Work and Sleep!

Nov 06, 2011 01:22

Nothing much thrilling happening today--just a work day. Had a new pt with a very sad psychosis: she believed that she had done something terrible and wrong and that she deserved to be punished. Her family were all very supportive of her. They said other than her depression, she really was a healthy, loving person. But if you tried to explain this to her, she would state, "I just have them all fooled. That's just shows you what a bad person I am."

Delusions are interesting. I am pretty logical person and I can usually be persuaded to change my mind and my belief-set when confronted with evidence that proves I'm wrong. People with fixed delusions can agree that your logic is flawless, the points you make are valid, but still, your conclusion is wrong. They are not capable of being able to follow the logic to a conclusion.

I will probably have this person as a pt again tomorrow. She was med compliant and I am wondering if getting some medications on board will help clear some of her thoughts. She really does seem like a very nice person with a good family that loves her. I'd like to get her back home soon.
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