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Hallowsgate Hospital,
1507 Slaughters Creek,
Cabin Creek, WV


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 Thaddeus Salant

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Thaddeus Salant

Thaddeus Salant

Posts : 50
RP Reward Points : 32
Join date : 2012-07-04

Thaddeus Salant Empty
PostSubject: Thaddeus Salant   Thaddeus Salant EmptyWed Jul 04, 2012 12:51 am

Thaddeus Salant Logoeyf

Salant, Thaddeus “Thad”

Thaddeus Salant AxppX 

I, Dr. James Craven, will be filling out Mr. Salant’s application to the best of my abilities, as he is currently not in a state to answer sufficiently.

      D.O.B: 03/01/1982
      AGE: 30
      GENDER: M
      STREET ADDRESS: 843 Townsend Road
      TOWN/CITY: Los Angeles
      STATE: California
      HEIGHT: 5 Feet, 10 Inches
      WEIGHT: 145 lbs
      ETHNICITY: Caucasian
      DISTINGUISHING MARKS: Thad has a scar above his right eye, cutting into his eyebrow, from a childhood accident.  He also has several scars in a splatter pattern on his left cheek from a vehicular accident at the age of 16.

Medical History

Do you have any ongoing medical issues for which you require treatment or medication?:

None currently.

Are you aware of any allergies? If so, please list allergy, age of onset and any medications or treatments you require or recieve:

Thad is severely allergic to peanuts, and is lactose intolerant

Have you had any surgeries or invasive procedures in the past? If yes, please list reason and approximate age of procedure:

Thad has had an appendectomy while in our care here at Gateways Hospital and Mental Health Center. His tonsils bother him, however they have yet to be removed.

Do you take any medications or supplements daily? Do you follow any treatment plans? Please list medications or treatments, and reasons below:

Thad currently takes 5 mg Bromazepam once daily. Thad also has an Epi-pen for his peanut allergy. Also, Thad can take Lactaid if his food is dairy-containing.

Do you use tobacco, consume alcohol, or use any other drugs including street drugs and/or prescription medications not prescribed to you? If yes, please list number of packs a day, number of drinks a day, and/or drugs consumed below:

Thad does smoke cigarettes on his good days.

Psychiatric Screening

Please describe, to the best of your ability, your emotional and mental state of wellbeing:

Thad has periods of excitability, where he has somewhat of an ADHD mannerism, and is happy, excitable. He is very enthusiastic during these periods of time, however these are short lived. Other times, he seems to be in state of depression, or rather a catatonia. His emotional well being is hard to describe, as he doesn't speak much more than what is repeated to him.

Have you been diagnosed with any psychiatric or psychological ailments? Please list any diagnoses below, and the treatments or medications prescribed to you. Please include name of medications, dosage, and number of doses per day:

Thad has been diagnosed with Schizophrenia, Catatonia type. During a catatonic state he is given Bromazepam, 5 mg. However, it is extremely hard to adhere Thad to a medication schedule.

Have you ever been hospitalised or referred to regular outpatient care due to these ailments or associated incidents? If so, please note where, and at roughly what age:

Thad was under out patient care from around the age of 14 until he was 26, when he was admitted to our care permanently. His outpatient care proved ineffective over time as his symptoms worsened.

How have these ailments affected you and your life? Are there any major life instances you feel have been directly affected by these ailments, such as suicide attempts, criminal activities, etc?:

Initially, Thad's treatment was effective, however, over time it proved ineffective for various reasons. He failed to keep his medicine up to date and stay on a regiment. Also, his ailments have affected him in such ways that he cannot function in normal society. He has lost most of his personal connections aside from close family. His catatonia has prevented him from even tending to his own personal needs such as basic hygiene and nutrition. He has mentioned once or twice of instances that happened with his step father, which could have led to his current state. Stressful events in his life, however, he has never gone into much detail, and it would be beneficial for his improvement if these subjects were expanded and well known.

What is your social life like? Do you have many friends or relationships? How are your family relationships?:

Thad is very suspicious of males and their intentions. He is not trusting of males, due to his past situation.

