Patient H.

Yesterday this post had a long introduction, but I thought the introduction was crass, so today I’ve got rid of it. This is an experimental piece of writing called Patient H.


Case A


This study involved a thirty-four year old male who had previously suffered three psychotic episodes with subsequent hospitalisations. The man is successful in several walks of life at once and has a preoccupation with conquering any walk of life he should chance upon  (it should be noted this is not based purely on delusion as he is genuinely successful, in all walks of life he chances upon). This an had not experienced a major psychosis for over ten years but complained of nervous-system headaches, a lack of forgiveness with peers and “grinding depression”. His inability to concentrate has been long-lasting but something he puts down himself to “heartsick distraction”. He is a dime-successful publisher and has increased his workload by 200% at least since we last saw him. He takes breaks from his work in his private office with 20 minutes per day of meditation. His manager has allowed him mood-lighting and soft-furnishings, should the harsh light and corporate stripes induce panic attacks within him, or should he at least find them ugly to his eyes (that are “Super-Perceptive”, hence their intensity in colour and communicative qualities). 

After his first hypnotherapy session, this man reported feeling “very relaxed” yet conversely “very unsettled”. This confirms the initial diagnosis of schizo-affective. Shortly into treatment, he reported his ex-wife had once remarked that he was “much less reactive” under his regime of olanzapine (given for over a year since a suicide attempt resulting in a coma and 3-week section subsequently). He told his wife he had begun to feel “sort of happier” after 2 weeks of Sertraline as adjunct therapy but demanded the company of his “wife”. 

During this time, as if by luck, the woman he refers to as his “wife” (is this psychosis? Make note) became suddenly present and affectionate. Thereafter the man reported his headaches and panic attacks subsided almost entirely. As treatments continuted, he responded much better with the aid of his wife, and reported he felt more “human”. Midway through this treatment he reported his creativity had “flourished” and was currently putting together a “small piece” for Random House’s subsection of Jonathan Cape. Shortly before discharge, he reported a sudden and startling awareness of “the horror of Silence”, and the auditory disturbances persist as a result but he assures – they are welcome, friendly (now) and advisory. Without them, said he, life would be so dull as to dive headlong into a chasm, “should Cathy choose to go with [him]”.


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