Assignment: Assessing and Diagnosing Patients With Schizophrenia, Other Psychotic Disorders, and Medication-Induced Movement Disorders

TRAINING 9

00:00:00BEGIN TRANSCRIPT: 

00:00:00[sil.] 

00:00:15OFF CAMERA Ms. Branning, Mr. Nehring asked suggested you see me. He said your having some issues at work. 

00:00:20MS. BRANNING You could call them that. 

00:00:20OFF CAMERA What kind of difficulty are you having at work? 

00:00:25MS. BRANNING Well Mr. Nehring wants to fire me. 

00:00:30OFF CAMERA Why do you think Mr. Nehring wants to fire you? 

00:00:30MS. BRANNING Because Eric is in love with me. And it's probably getting in the way. And he wants to fire me. 

00:00:40OFF CAMERA Who is Eric? 

00:00:40MS. BRANNING Eric is my supervisor. 

00:00:45OFF CAMERA Are the two of you in a relationship? 

00:00:45MS. BRANNING No! Eric has his own girlfriend, I have my own boyfriend. But Mr. Nehring got it in his head that this is my fault. And they've been ganging up against me. 

00:01:00OFF CAMERA What happened to make you feel this way? 

00:01:00MS. BRANNING Eric is lustful for me. Lust. Lustful. 

00:01:10OFF CAMERA Well has Eric done anything inappropriate? 

00:01:10MS. BRANNING No, he doesn't have to. 

00:01:15OFF CAMERA What do you mean? 

00:01:15MS. BRANNING Well, he has this way of walking toward me and he gives me the easiest assignments to do and he asks me to voice my opinion a lot in our weekly meetings. And I'm beautiful. I mean, not to be boastful or anything but I'm a strong woman. And people are attracted to that. And others, like Mr. Nehring feel threatened by it. He probably feels I could replace him in a couple years. And I could. 

00:01:45OFF CAMERA But there have been no instances of sexual harassment. 

00:01:50MS. BRANNING No. And now they want to fire me, and it's probably because they don't want me to get in the way of their day. I'm probably a distraction or something. 

00:02:00OFF CAMERA According to Mr. Nehring you haven't made a sale in three weeks. 

00:02:05MS. BRANNING Oh, it's been a slow time period. I guess it wouldn't be bad thing if they fired me. I mean after all of this, all the bad it's done for my health. You know I should really sue for discrimination; you know the stress and the health problems. 

00:02:25OFF CAMERA You've been having health problems? 

00:02:25MS. BRANNING Yes. Yes. It keeps getting worse. 

00:02:30OFF CAMERA Can you describe it for me? 

00:02:30MS. BRANNING Well you know there's this pain in my neck, it aches, it spreads to my back, I think there's a lump, right here. I'm really worried. 

00:02:55OFF CAMERA And what do you feel is the cause? 

00:02:55MS. BRANNING I told you, pain, suffering, broken heart. I think it's cancer. 

00:03:05OFF CAMERA Have you been seen by a doctor? 

00:03:10MS. BRANNING No. But it's probably cancer. And it's slowly killing me. And it's all because of them. And Eric's obsession with me. 

00:03:20OFF CAMERA Ms. Branning, I don't think you have to worry; a broken heart can't cause cancer. 

00:03:25MS. BRANNING You never know until it happens. 

00:03:30[sil.] 

00:03:30 END TRANSCRIPT 

TRAINING 24

00:00:00 BEGIN TRANSCRIPT: 

00:00:00[sil.] 

00:00:15OFF CAMERA Your roommates, Rachel and Liz, shared some information with me. They said that you were fine, and that shortly after your aunt died, that you started acting in a different sort of strange way. Started having thoughts and hearing things that others couldn't hear. 

00:00:35JESS They think I'm living in a movie. Rachel and Liz. That's who they think I am. I see a lot of movies. So maybe they're right. Maybe I am a movie 

00:00:45OFF CAMERA I'm not sure I understand how you can be a movie. 

00:00:45JESS Because they listen to our apartment. 