Do you believe your life circumstances have contributed to any ailments? If so, what circumstances, and why do you feel they have contributed?:

Thad has mentioned during one of his excited states that if his step father hadn't treated him in ways, he might not be this way. It is genetic in the Salant family, and the stress as well as the genetic combination set it off.

If you could change one past event that has happened to you, what would it be, and why?:

Again, Thad has mentioned his stepfather and the like. He has never personally said what past event he would change, and currently he is not in the state to answer, however, it would be safe to assume the events with his stepfather would be changed

Do you wish to rehabilitate from your ailment(s)? If so, how do you feel this would best be accomplished?:

I would like to see Thad rehabilitated, and I'm fairly certain he would like to be rehabilitated as well. Patience with Thad is some of the best therapy for him.

Environmental History

Where did you grow up? Please list the location(s) and describe what it was like growing up there:

Thad grew up on the outskirts of San Diego with his mother, Risa, and his step father Marcus. His mother and father divorced at the tender age of 2, and his mother remarried Marcus, a preacher with eccentric beliefs. During his early years, he was a rambunctious child with large ambitions and dreams. He was highly imaginative and a talented artist, for a child. His imagination would weave large stories of fantastical places. His street was filled with children who played many games.

What was your family life like? Did you spend much time with your parents? Do you have any siblings? If so, what are your relationships like?:

Risa and Thad had a lovely relationship until she married Marcus. Initially Marcus's relationship with Thad was less than strained, but not exactly brilliant. At the age of eight, Thad suffered a series of abuse at the hands of older men, church leaders including Marcus himself.. This caused him to have an ever growing distrust and suspicion of male figures, especially those who should be trusted or are in authority positions. Some of the worst abuse occurred during his pre-teen years, however he began fighting back at 13, when he suffered the worst of the abuse. His symptoms began forming at 14, where the school intervened, informing the family that "Thad tended to get lost in his head and would only repeat what was said to him," however this happened less frequent than it does now. Thad's mother sought psychiatric treatment for her son, and he was diagnosed with Schizophrenia.

What was school like? Did you have any problems? Did you enjoy school? What were your grades like?:

Thad did rather well until 3rd grade, and shortly there after his grades plummeted. He failed 4th Grade, however, was able to pick his grades up to complete 4th Grade on the second go around. Thad enjoyed school in a sense that he was not home with Marcus and his mother.

Did you engage in any extracurricular activities, such as academic, artistic, or sporting clubs?:

Thad is a rather accomplished drawer and painter, yet he rarely partakes due to his varying states.

What was work like? Did you have any problems? Did you enjoy your work? What were your coworker relationships like?:

Thad has never worked more than small jobs such as a bag boy at a local supermarket and some janitorial work. However these jobs never lasted long.

Have you ever been convicted of a crime or misdemeanour? If yes, please explain, list conviction, and list any sentences associated with convictions:

Thad has never been convicted of a crime

Lastly, please tell us about yourself. How do you feel about yourself and what you have done with your life? If you have committed crimes, how do you feel about those now? What are your hopes for the future?:

As Thad's therapist, I cannot answer for him directly, however in the past he feels as if he is a failure.

Out of Character Section

What are they not telling us? What secrets do they have to hide? What back story are we not hearing? This is where you can tell us all the things your character wouldn't put on an application, or others don't know.:

((Remember, if you put all their back story as a secret, we won't be able to admit them to Hallowsgate! This section is for secrets only, not the entire character history. We need most of the info in the main app so we can process it!))

Thad's abuse was sexual molestation from the deacons of the church as well as Marcus himself. The molestation escalated between the ages of 10 and 13. This as truly traumatized Thad and has caused him to distrust males in general, especially if they are in a position of trust. Thad did attempt to tell people what was going on, but the preacher, while eccentric, was well loved in the community and they believed it was Thad simply acting out in the fact that his father had nothing to do with Thad.

Your Nickname: Havoc
Your Chatango Screen Name: hollowedhavoc
Your Character's Playby: Ian Somerhalder
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Thaddeus Salant Empty
PostSubject: Re: Thaddeus Salant   Thaddeus Salant EmptyWed Jul 04, 2012 5:10 pm

Thaddeus Salant Approvedk

Salant, Thaddeus

    DIAGNOSIS(ES): Schizophrenia (Catatonic Subtype)
    WARD: Male
    BED: 01
    THERAPIST: Dr. Felicia del Bosque



Before you begin play, you must complete the few steps listed below:

  • Sign up for the Hallowsgate Patient membergroup HERE.
  • Sign up for the who plays who list HERE.
  • Sign up your play-by on the face claim HERE.

Don't forget to familiarise yourself with the pertinent patient handbooks and other in character information that you'll need to reference for play, and have fun!

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Thaddeus Salant Empty
PostSubject: Re: Thaddeus Salant   Thaddeus Salant EmptySun Jul 08, 2012 2:42 am


    Date: 09/07/2012
    Attending: Felicia del Bosque
    Session With: Dr. Sean Whelan
    Session: Group Therapy

Therapy Notes: Today's group therapy was an drawing activity. I started the patients off with bright colors, giving them each their own set. My goal for this session was to see what they would do if only given "happy" crayons. After they'd been drawing for a while I asked them to share what they'd drawn and then I introduced more colors. The second set were the dark colors; black, brown, and various earth or jewel tones. What I wanted to see now was how the addition of the darker colors effected what the patients drew. They had the option to start a new picture or to add on to the first one.

Thad was a little hesitant to join us today. When he was escorted down he at first refused to enter the room. However, after a little coaxing from the female orderly he declared that he would sit in a specific chair. He was one of the few three who answered when I asked for names. He was restless throughout the session, as to be expected, but wasn't disruptive. After the paper was handed out he asked for a black crayon. I told him that he had to work with the colors given but he insisted that he needed one. He said that people aren't blue unless their smurfs and that he'd need black to do the outlines. I once again asked that he use the crayons provided and Thad started to draw.

When asked to show his picture he had drawn a rather impressive picture of me in the colors provided. I asked why he decided to draw me but he only put the picture back down and did not answer. When the dark colored crayons were brought out Thad instantly grabbed for the black one and began touching up the picture he'd already drawn, making the outlines dark as he'd originally wanted. When the session ended he seemed hesitant to leave but eventually made his way out.

Additional: Thad is a very talented artist and I believe this is worth exploring. He might find it easier to express himself through his art.

Follow-Up: I recommend that his therapist allow him to draw if he's having trouble communicating or connecting during sessions and perhaps scheduling him for regular art therapy.

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Thaddeus Salant Empty
PostSubject: Re: Thaddeus Salant   Thaddeus Salant EmptySat Sep 29, 2012 3:14 am

Incident Report


Approximately three days ago, Thaddeus Salant escape the attention of a nearby Orderly long enough to escape into an Off-Limits Area (The Clock Tower). I, Olivia Vanderbilt, happened to be walking by during the middle of the search to relocate said patient, and volunteered to check the actual Clock Tower since there was reason to believe that was where he happened to be wandering off. Upon finding Thaddeus, he seemed happy to be sketching something, though wary and cautious once he realized a member of the staff had arrived. Upon assessing the situation he did not seem to be harming himself, or had the intention to, so I promised him a few more minutes to finish the outline of his fall drawing before returning him to a much safer and approved environment. As time passed, the patient seemed to warm up to my company and began to speak various sentences and even held a small conversation concerning his artistic ability.

Once he was finished, Thad was more than okay with complying and exiting the Clock Tower safely and as quietly as he came in. I do not believe there is anything unusual to report, other then I believe a few other people have been messing around in the Tower as gears began to move and sound erupting from the abandoned place. Thaddeus also dropped is painting, so I believe it would be in Security’s best interest to not only patrol the Tower, but also retrieve the patient’s painting.

