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Inland Psychiatric Medical Group
Phone:
9093353026
DRISKILL , JAMES
September 1, 1965
Born
Male
Sex
74455486755769533301390734623137025694
MRN
547453504
SSN
C2333746
MRN
3260 Grande Vista
San Bernardino, CA 924051939
Address
9098828759
Home Phone
5164064560
Mobile Phone
3077578786
Work Phone
Jmdriskill@gruwup.net
Home Email
English
Language
White
Race
Not Hispanic or Latino
Ethnicity

Table of Contents

No Information Available
GMDN Name UDI Expiration Date Status
No Information Available
Name Related To Notes Date
No Information Available
Encounter Performer Date
Encounter Visit JAGAN JAKKULA 03/07/2022
Encounter Visit Yvette Arroyo 01/31/2022
Encounter Visit Breanna Yang 12/23/2021
Encounter Visit Emmy Reyes 01/20/2022
Encounter Visit raviteja ethalapaka 01/31/2022
Encounter Visit Breanna Yang 03/14/2022
Encounter Visit Adrianna Sandoval 01/20/2022
Encounter Visit Olivia Ellis 01/21/2022
Encounter Visit Allyce Turturica 02/08/2022
Encounter Visit SUDHEER JALAGADUGULA 12/03/2021
Encounter Visit VANAJAKSHI GOKAPAI 01/05/2022
Encounter Visit Amber Morris 01/31/2022
Encounter Visit Breanna Yang 03/08/2022
Encounter Visit Julitza Reyes 05/07/2022
Encounter Visit Ashley Welty 01/31/2022
Encounter Visit raviteja ethalapaka 01/20/2022
Encounter Visit Olivia Ellis 01/17/2022
Encounter Visit Wilson Thammavongsa 03/22/2022
Encounter Visit Estefania Landin 01/07/2022
Encounter Visit JAGAN JAKKULA 03/24/2022
Encounter Visit Candelaria Perez 02/21/2022
Encounter Visit Estefania Landin 12/22/2021
Encounter Visit MUBASHIR FAROOQI 01/06/2020
Encounter Visit CHINYERE OBAKHUME 01/04/2022
Encounter Visit Olivia Ellis 01/31/2022
Encounter Visit Estefania Landin 01/31/2022
Encounter Visit Alfonso Cordova 02/02/2022
Encounter Visit PRATHAP THATHAPUDI 12/02/2021
Encounter Visit Estefania Landin 01/21/2022
Encounter Visit Olivia Ellis 12/28/2021
Encounter Visit Breanna Yang 12/23/2021
Encounter Visit Olivia Ellis 01/20/2022
Encounter Visit Jayasree Adireddy 02/22/2022
Encounter Visit Estefania Landin 01/28/2022
Encounter Visit Breanna Yang 12/22/2021
Encounter Visit Amber Morris 02/04/2022
Encounter Visit Ashley Valdez 03/07/2022
Encounter Visit PAVANI KOTHAPALLI 04/26/2021
Encounter Visit Marie Garcia 04/20/2021
Encounter Visit Valerie Perez 02/28/2020
Encounter Visit Ashley Welty 04/28/2022
Encounter Visit Ashley Valdez 03/05/2022
Encounter Visit Estefania Landin 01/19/2022
Encounter Visit Estefania Landin 02/01/2022
Encounter Visit Yvette Arroyo 02/02/2022
Encounter Visit Devin Fallis 02/19/2022
Encounter Visit Emmy Reyes 01/25/2022
Encounter Visit Guadalupe Martin 01/28/2022
Encounter Visit Diane Barrera 01/31/2022
Encounter Visit Estefania Landin 01/26/2022
Encounter Visit zulekha mohammed 02/02/2022
Encounter Visit Breanna Yang 02/03/2022
Encounter Visit Connie Gomar 04/20/2022
Problem Effective Dates Problem Status
Severe mood disorder with psychotic features (disorder), [26516009] 20200106 ACTIVE
Schizoaffective disorder, bipolar type (disorder), [38368003] 20200106 ACTIVE
Problem Care Plan
Vaccine Name Date Status
No Information Available
Health Concerns
No Information Available
Goals
No Information Available
Mental/Functional Findings
No Information Available
Reason for Visit/Chief Complaint
No Information Available
ASSESSMENTS

pt and mom reports improvement in mood/psychotic symptoms but not optimally controlled . d/w consider alternate medications , optimize medication dose -agreeable with plan
will get medical records for review

Severe mood disorder with psychotic features (disorder) (F31.64/296.64) Bipolar disorder, current episode mixed, severe, with psychotic features modified 6 Jan, 2020
Schizoaffective disorder, bipolar type (disorder) (F25.0/295.70) Schizoaffective disorder, bipolar type modified 6 Jan, 2020

pt and mom reports mood/psychotic symptoms not optimally controlled -off psychotorpics - contributing factors as above. d/w consider alternate medications , optimize medication dose -agreeable with plan
will get medical records for review from dr farooqi .

Severe mood disorder with psychotic features (disorder) (F31.64/296.64) Bipolar disorder, current episode mixed, severe, with psychotic features modified 6 Jan, 2020

Reason For Referral
No Information Available
Social History Element Description Effective Dates
Birth Gender Male 01/04/2022
Smoking Status Never smoker, [SNOMED-CT:266919005], null 2022
Medication Start Date Instructions Status
lamoTRIgine 200 mg tablet, [RxNorm: 198429] 01/04/2022 1 tab(s) orally 2 times a day Discontinued
LaMICtal 25 mg tablet, [RxNorm: 105019] 03/07/2022 take 1 tablet daily for 2 weeks then 1 tablet twice a day Discontinued
LaMICtal 25 mg tablet, [RxNorm: 105019] 03/24/2022 take 2 tablets twice a day active
cariprazine 6 mg capsule, [RxNorm: 1667678] 01/04/2022 1 cap(s) orally at every bedtime Discontinued
Date / Time: 01/04/2022
Height 172.72 cm
Weight 83.56 kg
BMI 28.01 kg/m2
Blood Pressure mm[Hg]
Heart Rate /min
O2 Percentage BldC Oximetry %
Inhaled Oxygen Concentration %
Body Temperature Cel
Respiratory Rate /min
Head circumference 0 percentile
Weight-for-length 0 percentile
FAMILY HISTORY Family member Diagnosis
No Information Available
Name Actual Result Date Laboratory
No Information Available
Type Substance Reaction Severity Status
No Information Available
CLINICAL NOTES

CC:

NO CURES AVAILABLE 3/5/2022 Requested Dr.P to discuss history with Dr. Jakkula before appointment. Deepa 03/01/2022


As telehealth/video provider, I Jagan Jakkula MD, attest that I introduced myself to patient, provide the credentials, disclosed my location , other participants in the virtual visit , and the reason for real time two way interactive audio and video consult , I and patient have mutually agreed that this visit is appropriate for video technology .