00:00:50[Whispers] 

00:00:50JESS They listen from next door. 

00:00:50OFF CAMERA Who listens? 

00:00:55JESS Russian men and whores. They drill all night long. That's how they send their information back. Drilling. 

00:01:05OFF CAMERA Drilling. They send messages by drilling? 

00:01:10JESS Doesn't surprise me. Most people don't understand. 

00:01:15OFF CAMERA Your roommates said that your favorite aunt that died, she's the one who raised you. 

00:01:20JESS Maybe she did. Maybe she didn't. Who told you? Can you prove it? I can't. 

00:01:30OFF CAMERA Liz and Rachel told me. 

00:01:30JESS Good for them. 

00:01:35OFF CAMERA And your roommates said you had some new neighbors that moved in. Are these the neighbors you're talking about? 

00:01:45JESS They're not neighbors. They're Russians. They don't answer their door. I tried to banging on their door and they didn't answer. Figures. I mean they only speak English. They don't speak English, they speak Russian in code. 

00:02:00OFF CAMERA You know, your roommate, Rachel, told me your new neighbors speak Spanish. They speak Spanish. 

00:02:10JESS They lie. But what do you expect? 

00:02:15OFF CAMERA What do they do? Your neighbors? 

00:02:20JESS I don't want to talk about this any more. 

00:02:25OFF CAMERA You know, Jess, I imagine what you are experiencing right now feels very frightening. I hear from a lot of the people who, hear voices that maybe aren't there, that it's very frightening. And it's upsetting. Are you experiencing anything like that? 

00:02:40JESS Yes. I hear them talking when no one else can. I mean not Rachel, not Liz. That's why I went down to my car yesterday. Because if I'm very, very still, the Russians can't code me. 

00:02:55OFF CAMERA What do you mean code you? 

00:03:00JESS You know. You act like you don't know, but you know. 

00:03:05OFF CAMERA How long did you stay in your car? 

00:03:10JESS Six hours. I watched them move in and out. 

00:03:15OFF CAMERA So do you sometimes see things that your roommates don't see? 

00:03:20JESS No. But I know things that they don't know. 

00:03:30OFF CAMERA Jess, I realize it is difficult sometimes for people to tell me things but it really helps me with their background. Has anything happened recently? Anything traumatic? 

00:03:40JESS I think that secret government papers are traumatic. Like blueprints. I mean, they have blueprints of buildings. My apartment is a building. 

00:03:55OFF CAMERA What are the blueprints? 

00:03:55JESS They're all over the walls. That's what they want. 

00:04:00OFF CAMERA The neighbors? 

00:04:00JESS The Russians. They're terrorists. You'll find out too late. 

00:04:10OFF CAMERA Has anyone else seen these blueprints Jess? 

00:04:10JESS I can stop them from seeing them. I covered the walls, I marked up the walls. I just need more markers. 

00:04:20OFF CAMERA Jess, do you drink alcohol or take drugs? 

00:04:25JESS My body is my temple. No. 

00:04:30OFF CAMERA Have you been taking any prescription medications? 

00:04:35JESS Yes, I did. I was. 

00:04:40OFF CAMERA So you stopped taking your medications? 

00:04:45JESS Yes, I stopped taking my medications. The medications were part of the problem. But you know all about that, don't you? 

00:04:55OFF CAMERA Jess, do you have any thoughts of hurting yourself, or hurting any other people? 

00:05:00JESS Rachel and Lizzy? I don't think they're in on it. Time will tell. 

00:05:10[sil.] 

00:05:10 END TRANSCRIPT 

TRAINING 29

00:00:00BEGIN TRANSCRIPT: 

00:00:00[sil.] 

00:00:15OFF CAMERA Mr. Feldman? I understand you called us last week for an appointment. 

00:00:20MR. FELDMAN My parents. 

00:00:25OFF CAMERA Excuse me? 

00:00:25MR. FELDMAN My parents called for the appointment. 

00:00:25OFF CAMERA Oh. Do you know why your parents called for an appointment? 

