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Hallowsgate Hospital,
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 Octavian Teresi

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Octavian Teresi

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PostSubject: Octavian Teresi   Fri Jan 18, 2013 4:09 am



Teresi, Octavian Hector



Additional information has been added after the fact, by Dr. S Patin, River Oaks Treatment Center.


      D.O.B: 04/20/1989
      AGE: 23
      GENDER: M
      STREET ADDRESS: River Oaks Treatment Center, 1525 River Oaks Road West
      TOWN/CITY: New Orleans
      STATE: LA
      HEIGHT: 5'10
      WEIGHT: 135
      ETHNICITY: Caucasian/Greek
      DISTINGUISHING MARKS: I've got a few scars here and there, from bumps, cuts, and scrapes. I have both my nipples, my tongue, and my labret pierced as well as other places, though they made me take all those out. I've got two rings in my right ear still. I have a stylised tattoo of the apple of discord on the back of my neck, and two blackwork bands around my upper arms.


_____________________________________
Medical History

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

Presently, no. When I first came back to River Oaks, I was treated for Hepatitis B. Lucky me, I'm not chronic! It cleared up largely on its own, though doctors are awfully fond of their pills, aren't they?

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

If I'm allergic to something, I haven't found it yet.

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

Define "invasive procedure"... Medically speaking, I suppose not.

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

My friendly head shrink would like me to take Prozac. I keep telling her that I'm not depressed in the least, and that I don't appreciate her pushing pills on me for no good reason, but she claims it's to "level out" my moods. The last time I checked, I wasn't PMSing. Still, there's not much choice but to take it now they've transferred me back to a residential program.

Octavian is not necessarily resistant to medication, but he will neglect to take it entirely while on outpatient treatment, and must be coerced into it during his time in residential care. Prozac has been recommended for him to attempt to level out his moods, because he can be quite volatile at times, and is prone to outbursts and misbehaving.

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:

Yes to all of the above. Well, up until recently. I like to drink, I like to smoke, and sure, I'm fond of opiates mostly, though I dabble. Life is too short to waste on being cautious and missing opportunities to feel good. I like Oxy when I can get my hands on it, but I haven't yet met a drug I didn't like. I suppose that makes me a hypocrite since I think my doctor's 'treatment regimen' is a load of shit.

_____________________________________
Psychiatric Screening

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

I would tell you that I'm fine, that I'm happy the way I am, and that my life is -or was- just as it should be, but then my doctor is trusting me to fill this out in an informative and acceptable way. I've had a bit of practice with these stupid forms. So I'll tell you what my doctor wants me to tell you. She would say that I'm largely detached from my "peers", emotionally speaking, and that I have "issues" with substance abuse, promiscuity, my temper, and my "intimate relations" with others. As I said, I don't see anything wrong with how I live my life, and I haven't any of the other times I've been shipped off to various programs and facilities. Frankly, I don't think it's anyone else's business what I do.

Octavian has a history of self-endangering and reckless behaviour, as well as violence towards others, poor personal management, and truancy. He does not seem to make meaningful connections to others, and in fact seems to actively keep them at arm's length, utilising sarcasm, and verbal or physical aggression to maintain distance. He is, however, sexually promiscuous and deviant, and considerably manipulative. It is difficult to reach Octavian, as he is a very guarded individual who makes talk therapy almost impossible, refusing to discuss most things unless he feels like it. He is entirely oppositional if told what to do, and responds better to being set expectations and being allowed to choose to do these things or not, himself. When he feels cornered or controlled, he may become aggressive in his opposition, needing for all things to be on his terms only, which can make day to day life difficult with staff and other patients. He has proved manipulative towards others, particularly those he considers 'weak', and has maintained an almost predatory approach to his connections at River Oaks so far, rather than making real friends. Additionally, Octavian is reckless with drug abuse. He will freely admit that he will take anything that's offered to him, and has admitted to using street drugs frequently, as well as attaining and abusing black market prescription painkillers. He may be considered a significant danger to himself and others, and has shown marked aggressive behaviours ongoing, since being admitted into court mandated rehabilitation. We do not recommend Octavian for discharge back into a group home program until he has shown improvement in the management of his mood and impulses, and until he can be worked with in therapy, where many issues to do with his past still need to be addressed in order to make any progress.