Originating site (Patient location) : patients home
Distant location(provider location) : Irvine, California



Psych Syndromes:


Patient seen for follow up for medication management . accompanied by mom. says he is doing better, says taking lamictal ,just started higher dose- says tolerating it , says seems to help to some extent . says still feeling down, anxious somedays . denies panic attacks .. gets 6-7 hrs sleep/night . noted to be DELUSIONAL [ REJECTED BY PATIENT KNOWLEDGE ] -seems to be chronic in nature




PATIENT INSERT ON THE CLINICAL TERM USED HERE "DELUSIONAL":

BREAK FOR A REUTER'S FACT CHECK STATEMENT ON MASS PARANOIA! DELUSIONS AND PSYCHOSIS!

Fact Check-No evidence of pandemic ‘mass formation psychosis’, say experts speaking to Reuters https://www.reuters.com/article/factcheck-coronavirus-psychology-idUSL1N2TN1RE

AS MENTIONED IN THIS CITATION IN REFERENCE TO THE COVID PANDEMIC, APPLIES TO MENTAL HEALTH AND BRAIN FUNCTIONS AND MENTAL ILLNESS IN GENERAL INCLUDING GANG STALKING. REFERENCES TO COVID PANDEMIC HAVE BEEN OMITTED IN THIS PRESENTATION OF FACTS CHECK

This Analysis Applies to any and all claims of mass delusional thinking surrounding any topic, the pandemic and/or gang stalking similarly!

By Reuters Fact Check Mass formation psychosis. is not an academic term recognized in the field of psychology, nor is there evidence of any such phenomenon occurring, multiple experts in crowd psychology have told Reuters. Dr Robert Malone, previously fact-checked by Reuters, told The Joe Rogan Experience that mass formation psychosis is a phenomenon that occurred in 1920s and 30s Germany when a highly educated population went barking mad. According to Malone, the condition occurs when a society.becomes decoupled from each other and has a free-floating anxiety in a sense that things don't make sense. And then their attention gets focused by a leader or series of events on one small point, just like hypnosis. He added:.They literally become hypnotized and can be led anywhere. They will follow that person. it doesn't matter whether they lie to them or whatever, the data are irrelevant.. The phrase does not appear in the American Psychological Association (APA) Dictionary of Psychology (dictionary.apa.org/), (dictionary.apa.org/browse/m) nor does it appear in the PsycNet database of published research articles. Numerous psychologists have also told Reuters that such a condition is not officially recognized. .I have never heard of this concept. John Drury, Professor of Social Psychology and Director of Research and Knowledge Exchange at the University of Sussex, wrote in an email to Reuters. Jay Van Bavel, Associate Professor of Psychology and Neural Science at New York University, said the term.doesn't exist as a real academic concept. , adding: I've been studying group identity and collective behaviour for nearly two decades and just published a book on the topic (www.powerofus.online/) and not once have I come across this term. .It seems to have been made up recently. There are similar-sounding concepts, like. mass psychogenic illness,' but the scope of these is relatively narrow compared to what is being proposed here.. Reuters also spoke to Steven Reicher, Professor of Social Psychology at the University of St Andrews, who has studied crowd psychology for more than 40 years. He described the concept of a.mass psychosis. as.more metaphor than science, more ideology than fact. . .It arises out of mass society theories and crowd psychology theories which developed in the 19th century, and which reflected a fear of the masses. he said The claim was that people in the mass lose their sense of identity and their ability to reason, they regress to an inferior mental state where they are manipulable by unscrupulous leaders.

It has been totally discredited by contemporary work on groups and crowds. Van Bavel, who said he found the idea of mass formation psychosis reductionist, highlighted a different account of the role of psychology, groups and leadership in the rise of Naziism.

Citation Here: https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1348/014466605X48998

We would argue that as well as being consistent with contemporary thinking in social psychology (e.g. after Tajfel & Turner, 1979), this analysis also articulates more closely than Zimbardo s original role account with the analysis of tyranny put forward by researchers in other academic disciplines. Most notably, it accords with influential analysis proposed by modern historians (e.g. Abel, 1986; Gellately, 2001; Hobsbawm,1995; Rees, 2002). Consider, for instance, Hobsbawm s account of the conditions that gave rise to the fall of the Weimar republic and the emergence of Nazism in 1930sGermany. The optimal conditions for the triumph of the ultra-right were an old state and its ruling mechanisms which could no longer function; a mass of disenchanted, disoriented and disorganized citizens who no longer knew where their loyalties lay; strong socialistmovements threatening or appearing to threaten social revolution, but not actually in a position to achieve it.... These were the conditions that turned movements of the radical right into powerful, organized and sometimes uniformed and paramilitary forces (1995, p. 127).

End Of Naziism Citation.

What is true, of course, is that people do have to make sense of a confusing and complicated world with different accounts coming from different sources, said Reicher.

We are not scientific experts so when people tell us contradictory things about a lesser known or newer scientific discipline field, who do we listen to?

That is a matter of trust and of our social relationship to the source of information. So, the politicisation of the pandemic, the creation of a sense of an

establishment enemy who wants to control us is certainly important. It makes the establishment of trust an absolutely critical aspect of the pandemic and hence such things

as transparency, respect, clarity etc. become critical.. He added:, But telling people who disagree with you that they are deluded and in a state of psychosis is essentially

a device to silence them and a form of disrespect. It alienates and hence undermines an attempt at dialogue. It isn't an explanation of the problem; it is part of the problem..

Chris Cocking, Principal Lecturer at the School of Humanities and Applied Social Sciences at the University of Brighton, told Reuters that a preferred way to explain crowd action

was in terms of shared identities, relations between different groups and leadership influence. . He said:We have all spent our careers trying to undo irrationalist approaches

that pathologize crowd behaviour.. Recent studies on urban disorder, including the 2011 riots in England (here) and the 2005 London bombing (here), have shown thatcrowds behave

in ordered and normative ways depending on the shared identities experienced by crowd members and the social context in which they happen and they often limit their own behaviour,.

Cocking added.

The idea that crowds fall under a mass psychosis which means they are no longer responsible for their actions is a total myth that's not supported by any credible evidence..

VERDICT Missing context. There is no evidence to suggest mass formation psychosis. The term itself is not recognised among academics, and modern research into crowd psychology

has shown that crowds do not behave in mindless or non-individualistic ways. Our Standards: The Thomson Reuters Trust Principles.

END OF REUTER'S FACT CHECK CITATION.


. says he has bipolar -unable to give a clear hx for manic/hypomanic symptoms . denies command , visual, auditory hallucinations , suicidal thoughts , self injurious behaviors , homicidal thoughts .. reports compliance with medications, tolerating except as above

substance abuse hx: per chart review- unable get from pt at this time


SUBSTANCE ASSESSMENT HX:
-cannabis: Endorsed
last used last month
-alcohol: denied
-meth/cocaine: endorsed
onset: age 20
amount: < 1 gm/month
last used: a month ago
-Nicotine use/Vaping: never smoke, per patient

Review of systems :
Constitutional: negative
Endocrinology: negative
Skin: negative
Respiratory: negative
Gastrointestinal: negative
Genitourinary: negative
Musculoskeletal: negative
Neurological: negative
psychiatry : see HPI



Medications:

Lamictal, take 2 tablets twice a day (Edited by JAGAN JAKKULA on Mar 24, 2022)



MSE:


The patient's speech was normal, sharing conversation with normal laryngeal efforts. Appropriate mood and affect were seen :better , anxious, irritable -mood congruent .. Thought processes -tengential, disoragnised . dneies suicidal/homicidal thoughts . The patient's judgement -seems impaired . Mental status included: correct time, place, person orientation, normal recent and remote memory, normal attention span and concentration ability. Language skills included the ability to correctly name objects. Fund of knowledge included normal awareness of current and past events



DSM-5:

Schizoaffective bipolar by hx



Assessment:


pt and mom reports improvement in mood/psychotic symptoms but not optimally controlled . d/w consider alternate medications , optimize medication dose -agreeable with plan
will get medical records for review



Plan:


Increase lamictal to 50 mg bid after 2 weeks . psychoeducation provided about diagnosis ,treatment plan, interactions with other medications . medication side effects, risks, benefits and alternatives was discussed including periodic monitoring of parameters
individual therapy recommended
if worsening symptoms , call my office
obtain medical records from previous provider
safety plan:
patient agrees to utilize the following resources in the event of
acute suicidal urges: ER,walk in clinic, crisis line/team, stay with family, structured plans, call contact person
short term goal: obtain all medical records, medication tolerance
long term plan: remission of symptoms and maintain stability
patient understands and agrees with plan
f/u in 3-4 weeks or sooner if needed



CC:

Requested Dr.P to discuss history with Dr. Jakkula before appointment. Deepa 03/01/2022


As telehealth/video provider, I Jagan Jakkula MD, attest that I introduced myself to patient, provide the credentials, disclosed my location , other participants in the virtual visit , and the reason for real time two way interactive audio and video consult , I and patient have mutually agreed that this visit is appropriate for video technology .

Originating site (Patient location) : patients home
Distant location(provider location) : Irvine, California



HPI:


Patient seen for initial evaluation , referred for medication management . per chart review- patient currently on lamictal, cariprazine-says he is not taking them , says he is waiting to see this provider before start taking -says cariprazine is expensive , cannot afford , wants to try alternate medications . says he has seen dr frooqi in the past, seen np recently . accompanied by mom. says currently living with mom . says he needs to get back on his [HIV] medication . says he wants this provider to acknowledge "gang stalking"


NIH.GOV:
[1] PMC7178134 : The Phenomenology of Group Stalking (‘Gang-Stalking’): A Content Analysis of Subjective Experiences : April 2020 ]
[2] PMC7980115 : Linguistic Analysis of Online Communication About a Novel Persecutory Belief System (Gangstalking): Mixed Methods Study [ March 2022 ]
VIDEO PRESENTATION WITH SPOKEN VOICE NARRATIVE:



[3] PMC8569537 : Social Semiotics of Gangstalking Evidence Videos on YouTube: Multimodal Discourse Analysis of a Novel Persecutory Belief System [ Oct 2021 ]






and wants the provider to read up on "gang stalking" and attest that the disorder called "gang stalking" is real . says he has been off his medications for last year . says diagnosed with schizoaffective - bipolar . says he moved to california since 2017 , says he was diagnosed with bipolar about 15 years ago. says he was admitted to in pt psych unit few times-says thinks he was manic at that time . denies hallucinations .says sleeping ok. says he is very anxious , says he is unable to get care for his medication . says he is feeling depressed and anxious . patient endorses low mood, anhedonia ,low energy ,motivation, hopelessness, , low psychomotor activity, constant racing thoughts , unable to relax, fidgety . denies panic attacks . says he is sleeping well . gets 7-8 hrs sleep/night . noted to be DELUSIONAL [ REJECTED BY PATIENT KNOWLEDGE ] -seems to be chronic in nature .


PATIENT INSERT ON THE CLINICAL TERM USED HERE "DELUSIONAL":

BREAK FOR A REUTER'S FACT CHECK STATEMENT ON MASS PARANOIA! DELUSIONS AND PSYCHOSIS!

Fact Check-No evidence of pandemic ‘mass formation psychosis’, say experts speaking to Reuters https://www.reuters.com/article/factcheck-coronavirus-psychology-idUSL1N2TN1RE

AS MENTIONED IN THIS CITATION IN REFERENCE TO THE COVID PANDEMIC, APPLIES TO MENTAL HEALTH AND BRAIN FUNCTIONS AND MENTAL ILLNESS IN GENERAL INCLUDING GANG STALKING. REFERENCES TO COVID PANDEMIC HAVE BEEN OMITTED IN THIS PRESENTATION OF FACTS CHECK

This Analysis Applies to any and all claims of mass delusional thinking surrounding any topic, the pandemic and/or gang stalking similarly!

By Reuters Fact Check Mass formation psychosis. is not an academic term recognized in the field of psychology, nor is there evidence of any such phenomenon occurring, multiple experts in crowd psychology have told Reuters. Dr Robert Malone, previously fact-checked by Reuters, told The Joe Rogan Experience that mass formation psychosis is a phenomenon that occurred in 1920s and 30s Germany when a highly educated population went barking mad. According to Malone, the condition occurs when a society.becomes decoupled from each other and has a free-floating anxiety in a sense that things don't make sense. And then their attention gets focused by a leader or series of events on one small point, just like hypnosis. He added:.They literally become hypnotized and can be led anywhere. They will follow that person. it doesn't matter whether they lie to them or whatever, the data are irrelevant.. The phrase does not appear in the American Psychological Association (APA) Dictionary of Psychology (dictionary.apa.org/), (dictionary.apa.org/browse/m) nor does it appear in the PsycNet database of published research articles. Numerous psychologists have also told Reuters that such a condition is not officially recognized. .I have never heard of this concept. John Drury, Professor of Social Psychology and Director of Research and Knowledge Exchange at the University of Sussex, wrote in an email to Reuters. Jay Van Bavel, Associate Professor of Psychology and Neural Science at New York University, said the term.doesn't exist as a real academic concept. , adding: I've been studying group identity and collective behaviour for nearly two decades and just published a book on the topic (www.powerofus.online/) and not once have I come across this term. .It seems to have been made up recently. There are similar-sounding concepts, like. mass psychogenic illness,' but the scope of these is relatively narrow compared to what is being proposed here.. Reuters also spoke to Steven Reicher, Professor of Social Psychology at the University of St Andrews, who has studied crowd psychology for more than 40 years. He described the concept of a.mass psychosis. as.more metaphor than science, more ideology than fact. . .It arises out of mass society theories and crowd psychology theories which developed in the 19th century, and which reflected a fear of the masses. he said The claim was that people in the mass lose their sense of identity and their ability to reason, they regress to an inferior mental state where they are manipulable by unscrupulous leaders.

It has been totally discredited by contemporary work on groups and crowds. Van Bavel, who said he found the idea of mass formation psychosis reductionist, highlighted a different account of the role of psychology, groups and leadership in the rise of Naziism.

Citation Here: https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1348/014466605X48998

We would argue that as well as being consistent with contemporary thinking in social psychology (e.g. after Tajfel & Turner, 1979), this analysis also articulates more closely than Zimbardo s original role account with the analysis of tyranny put forward by researchers in other academic disciplines. Most notably, it accords with influential analysis proposed by modern historians (e.g. Abel, 1986; Gellately, 2001; Hobsbawm,1995; Rees, 2002). Consider, for instance, Hobsbawm s account of the conditions that gave rise to the fall of the Weimar republic and the emergence of Nazism in 1930sGermany. The optimal conditions for the triumph of the ultra-right were an old state and its ruling mechanisms which could no longer function; a mass of disenchanted, disoriented and disorganized citizens who no longer knew where their loyalties lay; strong socialistmovements threatening or appearing to threaten social revolution, but not actually in a position to achieve it.... These were the conditions that turned movements of the radical right into powerful, organized and sometimes uniformed and paramilitary forces (1995, p. 127).

End Of Naziism Citation.

What is true, of course, is that people do have to make sense of a confusing and complicated world with different accounts coming from different sources, said Reicher.

We are not scientific experts so when people tell us contradictory things about a lesser known or newer scientific discipline field, who do we listen to?

That is a matter of trust and of our social relationship to the source of information. So, the politicisation of the pandemic, the creation of a sense of an

establishment enemy who wants to control us is certainly important. It makes the establishment of trust an absolutely critical aspect of the pandemic and hence such things

as transparency, respect, clarity etc. become critical.. He added:, But telling people who disagree with you that they are deluded and in a state of psychosis is essentially

a device to silence them and a form of disrespect. It alienates and hence undermines an attempt at dialogue. It isn't an explanation of the problem; it is part of the problem..

Chris Cocking, Principal Lecturer at the School of Humanities and Applied Social Sciences at the University of Brighton, told Reuters that a preferred way to explain crowd action

was in terms of shared identities, relations between different groups and leadership influence. . He said:We have all spent our careers trying to undo irrationalist approaches

that pathologize crowd behaviour.. Recent studies on urban disorder, including the 2011 riots in England (here) and the 2005 London bombing (here), have shown thatcrowds behave

in ordered and normative ways depending on the shared identities experienced by crowd members and the social context in which they happen and they often limit their own behaviour,.

Cocking added.

The idea that crowds fall under a mass psychosis which means they are no longer responsible for their actions is a total myth that's not supported by any credible evidence..

VERDICT Missing context. There is no evidence to suggest mass formation psychosis. The term itself is not recognised among academics, and modern research into crowd psychology

has shown that crowds do not behave in mindless or non-individualistic ways. Our Standards: The Thomson Reuters Trust Principles.

