Patient Room — 1B

Room kept immaculate.
Patient corrects staff terminology.
Patient insists on order and exact placement of objects.

PATIENT NAME: ARABELLA R.
ROOM: 1B
STATUS: COMPOSED
AFFECT: CONTROLLED / ANALYTICAL
NOTE: "DO NOT TOUCH MIRROR"
LUNAR PHASE AT ADMISSION: WANING

Intake Summary

Arabella arrived with precise instructions for staff behavior. Personal items cataloged; placement verified. She demonstrated acute awareness of environmental symmetry. Patient requests verbal acknowledgment of compliance.

“I notice when things are… misplaced.”

Observed Behaviors

Maintains perfect posture at all times.
Touches objects only with fingertips.
Checks reflection in mirror repeatedly without speaking.
Requires verbal confirmation when approached.
Exhibits subtle signs of tension when control is challenged.

Patient prefers silence, but responds immediately when addressed. Often corrects staff terminology before mistakes escalate.

Medical Notes

— Heart rate stable but reacts to perceived disorder.
— Neurophysiological patterns indicate high vigilance.
— Mirror-related anxiety triggers mild tremor.
— Patient expresses “discomfort with imperfection.”

Avoid unannounced entry. Patient tolerates only structured interactions.

Psychological Evaluation

Arabella demonstrates obsessive attention to detail. Requires predictability to maintain emotional equilibrium. Exhibits discomfort with uncertainty; demonstrates high cognitive control.

Patient repeatedly verbalizes preference for “rules” and “boundaries.” “Order keeps me safe.”

Staff Observations

NURSE B: “She aligns everything perfectly before leaving the room.”

ORDERLY D: “She notices the smallest deviations.”

DR. KOON: “Arabella trusts systems more than people.”

Restricted Notes

Patient aware of observer presence beyond normal perception. Responses sometimes anticipate questions or actions.

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