Autism papers

The autism papers are the fabled Relic of Fail, in which the exact nature of Chris's psychiatric diagnosis is revealed by an objective source (as opposed to Chris's revisionist account of his life), with the extent of his autism (or whether he really is autistic at all) revealed.

To date, only an intake paper circa 2004 from when Chris was taking anger management for flipping out on PVCC is available, with his original, earlier papers remain locked away in Bob's filing cabinet.

Intake Survey

In November 2009, Chris e-mailed Kacey these papers to show that he is a TRUE and HONEST autistic. Kacey shared these papers with her new husband, the official and originial Christian Weston Chandler who in turn distributed them online.

To date, this is the only independent, professional evaluation of Chris's psychiatric state.

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OUTPATIENT PSYCHIATRIC SERVICES

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<right>Disk #45</right>

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IDENTIFYING STATEMENT:

Mr. Chandler says that since finishing high school and starting at PVCC in the year 2000, he has had an increasing interest in a female companion. His attempts at this ultimately lead to his suspension from college. His attempt took the form of a sign, which he placed next to himself while sitting in the lobby at Piedmont. The sign was a list of qualifications that a potential girlfriend would have. He said that he has been very frustrated by his inability to find a girlfriend and he suffers from "novio phobia." This refers to his frustration that females often tell him that they already have a boyfriend. While he does have physical attraction towards females, his primary frustration is with his lack of companionship. He had also carried his sign in the Fashion Square Mall. This unfortunately lead to him being detained by the police and placed in handcuffs briefly, although he was not taken to jail.

During the interview, the patient provided the examiner with a number of examples of his artwork. Much of this artwork was centered on his intrest in a video game, Sonic the Hedgehog, as well as Pokeman cartoon characters.

The patient's parents provided additional historical information and documentation as to the reasons for his supension from PVCC. According to his parents, there have been a number of incidents which lead to his suspension. They feel strongly that the suspension was unwarranted and did not take into account the patient's developmental limitations. One such occurance was during an interaction with African American classmates. These young woman were questioning the patient regarding his search for a girlfriend, at which point he told them they could not be his girlfriend because they were not white. This was precived as racially insensitive, although from the patient's perspective, he was merely pointing out they did not meet his standard critera for a female companion. Hee says that he was unaware at the time that there was any other connotation to this. