DATE: March 15,PRESENTING SYMPTOMS:Vivid hallucinations of a fantastical world she calls "Wonderland"Delusions of talking animals and anthropomorphic playing cardsSevere dissociation from realityErratic behavior, including attempts to "shrink" or "grow" by consuming various substancesEpisodes of uncontrollable laughter followed by periods of deep melancholyBACKGROUND: Alice Liddell, a 22-year-old female, was admitted to The Carcosa Institute after her parents reported increasingly concerning behavior. Alice claims to have fallen down a rabbit hole into a world she calls "Wonderland." She describes encounters with various fantastical creatures and experiences that defy the laws of physics and logic.INITIAL ASSESSMENT: Patient presents as a well-spoken, imaginative young woman with a tendency to slip into elaborate fantasies. She shows signs of disorganized thinking and difficulty distinguishing between reality and her hallucinations. Alice maintains that her experiences in "Wonderland" are real, despite all evidence to the contrary.DIAGNOSIS:Primary: Schizophrenia with prominent positive symptomsSecondary: Possible dissociative identity disorderDifferential: Temporal lobe epilepsy, drug-induced psychosis (to be ruled out)TREATMENT PLAN:Antipsychotic medication: Risperidone 0.5mg BID, to be adjusted as neededIndividual therapy sessions 3x weekly focusing on reality testing and coping strategiesGroup therapy 2x weekly for peer support and social skills developmentArt therapy to provide a constructive outlet for her vivid imaginationTo be placed in the care of Institute Chief Psychologist Dr. King, until deemed fit for releaseAlice/Wendy voiced by Jennifer MerrickDr. King voiced by Richard MerrickMr. Holloway voiced by Samuel MerrickWritten/Narrated by David May

Ver todos los episodios