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:

Oh yes, there is quite a list of psychiatrist fuck-ups, actually, which just goes to show they don't know what they're talking about, and they're just looking for a neat little pigeon hole to cram me into because I am different, I live, I love, I experience. Apparently deriving pleasure from life is against societal rules. Anyway, when I was first picked up at age fifteen, they thought I had Conduct Disorder. Later, they changed my diagnosis to Antisocial Personality Disorder with a side of Sexual Sadism and Masochism. Now my doctor has been throwing around the term "Reactive Attachment Disorder", whatever the fuck that is. I've been pinned with the sexual labels since my teens though. Another neat little box to check. That's all.

As for treatments, again, they don't really know what to do with me, which I consider proof that there's not actually anything wrong with me except that I don't fit the societal mould the way they would like everyone to. I've been on antidepressants and mood stabilisers off and on since age fifteen, but I don't take them when I'm not residential. They don't do anything remotely useful or even pleasurable. I suppose they line someone's pockets though, which is really the motivation for everything in much of the world.

My current thinking is that Octavian more fits the criteria for Reactive Attachment Disorder than the disorders he was previously diagnosed with. He does show little remorse for many of his actions, but I do not believe he is entirely without empathy so much as he actively distances himself from any emotional triggers, psychologically, and finds ways to justify his behaviour to himself and others. I would also consider a diagnosis of PTSD for Octavian, given his past and his current emotional triggers. For example, any attempts to reach him on the subject of his childhood and what went on in the home is met either with outright, over-the-top lies, or with angry and aggressive outbursts meant to draw attention away from the subject. It is my belief that there are significant traumas in his childhood which Octavian is not expressing to us, and that these may be the source of a great deal of his emotional instability and his need to 'protect' himself from others by distancing them. Octavian presents himself as confident and quite cocky, but it is my consideration that some of this may be an unconscious coping mechanism. He is likewise sensitive to discussing the incident which landed him at River Oaks the first time. He has hinted at sexual harassment but will not discuss further than his assault on the gentleman or explain exactly what provoked it.

Octavian's sexual behaviours are documented throughout his psychiatric history, beginning in his teens -if not before this- and continuing to this day. He is not shy about discussing his sexual behaviours and refuse to acknowledge the possibility that these may be unhealthy. He is notedly promiscuous, and has already been reprimanded for engaging in sexual activities with one of our patients since he was admitted back to River Oaks just over two months ago. Additionally, his sexual behaviours are notedly deviant, and he will openly describe himself as a sadomasochist, stating that he enjoys what he calls a 'lifestyle', and that he finds what he calls 'vanilla' intimacy unsatisfying and boring.


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:

At age fifteen I was sent to a juvenile psychiatric residential program near Baton Rouge after social services finally caught up to me and found out that I was dabbling in drugs and what they considered "inappropriate sexual behaviour." I can thank my ex for that one, since she's the one who snitched on me and told the authorities I attacked her, after I tried to break things off. Our relationship was one hundred percent consensual, by the way, as I've said all along. She liked it rough and I was happy to provide. But she didn't want me wandering, and I just can't abide by being tied down. Anyway, I was there for six months before they deemed me "rehabilitated" enough to move to a half-way house for a year. I finally ditched out of there and started an internship at the tattoo shop of a mutual friend.

Fast forward another year to the incident with Handsy McGee. I was seventeen and working mostly as an errand boy at the tattoo shop, and John had a regular who used to come around and shoot the shit. Well, to put it frankly, he didn't know how to keep himself to himself, and he was none too pleased when I provided him with the incentive to do so. I heard he's had the tattoo laser-removed now, but regardless, tattooing "Pervert" on his forehead after he tried to corner me in the back office one night is what landed me back in another juvenile treatment center until I turned eighteen later that year. After that, it was back to a half way house. But I hopped off the radar shortly after that, kept to myself and kept quiet.

I'm back at River Oaks now -which was where I went during my second stint, only in the juvenile program- and they want to get me out of New Orleans entirely, away from temptation, I assume. I've been here a couple of months. I got picked up for prescription drug possession earlier this year, and they sent me to mandatory rehab and psychiatric care on account of my record. Now I don't get to get out until some shrink signs a paper that says I'm no longer a danger to society or myself. I hardly think that's fair. I'm not a danger to anyone unless they're consenting. Or unless they piss me off. Why is it anyone else's business what I decide to do with my free time? I like drugs, I like sex, and yeah, I like rock and roll too. And I like them all the same way; hard.

