Content area
Full Text
Rama Rao Gogineni, MD, is the Head, Division of Child & Adolescent Psychiatry, Cooper University Hospital; and Associate Professor of Psychiatry, Cooper Medical School of Rowan University. Thomas Newmark, MD, is Chief of Psychiatry, Cooper University Hospital.
Disclosure: The authors have no relevant financial relationships to disclose.
This is a quote from the patient:
â[euro]oeI made a Halloween house to scare others. The visitors were frightened by falling into a trap. They would see people without limbs or dead people with their heads half sliced open. Blood was spurting on them. There was also a person hanging from a tree during the ride. If they touched anything they would be electrocuted. Zombies were presentâ[euro]¦and this was so frightening the police were called. This haunted house was in a field my family owned. When the police came I took off in a red car at 400 mph and flew over a lake to escape the cops. May have been going only 100 mphâ[euro]¦â[euro]
This is a quote from another session with the same patient:
â[euro]oeOnce I saved a friend of mine. To help this friend I had to jump 1 mile up from a helicopter into a pool of alligators and sharks in Florida. I was able to fend off the shark attack and outmuscle the alligators with my strength. My friend treated me like I was a hero. And I had to use a harpoon to kill the many sharks and gators. The harpoon went into the alligatorâ[euro](TM)s eye ballâ[euro]¦.â[euro]
<bold>Case Background</bold>
The patient is a 17-year-old (10th grade) male, who currently lives with his father, and has had a history of multiple hospital and residential placements for running away, mood lability, socially inappropriate/limit-testing behaviors, boundary violations, oppositional behaviors, hyperactivity, and poor attention span. Two years prior to the placement, he was charged with a fourth-degree sexual assault of a 7-year-old female. He has also been a victim of sexual abuse by his motherâ[euro](TM)s ex-boyfriend. He denies drug abuse. He has been enrolled in nine schools since age 10 years due to disciplinary issues such as disrespect, assaulting peers and teachers, throwing objects, and causing bodily harm. He has been psychiatrically hospitalized five times. He admitted to auditory and visual hallucinations, but denied delusions. He...