END OF REUTER'S FACT CHECK CITATION.


says he has bipolar -unable to give a clear hx for manic/hypomanic symptoms -says bipolar gets worse when off medications . denies ptsd symptoms including nightmares, flashbacks, avoidance . denies command , visual, auditory hallucinations , suicidal thoughts , self injurious behaviors , homicidal thoughts . denies OCD symptoms . denies childhood hx of ADHD. reports currently off psychotorpics .

substance abuse hx: per chart review- unable get from pt at this time


SUBSTANCE ASSESSMENT HX:
-cannabis: Endorsed
last used last month
-alcohol: denied
-meth/cocaine: endorsed
onset: age 20
amount: < 1 gm/month
last used: a month ago
-Nicotine use/Vaping: never smoke, per patient

Review of systems :
Constitutional: negative
Endocrinology: negative
Skin: negative
Respiratory: negative
Gastrointestinal: negative
Genitourinary: negative
Musculoskeletal: negative
Neurological: negative
psychiatry : see HPI



PsychHx:

Reported multiple inpatient psychiatric holds/hospitalizations: Pennsylvania, in 2017, on his way to Washington DC, to discuss the topic of "Gang stalking" with authorities; San Bernardino Comm. Hosp. in 2020; January/2021 - 2 weeks at Arrowhead BMC, Colton, CA; and October/2021 at Canyon Creek Beh. Health, Texas, for 2 weeks.






RISK ASSESSMENT:

-Suicidal thoughts: patient denied

-History Suicidal Plan/Attempts: patient denied

-Homicidal Ideation: patient denied

-History of Harm to Others: patient denied

-Access to firearms or other weapon(s): mother endorsed, but locked





PMHx:

Hyperlipidemia
Type II DM
HIV POSITIVE



PSHx:

denies past surgical history



PsychFHx:

denies



PsychSHx:




PsychSHx

-Marital Status/Kids: single with no kids

-Living Situation: living with mom, since 2017

-History of Abuse/Traumas: denied

-Employment/School /Occupational Status: on disability benefits

-Highest Education: 12th grade

-Current or Prior Military Service: denied

-Support/Social Systems/Network: mother and friend (Luis)

-Legal/Forensics Hx: jailed once in Texas

-Religion/Spiritual Belief: Christian

-Sexual Preference: identifies as gay

-Use of Herbal/Nutritional Supplements: denied



Medications:

Lamictal, take 1 tablet daily for 2 weeks, then 1 tablet twice a day (Edited by JAGAN JAKKULA on Mar 7, 2022)



MSE:


The patient's speech was normal, sharing conversation with normal laryngeal efforts. Appropriate mood and affect were seen : anxious, irritable ,sad -mood congruent .. Thought processes -tengential, disoragnised . dneies suicidal/homicidal thoughts . The patient's judgement -seems impaired . Mental status included: correct time, place, person orientation, normal recent and remote memory, normal attention span and concentration ability. Language skills included the ability to correctly name objects. Fund of knowledge included normal awareness of current and past events.



DSM-5:

Schizoaffective bipolar by hx



Assessment:


pt and mom reports mood/psychotic symptoms not optimally controlled -off psychotorpics - contributing factors as above. d/w consider alternate medications , optimize medication dose -agreeable with plan
will get medical records for review from dr farooqi .



Plan:


start lamictal 25 mg daily for 2 weeks, then 25 mg bid . psychoeducation provided about diagnosis ,treatment plan, interactions with other medications . medication side effects, risks, benefits and alternatives was discussed including periodic monitoring of parameters
individual therapy recommended
if worsening symptoms , call my office
obtain medical records from previous provider
safety plan:
patient agrees to utilize the following resources in the event of
acute suicidal urges: ER,walk in clinic, crisis line/team, stay with family, structured plans, call contact person
short term goal: obtain all medical records, medication tolerance
long term plan: remission of symptoms and maintain stability
patient understands and agrees with plan
f/u in 3-4 weeks or sooner if needed



CC:

"I am a targeted individual for 16 years by number of individuals, "



HPI:


A 56y/o, Caucasian, male, seen for initial evaluation, in company of mother (Veronica Driskill)



Seeking services today for management of "gang stalking" and requesting to know how this provider to treat for "gang stalking" and wants the provider to read up on "gang stalking" and attest that the disorder called "gang stalking" is real or he would not proceed with the session. This provider promised to research the said disorder and will be informed enough to discuss it at the next session. Patient became irate, and most of the interval history obtained from his mother. Patient is known to this practice, with diagnoses of schizoaffective and depressive disorders. Patient reported of being stalked/followed and earmarked for destruction. Stated that the stalking drove out of Denver where he had a home onto street and now living with his since 2017.


Reported multiple inpatient psychiatric holds/hospitalizations: Pennsylvania, in 2017, on his way to Washington DC, to discuss the topic of "Gang stalking" with authorities; San Bernardino Comm. Hosp. in 2020; January/2021 - 2 weeks at Arrowhead BMC, Colton, CA; and October/2021 at Canyon Creek Beh. Health, Texas, for 2 weeks.


He identified as a gay man. Patient suicidal thoughts, auditory/visual hallucinations during the session

-history of cardiac issues/events: patient denied

-history of head trauma: patient denied

-history of seizures: patient denied

-history of chronic pain syndrome: patient denied

































DSM-5:


Review of current DSM-V Symptoms:
Depressive symptoms M/B:
+Depressed mood/sadness
+Anhedonia/Motivation
+Feelings of worthlessness/hopelessness
-Excessive guilty
-Sleep disturbance
-Appetite with weight gain/loss
+Poor concentration/attention

Anxiety/Panic Symptoms M/B:
+Anxiety
+Excessive worries
+Difficulty to control, inability shot down one?s mind
-Easily fatigued
+Difficulty concentrating
+Easily irritability
-Sleep disturbance
-Headache and/or muscle tension
-Eyed up or on edge

Mania Symptoms M/B:
Elevated/expansive mood
Racing thoughts
+Distractibility/impulsivity
+Increased in goal-directed activities
-Decreased need for sleep lasting over 24 hours
+Pressured speech
+Grandiose delusions




PATIENT INSERT ON THE CLINICAL TERM USED HERE "DELUSIONAL":

BREAK FOR A REUTER'S FACT CHECK STATEMENT ON MASS PARANOIA! DELUSIONS AND PSYCHOSIS!

Fact Check-No evidence of pandemic ‘mass formation psychosis’, say experts speaking to Reuters https://www.reuters.com/article/factcheck-coronavirus-psychology-idUSL1N2TN1RE

AS MENTIONED IN THIS CITATION IN REFERENCE TO THE COVID PANDEMIC, APPLIES TO MENTAL HEALTH AND BRAIN FUNCTIONS AND MENTAL ILLNESS IN GENERAL INCLUDING GANG STALKING. REFERENCES TO COVID PANDEMIC HAVE BEEN OMITTED IN THIS PRESENTATION OF FACTS CHECK

This Analysis Applies to any and all claims of mass delusional thinking surrounding any topic, the pandemic and/or gang stalking similarly!

