Dr. Bartheleme,

This afternoon during our individual session, when I asked Berto who he was, he said "Berto Tazar." When I asked him what he did, he said, "I used to be in marketing, but now I'm not sure." When I asked him what century we lived in, he looked at me like I was crazy, and then said "We live during the fall of the American empire, in the 21st Century." When I asked him where he was, he said "the nuthouse." When I asked him what city we lived in, he said "Chicago." When I asked why he was here, he said, "Because I flipped out. Because I'm fucking crazy." I corrected him on the last. Then he asked me if he could get a copy of the Tribune, to check the help wanted ads.

The Haldol is working its magic, apparently.

There is nothing like watching a patient's progress to raise your spirits and remind you of the value of an otherwise thankless job.

Sincerely,

Tabitha Moran, LCSW