Octavian has had a file with Social Services from a young age. It does note some difficulties in school and in the home, but does not mention many of the struggles which Octavian alleges. Octavian's mother -with whom he has refused to have any contact since he was admitted to the facility in Baton Rouge- was later picked up on drug charges and was remanded to rehab. Octavian has largely been a ward of the state since the age of fifteen, having disappeared off of the radar at age thirteen. He continued to show an inability to form real connections to his peers throughout his following history, between facilities and half way houses that he eventually and inevitably disappeared from as soon as he was able. I do consider Octavian a flight risk. He has shown a consistent history of truancy from programs and homes. It is my belief that removing him from his situation in New Orleans may encourage him to work towards real rehabilitation, as he will not have the opportunity to simply escape back to his old life, connections, and ways by skipping out of the program.

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?:

I don't have any "ailments". I have busy body shrinks and social workers crawling up my ass. They are the ones messing with my life and making me miserable or pissed off. If they would just leave me alone, I could get on with my life the way I want to. It's none of their damned business anyway.

Octavian's quality of life is low. He lives in fairly consistent poverty, admitting to spending a deal of the money he makes, working at a friend's tattoo parlour, on drugs or drink. He maintains a single room apartment in a poor neighbourhood, renting from the same friend. When he came to us, he was malnourished, and suffering from an untreated case of Hepatitis B. I believe his ailments contribute to his inability to move on or to focus on building a better future for himself. He shirks responsibility, preferring to live in the moment and not think about important matters. He does not form real and lasting connections to others outside of the few friends he has, who seem to encourage and enable his negative behaviours. Additionally, there is the obvious matter that he has spent much of his life in and out of facilities and half way houses. He does not have a diploma or a secondary education and has not expressed any ambitions for career or education, outside of the tattoo industry. In testing, Octavian has consistently shown high verbal functioning and reasoning skills, even if his academics are more lacking. He says that he enjoys what work he does, though he is only working in an assistant capacity, or doing simple piercings. I would say that most of his life instances are as a result of his ailments, including his drug use and the assault on the man who sexually harassed him.

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

I have lots of friends, and lots of "relationships" if you will. I consider my family a write-off. But I'm very socially active. I enjoy to go out, I enjoy to party, and I enjoy to bring people home. There are a couple of people I would consider steady. I've known them since before my second stint in residential care, but as I said then and will say again now, I'm not outing them to you blood sucking leeches. It's none of your business.

I believe that Octavian has a skewed understanding of what relationships are. He has a number of acquaintances who seem to enable him and maintain a poor influence on him, but he does not express the usual sentiments of closeness you would expect of a solid personal relationship. When pressed on the subject of the two people he mentioned being 'steady' with, he will not give additional information and remains quite secretive on the matter. I can give no further details on the subject.

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

Here's where the doctors would want me to tell you about my childhood. They always do, as if it can't be regurgitated enough. So fine, yeah, maybe it does have something to do with me being society's black sheep, but at least I'm not holding up convenience stores, and pumping out umpteen million kids I can't afford. Not that I haven't been tempted by the former.

I grew up in a shitty part of New Orleans, which is really most of New Orleans outside of the picture postcard tourist and garden districts. My mother is or was a junkie. I don't know if she's still alive. I don't really care. It's a miracle in and of itself that I made it to the age where I could start fending for myself, but somehow I did, and as soon as I was able to walk and talk well enough, it was pretty much me against the world, and against my mother and whoever her flavour of the month was. I took myself to school, which was really only good for two things: Books and getting to eat that day. My mother spent most of our welfare on drugs, and social services were stupid enough to buy all the bullshit lines about happy families whenever they dropped by. I suppose they didn't much care further than to make sure we were both still alive, considering we weren't the worst in the neighbourhood. I didn't graduate highschool, because I left home entirely at age thirteen and spent time living on the streets, or couch surfing, skipping under the radar.

Wait, you're just going to ask me all this further down the damned form, aren't you? Fuck it.

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

I wouldn't have gotten caught, at age fifteen.

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

There's nothing to rehabilitate from! How can I accomplish fixing what isn't broken? I'm different from you and that's all there is to it. Just leave me be.

