[This is another passage from my short story Belly. To start at the beginning, click here]
The patient claims to hear strange disembodied voices. He is under the impression these voices could be in some way prophetic. He describes various hallucinations, all of which seem to be induced at the suggestion of the voices. These episodes occur primarily, if not exclusively, on the patient’s commute to work. There are no signs of unusual stress at his job. He is not currently in a relationship, and hasn’t been in one of any significance for quite some time. He does not appear to be a threat to others or himself, but he does display some anti-social tendencies. He doesn’t make eye contact when spoken to. He doesn’t like to be touched. He says he doesn’t interact with others, if he can help it. He appears to be healthy physically, other than signs of fatigue and anxiety resulting from his recent experiences. He’s assured me the hallucinations are not the affects of current or past substance abuse. I can’t rule out some form of psychosis, possibly schizophrenia, although there is no family history of this, and it should have manifested itself at a younger age. He may have suffered an emotional trauma as a young adult, but he refuses to talk about it directly. It’s impossible to know yet if any of his recollections of past events are reliable. Understanding this better may be the key to managing his condition, but it will take more sessions to arrive there. I have prescribed a benzodiazepine in the interim.