Olivia Vanderbilt
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Amelia Bowman

Amelia Bowman

Posts : 53
RP Reward Points : 21
Join date : 2012-09-08
Age : 37

Thaddeus Salant Empty
PostSubject: Re: Thaddeus Salant   Thaddeus Salant EmptySun Sep 30, 2012 12:42 am


    Date: 29/09/2012
    Attending: Dr. Benjamin Graham
    Session With: Amelia Bowman
    Session: Group Therapy

Therapy Notes: Today I had the patients making paper decorations for Halloween. I provided the paper pre-cut as well as glue sticks and silly eyes if they wished to give them faces. I wanted to give them an activity that they would see the results of in a couple weeks decorating the hospital for the holiday.

Thad was quiet when it took a seat but he seemed to come alive at the sight of the crafts. When asked for a fact about himself said that he liked to draw. It was easy to see that he was excited to get started and as soon as he was given the go ahead he got right into it, grabbing up supplies to make multiple bats and pumpkins. When the discussion turned to Hallowsgate being haunted he was quick to jump in, mentioning the clock tower. He said that he'd been up there when it chimed the time but that it hadn't been wound up at all. He asked how I would explain it, to which I had no answer, but he then went on to say that it didn't matter and he shouldn't have brought it up. Thad seemed no longer interested in the craft and left when the session ended.

Additional: The subject of a haunted Hallowsgate obviously upset Thad and should be discussed with his therapist. His experiences in the clock tower, whatever those may have been, were enough to put him off the activity he had been previously enjoying. I would have Thad in other craft activities although I might make sure the focus is on drawing rather than crafting.

Follow-Up: Therapy and discussion of the clock tower incident.

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Dr. Anita Forrester

Dr. Anita Forrester

Posts : 29
RP Reward Points : 27
Join date : 2012-11-27

Thaddeus Salant Empty
PostSubject: Re: Thaddeus Salant   Thaddeus Salant EmptyTue Dec 04, 2012 12:44 am


    Date: 12/01/12
    Attending: Dr. Benjamin Graham
    Session With: Dr. Anita Forrester
    Session: Group Therapy

Therapy Notes: In today's session, the topic was positive and negative emotions, and the patient's experience with each. I had them write down both the most positive and negative emotion they experience and mix them in with a few emotions I added myself. They were then asked to draw out a slip, and describe their experience with whatever was written on the slip. Rather than have them draw one positive and one negative, I left it to chance what they would get, as I am interested in hearing about all emotions they feel and how they affect them.

Thaddeus, who introduced himself as Thad when asked, was distant from the group throughout the session, and had to be prompted to answer even the introduction questions. When he first entered he pulled his chair away from the circle, but did slide it back closer to sit near me when I asked him to. After names were given, I asked Thad if he would introduce himself, and he did, saying he was from California. His first word was 'Love' but he said that love did not exist. I asked if there was something or someone that he loved, hoping that he would answer, and at first he said no. However, after thinking about it for a moment he said that he loved art. From his file, I can see that he responds well to it, and that in future sessions I will to include some creative element that might make him more comfortable with the group.

As the session continued, Thad became increasingly upset, but did not lash out or even speak out. When I came back around to him, he pulled the word 'Hate' from the basket, but did not answer. He simply put the slip back inside. Because of the state he was in, I did not push him, and instead continued on with the session. Thad left when the group was dismissed without incident.

Additional: As stated, I will try to include something for Thad to draw with should he become frustrated as he did in this session.

Follow-Up: Individual therapy, perhaps discussing the 'Hate' that he did not wish to talk about with the group

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Dr. Benjamin Graham

Dr. Benjamin Graham

Posts : 107
RP Reward Points : 43
Join date : 2012-08-15

Thaddeus Salant Empty
PostSubject: Re: Thaddeus Salant   Thaddeus Salant EmptyTue Dec 04, 2012 7:48 am

Dr. Benjamin Graham wrote:

Nov 29, 2012

    Group Participants:
    Thaddeus Salant - Schizophrenia (Catatonic Subtype)
    Moira Hanley - APD/(Suspected OCD)
    Quincy Randall - Sexual Paraphilia (Vampirism)/Obsessive Love
    Joleen MacMahon - Stockholm Syndrome/Hypersexuality
    Harlow Jacobs - GAD/MDD/Hypersomnia

Therapy Plan: Today's therapy will be an exercise in sharing and relationship building, utilising the light-hearted nature of a game to foster communication about the self with others. The aim of the game (a customised jenga block game) is to encourage patients to talk about themselves openly, build rapport with others, and foster trust with others. The game functions in such a way that each block has a therapeutic question pertaining to the self written upon it. Patients (and therapist) play the game of jenga as usual, only players must answer the questions on the blocks they pull. At the end of the game, whoever knocks over the tower will have to answer an (appropriate) question from each of the other members of the group.

Group Observations: New patient, Quincy Randall, was in attendance for today's session after a morning arrival. He was first into the group room and displayed appropriate greeting behaviour and vocalisation. He did appear a little dazed, as to be expected for new arrivals, but was otherwise pleasant. Next to arrive to our session today was Joleen MacMahon. Her face was still bruised from a recent fight with roommate Jamie Gibbs, but she seemed in relatively well spirits despite this. However, her body language and tone of voice bordered on the inappropriate. Harlow Jacobs arrived shortly afterwards, seeming a little anxious though he nodded in greeting and took a seat without prompting. Thaddeus Salant seemed much unnerved, as his behaviour might be best described as skittish and evasive upon entering the group therapy room. Regardless, he also took a seat without having to be prompted. Moira Hanley was the last patient to arrive to the session, with little enthusiasm, but also was seated without being prompted.

Before introductions could be made Joleen MacMahon and Quiny Randall struck up an introductory conversation between themselves. Given Joleen's injuries and diagnoses, and Quincy's condition, I intervened and disrupted this private conversation by encouraging Quincy to turn his attention to the rest of the group and introduce himself. He was polite and compliant with this request. Thaddeus Salant continued to exhibit distancing behaviour and anxious body language during the introductory part of our session, which remained throughout, though he was supplied with some note cards and a pen, in order to doodle. Clearly having some activity eases some of his anxiety, though I will be discussing paying more attention to group activities with him in future individual therapy sessions.

Our group session went largely according to plan today, though I encountered some oppositional and defiant behaviour from Moira Hanley whenever it was her turn to select a block from the tower. Moira Hanley and Joleen MacMahon also engaged in a short-lived verbal altercation towards the end of our session, the precursor of which came towards the beginning, when Joleen seemed to attempt to defend me from one of Moira's outbursts.

In the middle of our group session, Joleen made inappropriate sexual contact with myself underneath the table, my reaction to which disrupted the game momentarily as I put distance between us. I did not verbally raise the issue during the group, in the interest of not derailing our activity, but this behaviour is entirely inappropriate and should be made special note of, with Miss MacMahon's primary therapist.

Session Report: I started our session today by choosing the first block, and answering the question upon it in very impersonal and general terms.

Moira Hanley was next, drawing a block which asked her to say what motivates her. She disputed that she had any motivations. When I questioned why she got out of bed in the morning, she eventually answered that going out to smoke a cigarette was her motivation for getting up. More on this in later individual therapy notes. It is my belief that Moira witnessed Miss MacMahon's inappropriate contact, and she attempted to bait me with suggestive questions after the fact, before she was derailed by the continuation of the game. Moira's second block was one that she refused to answer, and which I kept for a later session. It asked her to talk about a time when someone made her uncomfortable. She refused to answer and put the block back on the tower. Moira was kept after the session for an impromptu individual session, following her poor behaviour throughout the group. During this individual session, her cigarettes and personal affects were confiscated, only to be earned back by cooperation with her therapist and the other staff, and evidence of her behaviour and self control improving towards others.

Quincy Randall was relatively calm and polite in our session today. he did not make trouble, though I am cautious of allowing him to associate with Joleen MacMahon, given her diagnoses and Randall's susceptibility to romantic and inappropriate advances. he answered both of his questions from the game eloquently, beginning with being asked: How often do you incorporate what people think into what you do?[ He admitted that he didn't often give much thought to what other people thought, but that it did matter to him on some level. Though he admitted trying to give consideration to it, he also noted that sometimes the things that he wanted overrode this consideration. Individual therapy could focus on impulse control, and on healthy outlets for thoughts and frustrations, as well as healthy relationship constructs and interpersonal communication and listening skills. Mr. Randall's second block from the game asked: What are your plans for the future, and how do you hope to achieve them? He admitted to wanting to go back to Paris, and acknowledged that it would only be possible if he got out of Hallowsgate, further conceding that his discharge depended upon honestly and a willingness to cooperate. Efforts should be made to reinforce these thoughts for Mr. Randall, but also to build upon other things that will have to be addressed in therapy.

Joleen MacMahon was willing and compliant with the group activity throughout our session, despite her obvious inappropriate conduct towards myself. She was upset by Moira Hanley's outbursts towards me, but responded favourably to attention during the group. Given her conduct towards me, I can assume that she harbours a sexual attraction towards me, which influenced her behaviour during our session. Regardless, she answered the questions she received from the game, beginning with being asked to list five things that made her happy. While largely inappropriate, she answered with the following, and was allowed to let it rest at that for the first round: "Well you make me happy Ben. Very happy. [...] And I like bright colors, like purple and pink and aqua. Singing makes me happy too. I liked going to the movies that was always fun...and sex. Sex makes me very happy." Joleens second block asked her If you were an animal, what would you be and why?' She answered that she would be a unicorn, because then she would be so special that everyone would have to care about her. Obviously, given her history and diagnoses, attachment issues can be guessed at throughout. I would recommend that therapy focus on creating appropriate and reliable relationships with others, and on boosting real self confidence and responsibility. Her sexual promiscuity may be compensating for a lack of real attachment in her interpersonal relationships. I would recommend exploring the possibility of a buddy system, with another female patient unlikely to give in to sexual advances, or even a female member of staff.

Harlow Jacobs was quite withdrawn and appeared anxious for a lot of our session. He seemed perturbed that he would have to answer questions at random from the jenga tower block, but he did manage to put forth some effort to do so, for the most part. He started off with a block which asked: Where do you want to be? How do you think you can get there? He struggled with this question, and answered that he didn't want to be anywhere, his tone unsure and anxious. Looking to me for a prompt, I asked Harlow if he would like to be outside of Hallowsgate one day. He conceded that he did want to, but that he didn't have any clear goals as to where he wanted to be so long as he was useful. Future therapies should focus on realistic goal building and self confidence, encouraging small steps towards small goals at first, and then building up to larger ones, as I expect he may be easily overwhelmed. Perhaps some activities involving personal responsibility and rewards for effort may help. Harlow did not have a chance to answer a second question, after Moira Hanley's conduct and Joleen MacMahon's reaction to her meant that our session needed to be cut short to avoid more conflict.

Thaddeus Salant was anxious and evasive throughout the group. She shows fear of his peers and hospital staff, and prefers distraction by way of drawing. I think that art therapy could be very good for him so long as it is fully monitored and the art work is actually guided and discussed. he should not just be left to his own devices, but should be eased into more social contact and communication instead. Though he struggled with comfort levels throughout the group, he was coaxed into participating in the game, wherein he drew a block which asked: What realistic alternatives are there to your current lifestyle? Thaddeus answered that he didn't know, and that he believes that being 'in here' [Hallowsgate] is better than being 'out there' sometimes. He lack any real self confidence, and is easily startled. Outside of guided art therapy, his treatment plan should focus heavily on safe socialisation and on self confidence building, as well as learning coping skills for his emotions, and working with medications more closely to find the best treatment for him.

Additional Notes: Socialising activities should be pursued for Thaddeus Salant, after individual sessions discussing social and life goals and considering medication options to control the symptoms of anxiety he is subject to. Guided art therapy should also be explored, as well as confidence boosting activities and communication skills, executive managing, and personal nutrition and hygeine skills.

Moira Hanley was kept behind after our session for an individual meeting which will be documented further in supplemental notes.

