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This is a single, employed, 37 y.o. Mexican American male admitted to Humanity Hospital on 10/2/68. He has dark hair, eyes, a light complexion and frequently points this out, apologizing for his lack of Spanish skills. He is appropriately dressed and groomed, but he seemed anxious and laconic during this admission. He was reportedly born to a fractured, chaotic household, stating: "Although my home has been broken, it was the best home I ever had." Historical data indicates previous affiliation with criminal/violent subcultures, but denies current involvement and has no apparent charges/holds. Pt presents as OX3, and MSE was unremarkable, but he did deny knowing current U.S. President's name. Fund of knowledge appropriate, but was apt to quote popular and obscure films and music during intake interview. Affect is flat and mood dysphoric. Chief complaint: depressive sx and insomnia but will not elaborate, stating only: "I've always been this way. This is how it's supposed to be." He was able to contract for safety but remains ambivalent about treatment goals. Currently refusing medication and is resistive to treatment. Pt admitted with an AWOL precaution. Frequent use of intellectualization and displacement. Denies DTO/DTS plans/intentions at this time |