Maraheim Sanatory; 59-0234
Patient Name: Eleanor Greene
Date of Admission: July 14, 1959
Diagnosed Condition: Severe trauma-induced psychosis
Date: July 14, 1960
Observation: Patient remains disoriented, frequently speaking to herself. She often addresses an unseen "Tommy," displaying acute distress during these interactions. Nighttime observations reveal increased agitation and fear.
Date: August 10, 1960
Observation: Patient's delusional conversations with "Tommy" have become more frequent. She exhibits significant anxiety and paranoia, expressing fear that "Tommy" is always watching her. Her mental state shows no signs of improvement.
Date: September 15, 1960
Observation: Despite therapeutic interventions, the patient’s condition continues to decline. She now exhibits severe anxiety and appears terrified during her delusional episodes, often speaking of shadows and whispers.
Date: October 20, 1960
Observation: Patient remains fixated on "Tommy," with delusions intensifying. She spends much of her time curled up, muttering incoherently. Efforts to engage her in activities have failed, and her mental health continues to deteriorate.
Date: November 25, 1960
Observation: Patient shows no improvement. Her interactions with the hallucinated "Tommy" are increasingly intense and fearful. She has become largely unresponsive to staff, focusing entirely on her delusions. Medication adjustments are under consideration.
Date: January 5, 1961
Observation: Patient’s mental state is critical. She is nearly non-communicative with staff, directing all interaction towards "Tommy." Her physical health is also declining due to severe anxiety and neglect of self-care.
Date: March 1, 1961
Observation: Patient exhibits extreme psychological distress, with delusional conversations filled with fear and pleading. Her overall condition is rapidly deteriorating. Immediate reevaluation of her treatment plan is necessary.
Date: July 14, 1960
Observation: Patient remains disoriented, frequently speaking to herself. She often addresses an unseen "Tommy," displaying acute distress during these interactions. Nighttime observations reveal increased agitation and fear.
Date: August 10, 1960
Observation: Patient's delusional conversations with "Tommy" have become more frequent. She exhibits significant anxiety and paranoia, expressing fear that "Tommy" is always watching her. Her mental state shows no signs of improvement.
Date: September 15, 1960
Observation: Despite therapeutic interventions, the patient’s condition continues to decline. She now exhibits severe anxiety and appears terrified during her delusional episodes, often speaking of shadows and whispers.
Date: October 20, 1960
Observation: Patient remains fixated on "Tommy," with delusions intensifying. She spends much of her time curled up, muttering incoherently. Efforts to engage her in activities have failed, and her mental health continues to deteriorate.
Date: November 25, 1960
Observation: Patient shows no improvement. Her interactions with the hallucinated "Tommy" are increasingly intense and fearful. She has become largely unresponsive to staff, focusing entirely on her delusions. Medication adjustments are under consideration.
Date: January 5, 1961
Observation: Patient’s mental state is critical. She is nearly non-communicative with staff, directing all interaction towards "Tommy." Her physical health is also declining due to severe anxiety and neglect of self-care.
Date: March 1, 1961
Observation: Patient exhibits extreme psychological distress, with delusional conversations filled with fear and pleading. Her overall condition is rapidly deteriorating. Immediate reevaluation of her treatment plan is necessary.
Date: May 1, 1961
Observation: Patient's condition remains severe. She continues to be haunted by her delusions, her fear of "Tommy" intensifying. She has become completely unresponsive to external stimuli, lost in her own tormenting world.
Date: July 14, 1961
Observation: It has now been two years since the patient's admission. Her mental state is worse than ever. She remains locked in her delusional world, frequently addressing "Tommy" with terror and desperation.
Date: August 10, 1961
Observation: Patient's physical health is deteriorating alongside her mental state. She refuses to eat, believing that "Tommy" will punish her if she does. Her condition is critical, and immediate medical intervention is necessary to prevent further decline.
Date: October 5, 1961
Observation: Despite constant supervision and ongoing medical treatment, the patient’s condition shows no signs of improvement. She continues to speak of shadows and voices, her fear of "Tommy" now bordering on hysteria.
Date: December 25, 1961
Observation: Patient was found deceased in her room under mysterious circumstances. Despite constant supervision, she managed to take her own life in an unforeseen and unexplainable manner. Small signs of struggle were evident, but no one else was present in the room. Security footage showed Eleanor in a state of panic before the camera was obscured. The autopsy revealed internal wounds on several vital organs, consistent with severe physical trauma, yet there was no means to inflict such injuries in her room. The circumstances surrounding her death remain baffling and deeply concerning to the staff.
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