I will be filing an incident report concerning Joleen MacMahon's conduct and feelings towards me, in order to assure that this matter is entirely transparent and handled accordingly.


Thaddeus Salant Reflectr
Forty-Nine | Divorced & Single | Smoker | Psychiatrist | Stubborn | Damaged Goods
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Ellis Granger

Ellis Granger

Posts : 47
RP Reward Points : 45
Join date : 2012-10-20
Age : 97

Thaddeus Salant Empty
PostSubject: Re: Thaddeus Salant   Thaddeus Salant EmptyMon Dec 31, 2012 12:43 pm


    Date: 27/11/12
    Patients Involved: Thaddeus Salant
    Responding Staff: Ellis Granger

Incident Report: I found Thaddeus sitting beside the pool well after lights out. He seemed a little skittish when I first approached, but after a minute or two he calmed down and I sat beside him. He was drawing a picture of Poseidon's Kingdom and talked about how he'd like to be there if it were real. He gave the me the drawing when he finished, and we sat a little while longer before I escorted him back to his room.

Additional: Thad did not fight when I took him back, and was very well behaved throughout.

Follow-Up: Nothing to suggest. Thaddeus seems to be doing well.


Thaddeus Salant Sigdaron
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Dr. Virgil S. Hennessey

Dr. Virgil S. Hennessey

Posts : 20
RP Reward Points : 20
Join date : 2012-11-24

Thaddeus Salant Empty
PostSubject: Re: Thaddeus Salant   Thaddeus Salant EmptyMon Jan 21, 2013 1:37 am

Group Therapy Report

    Patient: Thaddeus Salant
    Attending Clinician: Dr. B. Graham
    Session With: Dr. Virgil S. Hennessey
    Patients in Session: Joleen MacMahon, Thaddeus Salant, Adriana Clarkson, Evangeline Baker

Session Plan: Session to focus on the topic of self image in correlation to self confidence. Patients will be discussing their own self image, what has caused this perspective, how they feel it has impacted their self confidence, and then patients will discuss as a group ways in which they can improve their self image and thus their confidence, addressing each case individually and sharing ideas.

Session Observations: Mr. Salant was anxious and wary upon entering the room, and had to be prompted to take a seat. Once he sat, he continued to exhibit anxious body posturing. Throughout the session, Mr. Salant was largely detached, and offered no input on the group discussion on how patients could better their self image.

Therapy Notes: Mr. Salant continued to exhibit anxiety, though he did introduce himself, and chose 'big' as his one word to describe Hallowsgate. Mr. Salant was asked, during the session, to describe how he sees himself. He remarked that there was nothing to see, referring most likely to his catatonic phases, but added that sometimes he was 'Jim the treasure hunter', and some days he was 'Arthur'. He did not initially remark on himself as a singular entity. Staff prompted him further to describe how he feels about himself when he is most lucid. Mr. Salant's answer was that he feels worthless. At this time, Miss MacMahon interjected to exclaim that Mr. Salant was not worthless, but staff pushed on with the session, remarking that there would be time for group discussion afterwards. When group discussion time did come around, staff asked the group to suggest things Mr. Salant could do to boost his self confidence. Miss MacMahon did not offer any suggestions, only compliments. When staff suggested that the compliments were not helping Mr. Salant work towards feeling better about himself, Miss MacMahon suggested he should draw more. With a lack of other suggestions readily available from the group, staff suggested that finding a meaningful occupation for Mr. Salant's time may be a good step, and agreed to assign him some more duties with the animals.

Additional: I do not believe that Mr. Salant's medication is working as prescribed. Catatonic phases should have been eliminated by medication by now. I am recommending Mr. Salant for Electro-Convulsive Therapy and a change/increase in medication, to address these catatonic phases and to resolve them entirely. I will schedule a course of ECT for Mr. Salant within the week. After ECT has been administered, Mr. Salant will be assigned animal care duties to keep him from having too much idle time, and to give him a sense of accomplishment.

Dr. Virgil S. Hennessey


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