By Reuters Fact Check Mass formation psychosis. is not an academic term recognized in the field of psychology, nor is there evidence of any such phenomenon occurring, multiple experts in crowd psychology have told Reuters. Dr Robert Malone, previously fact-checked by Reuters, told The Joe Rogan Experience that mass formation psychosis is a phenomenon that occurred in 1920s and 30s Germany when a highly educated population went barking mad. According to Malone, the condition occurs when a society.becomes decoupled from each other and has a free-floating anxiety in a sense that things don't make sense. And then their attention gets focused by a leader or series of events on one small point, just like hypnosis. He added:.They literally become hypnotized and can be led anywhere. They will follow that person. it doesn't matter whether they lie to them or whatever, the data are irrelevant.. The phrase does not appear in the American Psychological Association (APA) Dictionary of Psychology (dictionary.apa.org/), (dictionary.apa.org/browse/m) nor does it appear in the PsycNet database of published research articles. Numerous psychologists have also told Reuters that such a condition is not officially recognized. .I have never heard of this concept. John Drury, Professor of Social Psychology and Director of Research and Knowledge Exchange at the University of Sussex, wrote in an email to Reuters. Jay Van Bavel, Associate Professor of Psychology and Neural Science at New York University, said the term.doesn't exist as a real academic concept. , adding: I've been studying group identity and collective behaviour for nearly two decades and just published a book on the topic (www.powerofus.online/) and not once have I come across this term. .It seems to have been made up recently. There are similar-sounding concepts, like. mass psychogenic illness,' but the scope of these is relatively narrow compared to what is being proposed here.. Reuters also spoke to Steven Reicher, Professor of Social Psychology at the University of St Andrews, who has studied crowd psychology for more than 40 years. He described the concept of a.mass psychosis. as.more metaphor than science, more ideology than fact. . .It arises out of mass society theories and crowd psychology theories which developed in the 19th century, and which reflected a fear of the masses. he said The claim was that people in the mass lose their sense of identity and their ability to reason, they regress to an inferior mental state where they are manipulable by unscrupulous leaders.

It has been totally discredited by contemporary work on groups and crowds. Van Bavel, who said he found the idea of mass formation psychosis reductionist, highlighted a different account of the role of psychology, groups and leadership in the rise of Naziism.

Citation Here: https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1348/014466605X48998

We would argue that as well as being consistent with contemporary thinking in social psychology (e.g. after Tajfel & Turner, 1979), this analysis also articulates more closely than Zimbardo s original role account with the analysis of tyranny put forward by researchers in other academic disciplines. Most notably, it accords with influential analysis proposed by modern historians (e.g. Abel, 1986; Gellately, 2001; Hobsbawm,1995; Rees, 2002). Consider, for instance, Hobsbawm s account of the conditions that gave rise to the fall of the Weimar republic and the emergence of Nazism in 1930sGermany. The optimal conditions for the triumph of the ultra-right were an old state and its ruling mechanisms which could no longer function; a mass of disenchanted, disoriented and disorganized citizens who no longer knew where their loyalties lay; strong socialistmovements threatening or appearing to threaten social revolution, but not actually in a position to achieve it.... These were the conditions that turned movements of the radical right into powerful, organized and sometimes uniformed and paramilitary forces (1995, p. 127).

End Of Naziism Citation.

What is true, of course, is that people do have to make sense of a confusing and complicated world with different accounts coming from different sources, said Reicher.

We are not scientific experts so when people tell us contradictory things about a lesser known or newer scientific discipline field, who do we listen to?

That is a matter of trust and of our social relationship to the source of information. So, the politicisation of the pandemic, the creation of a sense of an

establishment enemy who wants to control us is certainly important. It makes the establishment of trust an absolutely critical aspect of the pandemic and hence such things

as transparency, respect, clarity etc. become critical.. He added:, But telling people who disagree with you that they are deluded and in a state of psychosis is essentially

a device to silence them and a form of disrespect. It alienates and hence undermines an attempt at dialogue. It isn't an explanation of the problem; it is part of the problem..

Chris Cocking, Principal Lecturer at the School of Humanities and Applied Social Sciences at the University of Brighton, told Reuters that a preferred way to explain crowd action

was in terms of shared identities, relations between different groups and leadership influence. . He said:We have all spent our careers trying to undo irrationalist approaches

that pathologize crowd behaviour.. Recent studies on urban disorder, including the 2011 riots in England (here) and the 2005 London bombing (here), have shown thatcrowds behave

in ordered and normative ways depending on the shared identities experienced by crowd members and the social context in which they happen and they often limit their own behaviour,.

Cocking added.

The idea that crowds fall under a mass psychosis which means they are no longer responsible for their actions is a total myth that's not supported by any credible evidence..

VERDICT Missing context. There is no evidence to suggest mass formation psychosis. The term itself is not recognised among academics, and modern research into crowd psychology

has shown that crowds do not behave in mindless or non-individualistic ways. Our Standards: The Thomson Reuters Trust Principles.

END OF REUTER'S FACT CHECK CITATION.



-Decreased appetite
+Recent Hospitalization

Psychotic Symptoms:
+Delusions
-Hallucinations
+Disorganized speech
+Disorganized behaviors
+Paranoia



PATIENT INSERT ON THE CLINICAL TERM USED HERE "DELUSIONAL":

BREAK FOR A REUTER'S FACT CHECK STATEMENT ON MASS PARANOIA! DELUSIONS AND PSYCHOSIS!

Fact Check-No evidence of pandemic ‘mass formation psychosis’, say experts speaking to Reuters https://www.reuters.com/article/factcheck-coronavirus-psychology-idUSL1N2TN1RE

AS MENTIONED IN THIS CITATION IN REFERENCE TO THE COVID PANDEMIC, APPLIES TO MENTAL HEALTH AND BRAIN FUNCTIONS AND MENTAL ILLNESS IN GENERAL INCLUDING GANG STALKING. REFERENCES TO COVID PANDEMIC HAVE BEEN OMITTED IN THIS PRESENTATION OF FACTS CHECK

This Analysis Applies to any and all claims of mass delusional thinking surrounding any topic, the pandemic and/or gang stalking similarly!