As mentioned, I feel that removing Octavian from his local environment -which has been enabling him- may be the best course of action and may encourage him to want to work on rehabilitation and talk therapy. As noted, I do consider him a danger to himself and others, as well as a flight risk, and inpatient care must be ongoing until he has shown marked progress enough that he might return successfully to a group home situation.

_____________________________________
Environmental History

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

Yeah, see, I already wrote about all of that above. New Orleans, junkie mother, ran away at thirteen, and the rest is all there. Blah blah blah.

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?:

No, I stayed the hell out of the house as much as possible as soon as I was able to get out. There are no family relationships. I'd rather cut my own hand off than have to deal with that bitch ever again. If there ever were any siblings, she probably flushed them, if she didn't just swallow first.

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

I went to school because it was better than being at home, but that was about it. I did like to read, and tried to stay in the library as long as they'd let me. At least until I got older and started hanging out with some of the other guys from our neighbourhood. Then I'd go there instead, and just left home all together at thirteen. I stopped going to school then. They made me take classes at the program in Baton Rouge, but I was only there six months, and they didn't keep up with it much at the halfway house. So no, I don't have a diploma or anything like that. It's just a piece of paper anyway.

On some levels, I think that Octavian may regret the fact that he has no education. Though he presents himself as indifferent, this subject has been known to trigger him on occasion, and he has expressed that at a younger age he did enjoy his classes and the ability to learn. he may feel as if he has cheated himself, or may consider his lack of education as a threat to his ego when it is brought up as a topic for conversation. It is my hope that he may work towards his GED while he is at your facility, and this may empower and encourage him to better his situation all around.

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

Aside from hiding in the library all hours, no.

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

I like work. I like what we do. I like watching the creation involved, and I like the feel of a piercing needle or gun in my hands. I want to be a tattoo artist myself, eventually. I was working up to that when this shit hit the fan and you people got all up in my business again. If you had just left me alone, I could have been doing it by now.

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

I wasn't convicted over Handsy McGee because my public defender insisted to the court that I was not culpable due to my mental state and the nature of the situation. they still locked me up in a nut house though, which is worse than juvie, so I heard. More recently, I got convicted for possession of a controlled substance. I had oxy on me -and in me- at the time. They sent me to rehab first, and now I'm here again, because if I leave they'll just send me to jail.

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?:

I've got no problem with myself, or my life, so long as people like you just stay out of it and let me live it how I want to live it. I don't have any regrets except for getting caught.

_____________________________________
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.:

There are a few bits and bobs that Octavian neglects to discuss with his therapists. Going chronologically, he was sexually abused in the home by a couple of the men his mother cycled through relationships. One at a younger age of about six (and with the same abuser a year later, when his mother got back together with him), and one at an older age, just before he ran away. His mother was very disengaged from Octavian, largely neglecting him emotionally and physically from a young age. He never told anyone what happened in the home, and it's an incredibly hot button topic for him. He can and will flip his lid if this subject is even so much as grazed on.

"Handsy McGee" is another hot button topic. The older man was grooming Octavian for sexual activities through intimidation, emotional manipulation, and physical overpowering. Octavian put up with him for a few months, suffering in silence, before he could stand it no more and took revenge with a tattoo gun. (Personal note, Octavian was in fact created as a character long before The Girl with the Dragon Tattoo came out, and this was always a part of his backstory.)

Thirdly, the two "steady" relationships he mentioned is a fairly accurate assessment, for Octavian at least. There are two young men who are submissive to him and who he largely was living with on and of. He actually feels quite protective of them and harbours a genuine fondness, which is as close to compassion as he has really come.

Octavian is a sexually promiscuous person, however, as noted, everything must always be on his terms at all times, even if he is playing the submissive and masochistic role in the arrangement. He is very self-protective and will get violent if he feels threatened.

Your Nickname: Ghost
Your Chatango Screen Name: GhostDeliverance
Your Character's Playby: Jaco Van Den Hoven

_____________________________________________________



Last edited by Octavian Teresi on Fri Jan 18, 2013 4:58 am; edited 1 time in total
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PostSubject: Re: Octavian Teresi   Fri Jan 18, 2013 4:55 am


________________________________________________________________________

TERESI, OCTAVIAN


    DIAGNOSIS(ES): RAD, Sexual Sadism/Masochism (Possible PTSD)
    WARD: Male
    DORMITORY: 01
    BED: 01
    THERAPIST: Dr. Anita Forrester


________________________________________________________________________

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