Case 1 :
A 21 year old college freshman is brought to the emergency room by his room mate for not leaving his dormitory room for 2 weeks. The roommate reports that the patient has not left his dormitory room for 2 weeks and his room is in disarray. He describes the patient as being “normal” until about 3-4 months ago. He states that he noticed that the patient stopped going to social activities and spent most of his time in his room. He also states that the patient sometimes makes odd comments. He has stopped going to his classes and his grades have been declining. He also states that for about a week the patient has stopped eating and drinks only canned beverages and insists on keeping the shades down on the windows and has said that he is worried that someone is watching him.
Case 2 :
Mr X is a 21 year-old business major at a large university. Over the past few weeks his family and friends have noticed increasingly bizarre behaviors. On many occasions they’ve overheard him whispering in an agitated voice, even though there is no one nearby. Lately, he has refused to answer or make calls on his cell phone, claiming that if he does it will activate a deadly chip that was implanted in his brain by evil aliens.
His parents have tried to get him to go with them to a psychiatrist for an evaluation, but he refuses. He has accused them on several occasions of conspiring with the aliens to have him killed so they can remove his brain and put it inside one of their own. He has stopped attended classes altogether. He is now so far behind in his coursework that he will fail if something doesn’t change very soon.
Although Mr X occasionally has a few beers with his friends, he’s never been known to abuse alcohol or use drugs. He does, however, have an estranged aunt who has been in and out of psychiatric hospitals over the years due to erratic and bizarre behavior.