3049 Crystal Springs #1223 Bedford TX 76021-3969 2008aug19 Dr Helene Michele Alphonso DO JPS HEALTH CENTER NORTHEAST 837 Brown Trail Bedford, Texas 76022 Dear Dr Alphonso:
A very warm greeting to you. This is in regard to one of your patients, one Jennifer Nicole Pincetl, who has been under your care for a few days now. My understanding is that she is pleased with what you are doing for her. I am a very close friend & roommate of hers who signed a lease with her on 2008jun05 in order to be in a position to perform certain psychosocial interventions, including promoting a stable & stressfree domestic situation conducive to employment & scholastic endeavours.
I have known Jenna personally since 2002, & have been working closely with her since October of last year, & have assembled a quite comprehensive dossier concerning her colourful history of incarcerations & psychiatric detentions. Since arriving in Texas I have also become more than acquainted with her immediate family. It is the purpose of this communication to provide some small measure of background information of which you may not be aware, with the aim of possibly finetuning the therapy she receives. Her family & I are all attempting to work in her best interests.
Jennas psychiatric history extends into her early adolescence. She has been variously misdiagnosed with ADHD, BPD, NPD, Aspergers, & DDNOS, among others. I am in possession of court documents which show, however, that she has been formally diagnosed twice recently with bipolar schizoaffective disorder, aka schizomania. Although holding a job & preparing for classes at NorthLake college, last Thursday 2008aug07, pursuant to a period of avoliton & irritability, she embarked upon her current cyclothymic episode which is characterised by the hallmark manic indicators including the thought disturbances bordering on her unfortunately characteristic delusions. This document is too brief to describe her current & recent behaviours with which I have some nontrivial familiarity, although should it be advisable I would be in a position to speak with you possibly in person concerning my experience with the situation.
In brief, Jennas schizoaffective disorder indeed seems to me not to be of the depressive type. She will stay awake for days at a time overdosing on powerful coffee from Starbucks. Although generally not a drinker or a tweaker, she will consume certain other proscribed substances. In my estimation, mood stabilisers & antipsychotics are the principal meds she should have access to, rather than antidepressants per se. During her recent hospitalisation she was given so much lithium carbonate that she couldnt keep her arms from rising from her sides even when seated. I also believe her history of substance abuse makes provigil somewhat risky.
Jenna has one of the most extreme personality disorders of any of the people I have worked with, yet it is possible to underestimate this upon casual clinical presentation. As stated, I am available to be a resource & can be contacted at email@example.com. My telephone is used only for internet dialup & outgoing calls, but I am in a position to speak with you if you would consider it prudent.
My thanks for your patience & attention to this matter. Jenna is no ordinary loonie, & she deserves the absolute best. We are all working diligently for her success in this new chapter in her life, & I for one am confident it can be achieved.