00:00:30MR. FELDMAN No. 

00:00:35OFF CAMERA When your parents called me they said you were having some difficulty in school. Where are you in school? 

00:00:50MR. FELDMAN State College. 

00:00:50OFF CAMERA How long have you been at State College? 

00:00:55MR. FELDMAN My freshman year. 

00:01:00OFF CAMERA And how is it going? 

00:01:05MR. FELDMAN Fine. 

00:01:10OFF CAMERA What courses are you taking at State? 

00:01:15MR. FELDMAN In high school I took advanced placement courses. Theoretical physics, advanced calculus is what I'm taking now. Although I'm thinking about double majoring in philosophy and physics. 

00:01:35OFF CAMERA That's an interesting combination. 

00:01:35MR. FELDMAN Yes, the mysteries of life. The courses are mysteries, and just when you think you've understood it, it's gone. 

00:01:45OFF CAMERA Gone? 

00:01:50MR. FELDMAN The totality of life precludes us from repeating it. I mean what's the point? 

00:02:00OFF CAMERA Do you have a roommate at state? 

00:02:05MR. FELDMAN You could call him that. 

00:02:10OFF CAMERA Can you tell me about him? 

00:02:15MR. FELDMAN Oh no. 

00:02:15OFF CAMERA Why not? 

00:02:20[sil.] 

00:02:25MR. FELDMAN He put a microwave in there, but I know what that means. But I won't tell. Not a word. 

00:02:35OFF CAMERA A microwave oven? 

00:02:40MR. FELDMAN They had them in here too, in this building. But they'll spare me, and they'll spare you too, because you are with me, and what that's about a bleeding degeneration of blood cells, bleeding the humanity from our rightful destiny... but this room spies on us. 

00:03:05OFF CAMERA I don't understand what you mean. 

00:03:10MR. FELDMAN It's in the eyes. You can hold of forever if you know how. 

00:03:20OFF CAMERA Mr. Feldman, did you come here with anyone else today? 

00:03:25[sil.] 

00:03:30MR. FELDMAN Sssshhhh. 

00:03:35OFF CAMERA Mr. Feldman, I think I may need to contact your parents. 

00:03:45SymptomMedia Visual Learning for Behavioral Health www.symptommedia.com 

00:03:45 END TRANSCRIPT 

TRAINING 134

00:00:00 BEGIN TRANSCRIPT: 

00:00:00SYMPTOMS MEDIA, LLC DISCLAIMS ALL RESPONSIBILITY FOR ANY LIABILITY LOSS OR RISK, PERSONAL OR OTHERWISE, WHICH IS INCURRED AS A CONSEQUENCE, DIRECTLY OR INDIRECTLY, OF THE USE AND APPLICATION OF ANY OF THE CONTENT CONTAINED HEREIN. 

00:00:10[sil.] 

00:00:15UNKNOWN Hi, Mrs. Warren, nice to see you again. How are you doing? 

00:00:20WARREN You're with them. 

00:00:20UNKNOWN Pardon me. 

00:00:25WARREN, I know you are. But you won't tell me, people like you never do. 

00:00:30UNKNOWN I'm not sure that I follow. 

00:00:30WARREN Sure. They dumb just like everybody else. We're on to you. 

00:00:40UNKNOWN Who do you mean by we? 

00:00:45WARREN Mm-hmm. 

00:00:45UNKNOWN You are not going to tell me? 

00:00:50WARREN I don't need to tell you. You have eyes and ears planted everywhere. 

00:00:55UNKNOWN Everywhere meaning other places away from the hospital… 

00:01:00WARREN Everywhere, enough set. 

00:01:00UNKNOWN Let me make sure I understand. Are you saying you feel that I or someone else has been spying on you? 

00:01:05WARREN I don't feel that. I know it. You and your people had… I don't need to explain it, you already know. 

00:01:15UNKNOWN You feel safe here in the emergency department? 

00:01:20WARREN There's nowhere that is safe. Don't pretend like there is. 

00:01:30 END TRANSCRIPT