By Reuters Fact Check Mass formation psychosis. is not an academic term recognized in the field of psychology, nor is there evidence of any such phenomenon occurring, multiple experts in crowd psychology have told Reuters. Dr Robert Malone, previously fact-checked by Reuters, told The Joe Rogan Experience that mass formation psychosis is a phenomenon that occurred in 1920s and 30s Germany when a highly educated population went barking mad. According to Malone, the condition occurs when a society.becomes decoupled from each other and has a free-floating anxiety in a sense that things don't make sense. And then their attention gets focused by a leader or series of events on one small point, just like hypnosis. He added:.They literally become hypnotized and can be led anywhere. They will follow that person. it doesn't matter whether they lie to them or whatever, the data are irrelevant.. The phrase does not appear in the American Psychological Association (APA) Dictionary of Psychology (dictionary.apa.org/), (dictionary.apa.org/browse/m) nor does it appear in the PsycNet database of published research articles. Numerous psychologists have also told Reuters that such a condition is not officially recognized. .I have never heard of this concept. John Drury, Professor of Social Psychology and Director of Research and Knowledge Exchange at the University of Sussex, wrote in an email to Reuters. Jay Van Bavel, Associate Professor of Psychology and Neural Science at New York University, said the term.doesn't exist as a real academic concept. , adding: I've been studying group identity and collective behaviour for nearly two decades and just published a book on the topic (www.powerofus.online/) and not once have I come across this term. .It seems to have been made up recently. There are similar-sounding concepts, like. mass psychogenic illness,' but the scope of these is relatively narrow compared to what is being proposed here.. Reuters also spoke to Steven Reicher, Professor of Social Psychology at the University of St Andrews, who has studied crowd psychology for more than 40 years. He described the concept of a.mass psychosis. as.more metaphor than science, more ideology than fact. . .It arises out of mass society theories and crowd psychology theories which developed in the 19th century, and which reflected a fear of the masses. he said The claim was that people in the mass lose their sense of identity and their ability to reason, they regress to an inferior mental state where they are manipulable by unscrupulous leaders.

It has been totally discredited by contemporary work on groups and crowds. Van Bavel, who said he found the idea of mass formation psychosis reductionist, highlighted a different account of the role of psychology, groups and leadership in the rise of Naziism.

Citation Here: https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1348/014466605X48998

We would argue that as well as being consistent with contemporary thinking in social psychology (e.g. after Tajfel & Turner, 1979), this analysis also articulates more closely than Zimbardo s original role account with the analysis of tyranny put forward by researchers in other academic disciplines. Most notably, it accords with influential analysis proposed by modern historians (e.g. Abel, 1986; Gellately, 2001; Hobsbawm,1995; Rees, 2002). Consider, for instance, Hobsbawm s account of the conditions that gave rise to the fall of the Weimar republic and the emergence of Nazism in 1930sGermany. The optimal conditions for the triumph of the ultra-right were an old state and its ruling mechanisms which could no longer function; a mass of disenchanted, disoriented and disorganized citizens who no longer knew where their loyalties lay; strong socialistmovements threatening or appearing to threaten social revolution, but not actually in a position to achieve it.... These were the conditions that turned movements of the radical right into powerful, organized and sometimes uniformed and paramilitary forces (1995, p. 127).

End Of Naziism Citation.

What is true, of course, is that people do have to make sense of a confusing and complicated world with different accounts coming from different sources, said Reicher.

We are not scientific experts so when people tell us contradictory things about a lesser known or newer scientific discipline field, who do we listen to?

That is a matter of trust and of our social relationship to the source of information. So, the politicisation of the pandemic, the creation of a sense of an

establishment enemy who wants to control us is certainly important. It makes the establishment of trust an absolutely critical aspect of the pandemic and hence such things

as transparency, respect, clarity etc. become critical.. He added:, But telling people who disagree with you that they are deluded and in a state of psychosis is essentially

a device to silence them and a form of disrespect. It alienates and hence undermines an attempt at dialogue. It isn't an explanation of the problem; it is part of the problem..

Chris Cocking, Principal Lecturer at the School of Humanities and Applied Social Sciences at the University of Brighton, told Reuters that a preferred way to explain crowd action

was in terms of shared identities, relations between different groups and leadership influence. . He said:We have all spent our careers trying to undo irrationalist approaches

that pathologize crowd behaviour.. Recent studies on urban disorder, including the 2011 riots in England (here) and the 2005 London bombing (here), have shown thatcrowds behave

in ordered and normative ways depending on the shared identities experienced by crowd members and the social context in which they happen and they often limit their own behaviour,.

Cocking added.

The idea that crowds fall under a mass psychosis which means they are no longer responsible for their actions is a total myth that's not supported by any credible evidence..

VERDICT Missing context. There is no evidence to suggest mass formation psychosis. The term itself is not recognised among academics, and modern research into crowd psychology

has shown that crowds do not behave in mindless or non-individualistic ways. Our Standards: The Thomson Reuters Trust Principles.

END OF REUTER'S FACT CHECK CITATION.


