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MEMORANDUM - Bellevue Hospital Center

Bellevue Hospital Center
462 First Avenue
New York, New York 10016

These notes are aimed at helping volunteers selected to work with those suffering from mental disorders in our hospital. The information is not meant to be a substitute for parts of a comprehensive book in psychiatry. Rather, it should make the reader have some idea about some practical solutions to the care of the mentally ill and create general awareness.

A) MOOD AND APPEARANCE:

They may be unkempt - wearing dirty clothes and appear to have neglected their personal hygiene.

They may be found talking to themselves or behaving as if talking or responding to some imaginary objects. They may appear very excited and unusually happy, smiling at anything.

B) SPEECH:

They may talk in a way that one may find it difficult to understand or follow even though the language will be familiar.

They may talk a lot or sometimes refuse to talk at all.

They may be mute and will not talk or respond to questions even from people they know and are close to them.

C) BEHAVIOR:

They may laugh or giggle inappropriately.

They may stand at one place for a long time refusing to sit down or move.

They may be aggressive or violent without any provocation.

They may overspend money-buying things they have not planned for or they do not need.

They may give money away.

They may be promiscuous.

D) ABNORMAL BELIEFS:

The following abnormal beliefs may be expressed:-

Claiming to be somebody they are not

Having the belief that they possess special powers to do impossible or big things.
Claiming that some innocent people are enemies and that people have conspired to kill them

The belief that the food or drink that has been provided is poisoned.

The belief that somebody has been passing some gasses particularly in the night into their rooms, or some chemicals are being sprayed on them.

E) ABNORMAL PERCEPTIONS:

They may see things or hear voices which nobody else sees or hears.

The voices that they hear may be telling them to do things. Some may resist, others may obey the voices and act on their instructions.

They may refuse to sleep in a room or live in a house because they claim that their lives are in danger without any proof.

Some may smell or feel what nobody else can.

THE ABOVE SYMPTOMS WILL BE TYPICAL OF A PATIENT WHO WILL BE DESCRIBED AS BEING PSYCHOTIC.

A person suffering from a psychotic illness is not likely to be convinced to stop acting or behaving in the manner that he is found in.

He will not benefit from being chained or locked up in a room.

He will continue to be a nuisance or destructive if he is just left on his own without any help.

Dr. J. Holland MD Psy.D Ph.D

John, see my previous notes before distributing this to the volunteers. Also, check with the NYPD for their paperwork on this case ASAP. My good friend Detective Martinez in Midtown is the contact over there on this one. – Cadwallader

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