The patient is a young caucasian woman, age 20, of good physical health with no abnormalities in her medical or mental health history. She initially came to my office after a recommendation from her family doctor, complaining of insomnia, exhaustion, and depression. Subject recently lost a sibling (older sister) but refuses to divulge further details.

After further interviews, I have diagnosed the patient as suffering from acute Obsessive Compulsive Disorder. Patient described recurring nightmares, anxiety, fits of anger, and panic attacks stemming from the irrational belief that if she does not conduct mundane, repetitive rituals around her home, "the people in the mirror" will cause her physical harm. Subject prone to fits of violence and rage. Disturbing suicidal ideation was noted. 

Sending recommendation to the patient's GP that she is suffering from OCD with possible schizophrenia, advising further tests and possible antipsychotic medication.

Dr. Ari Richmond