+Negative symptoms

ADHD Symptoms:
Inattention Sx M/B:
patient denied
Hyperactive/impulsivity Sx M/B:
patient denied

PSTD Symptoms M/B:
patient denied

OCD SYMPTOMS M/B:
patient denied

EATING DISORDER SYMPTOMS:
patient denied



PsychHx:


SUBSTANCE ASSESSMENT HX:
-cannabis: Endorsed
last used last month
-alcohol: denied
-meth/cocaine: endorsed
onset: age 20
amount: < 1 gm/month
last used: a month ago
-Nicotine use/Vaping: never smoke, per patient


RISK ASSESSMENT:
-Suicidal thoughts: patient denied
-History Suicidal Plan/Attempts: patient denied
-Homicidal Ideation: patient denied
-History of Harm to Others: patient denied
-Access to firearms or other weapon(s): mother endorsed, but locked



PsychSHx:

-Marital Status/Kids: single with no kids
-Living Situation: living with mom, since 2017
-History of Abuse/Traumas: denied
-Employment/School /Occupational Status: on disability benefits
-Highest Education: 12th grade
-Current or Prior Military Service: denied
-Support/Social Systems/Network: mother and friend (Luis)
-Legal/Forensics Hx: jailed once in Texas
-Religion/Spiritual Belief: Christian
-Sexual Preference: identifies as gay
-Use of Herbal/Nutritional Supplements: denied



Soc Hx:

Tobacco: Never smoker -
Alcohol: Do not drink -
Drug Abuse: Illicit drug use -
Cardiovascular: Eat healthy meals -
Safety: Household Smoke detector -
Sexual Activity: Homosexual encounters - per patient "I am gay"

Birth Gender: Male -
Custom Items: Cannabis -



PsychFHx:

mother denied



ROS:

Eyes: WNL
Ears: WNL
Nose: WNL
Mouth/Throat/Voice: WNL
Neck: WNL
Respiratory: WNL
Cardiovascular: WNL
Gastrointestinal: WNL
Musculoskeletal: WNL
Neurological: (+) difficulty concentrating
Psychiatric: (+) change in mood, (+)depression, (+)sadness interfering with function, (+)anxiety, (+)nervousness, (-)sleep disturbance, (-)suicidal ideation, (+)hopelessness, (+)worthlessness, (-)hallucinations
has a history of HIV



PMHx:

Hyperlipidemia
Type II DM
HIV POSITIVE



PSHx:

denies past surgical history



Medications:

cariprazine, 1 cap(s) orally at every bedtime (Edited by CHINYERE OBAKHUME on Jan 4, 2022)
lamotrigine, 1 tab(s) orally 2 times a day (Edited by CHINYERE OBAKHUME on Jan 4, 2022)



Allergies:

No allergy history has been documented for this patient.
No known medication allergies



MSE:

General Appearance/Build: Appeared the stated age of an average built
Grooming/Hygiene: average
Eye contact/Demeanor: erratic
Motor Activity: agitated
Speech: pressured and excessive (dominated the session with irrelevant details)
Mood & Affect: irritable & angry (mood & affect congruent)
Thought Process Disturbances: loose association
Thought Content Disturbances: paranoia "all his discussions were centered on gang stalking"
Perception Disturbance: denied
Behavioral Disturbances: poor impulse control
Attitude towards the Examiner: uncooperative, verbally aggressive, and augmentative
Suicidality/Homicidiality: Denied
Cognition: Alert & Oriented X4 (name, place, day & situation)
Memory: Unimpaired
Judgment/Insight: impaired



Assessment:



Severe mood disorder with psychotic features (disorder) (F31.64/296.64) Bipolar disorder, current episode mixed, severe, with psychotic features modified 6 Jan, 2020

Schizoaffective disorder, bipolar type (disorder) (F25.0/295.70) Schizoaffective disorder, bipolar type modified 6 Jan, 2020



Plan:

Patient Instructions/Plan

recommended psychotherapy


Medication(s):

Start these medications below:
Refused to restart Risperdal and Depakote and wants to be restarted on Vraylar and Lamotrigine
Declined to sign the med. consent form and mother stated that patient can sign
-Patient informed that dose may be titrated as needed to targeted symptoms relief



-Discussed medication education/risks/benefits/adverse side effects/black box warning in details with patient & mother
-Patient and mother consented to proposed treatment plan with the above medication(s)



Psychoeducation:

-Brief supportive counseling, validation, and supports provided

-Provided education regarding diagnosis, treatment plan, and importance of psychotherapy

-Reviewed medication indications, use, need for adherence to prescribed medication, handling, and storage.

-Balanced nutrition/hydration/participation in physical activity encouraged

-Provided education on sleep hygiene



Safety Plan:

-reviewed safety plan with patient

-ER precaution and/or to call 911 or PMHNP if there are any safety concerns
-mother agrees to monitor for safety and support safety plan
-advised to seek services with the nearest crisis in the event of harm to self or to others


CURES:

Reviewed (1/04/2022)
No concurrent usage of legal/formal high-risk medication(s)

Return-to-Clinic: 2 weeks or sooner if needed



CC:

Bipolar Disorder.



Psych Symptom/Follow Up:


54 year old LGBT Caucasian male with Bipolar Disorder & HIV, says he is upset as his car was stolen yesterday but recovered in the evening, thinks it is a part of the gangstalking that he has been complaining about for a while, feels he is still being gang-stalked, otherwise appears calmer, sleeping well, thinking is more organized,

Vraylar has had positive response, Has stopped taking Ativan.
no intention of hurting self or others,
He does not own a gun,



ROS:

Overweight
Photosensitivity
HTN
DM



Medications:

Vraylar, 1 cap(s) orally at every bedtime (Edited by MUBASHIR FAROOQI on Jan 6, 2020)
lamoTRIgine, 1 tab(s) orally 2 times a day (Edited by MUBASHIR FAROOQI on Jan 6, 2020)



MSE:

Physically the patient appeared disheveled. Emotionally the patient appeared angry and anxious. Attitude in the interview consisted of cooperation. Observed behaviours included psychomotor agitation. The patient presented with speech that was normal in rate, rhythm and articulation. Mood was ambivalent and his affect was anxious. The patient's thought process was normal and his thought content consisted of guilty ruminations and obsessions.



Assessment:



Severe mood disorder with psychotic features (disorder) (F31.64/296.64) Bipolar disorder, current episode mixed, severe, with psychotic features modified 6 Jan, 2020



Plan:


Lamotrigine 200 mg BID, Vraylar 6 mg po qd.
RTC 8 weeks.


Health Care Providers
NI
Julitza Reyes
1809 W Redlands Blvd
Redlands, CA 92373-8054
Address
9093353026
Work Phone
Document Details
Inland Psychiatric Medical Group
1809 W Redlands Blvd
Redlands, CA 92373-8054
Address
9093353026
Work Phone
May 16, 2022 : -
Julitza Reyes
Published
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