ST. HOLCROFT MENTAL HEALTH CENTER
Internal Case Incident Report
Patient ID: 223.1
Name: [REDACTED]
Age: 28
Sex: Male
Date of Admission: [REDACTED]
Attending Psychiatrist: Dr. Margaret Elowen Margrid
Status: High Risk – Isolation Required
Classification: Type V – Psychotic Dissociation / Persistent Visual-Auditory Hallucinations
Behavioral Overview:
Patient 223.1 was admitted following a violent public episode involving self-mutilation and aggression toward bystanders. Since admission, the patient has displayed the following symptoms:
Persistent auditory hallucinations (non-verbal and verbal).
Visual hallucinations involving “shapes” and “watching mouths.”
Acute disorganized speech (content varies between laughter, crying, and unknown languages).
Extreme agitation, violent outbursts.
Self-harming behavior (teeth grinding, finger dislocation, forehead impact trauma).
Refusal to maintain eye contact.
Episodes of “speaking to the ceiling” or “corner figures.”
Patient has not responded to antipsychotics (including Clozapine and Haloperidol) or standard behavioral therapy.
Incident Log — Theta Containment Room
Date: [REDACTED]
Time of Transfer: 13:02
Location: Isolation Chamber Theta-1 (Fully Padded, No Reflective Surfaces)
Observations (First 60 Minutes):
Patient was vocal upon arrival. Audible shouting, incoherent muttering, high-pitched laughter. Physical restraint initiated (standard straightjacket, padded floor).
Timestamp: 14:07
Subject abruptly ceased all motion. No external stimuli present. Subject stared directly upward (ceiling). Smile disappeared.
Timestamp: 14:09
Subject slowly rotated body toward east-facing corner of the chamber. Sat down without assistance. Stared forward. No further vocalizations recorded.
Next 6 Hours:
Subject remained seated. Minimal body movement. No verbal output. No food intake without direct manual prompting.
Follow-Up Testing (Day 3 Post-Incident)
Test 1: Subject was presented with standard therapeutic tools (A4 paper, 12-count colored pencil set). No verbal instructions were given.
Result:
Patient began drawing geometric and abstract forms:
Repeating spirals
Crystalline structures
Bodily distortions (multi-eyed torsos, mouth-covered limbs)
Repeated use of circular and void-themed motifs
Notable: One black-filled circle with a single blue dot at the center. Beneath this, patient wrote:
> “We are never alone.”
Test 2: Subject provided with standard keyboard, placed upright at chest level. Subject did not lift head or move neck. Began typing blindly.
Output (log extract):
> 111111111111111111111111111111111111... (continued for 37 pages)
Verbal Prompt by Dr. Margrid:
> “What do you mean by ‘we are never alone’?”
Patient Response:
Drew a minimal symbol:
> .( ) (Two dots. Empty bracket. No explanation.)
Then turned away. No further engagement.
Final Observation (Dr. Margrid Personal Note – Unofficial)
> “He did not say it. He drew it.
I saw the bracket. The space inside.
I looked up. Just once.
And I understood.
The silence isn’t emptiness.
They are present.
Not spirits. Not beings.
Observers.”
Postscript: Internal Notes
Subject 223.1 remains unresponsive.
Has ceased all speech, except brief murmurs during sleep.
The phrase “don’t look up” was whispered three times on audio recording (00:03, 03:49, 05:12 AM) with no signs of subject waking.
Staff nurse reports “feeling watched” during medication round outside Theta-1.
Psychiatric intern fainted upon reviewing sketchbook drawings.
RECOMMENDED ACTION:
Immediate transfer of Patient 223.1 to Black-Level Research Custody.
Further contact to be handled by personnel with Level 7 Cognitive Shielding certification.
No staff permitted to review visual artifacts without prior approval from Senior Administration.
