CASE# 2659831/PCS
Subjective:
Pt. reports she is unable to concentrate: Ideas are half-formed and never quite reach an actionable level.
Objective:
pt. is inarticulate although not aphasic; her explanations are baroque and full of tangents leading nowhere
Assessment:
premature conceptual secretions
Plan:
Rewire the cerebellum-mouth connection to prevent mouth from operating without participation by the brain
Pts complain of feeling detached from self and body as if watching themselves from a distance or in a dream. Some also report anesthesia, loss of self-control, difficulty speaking, and feelings of derealization.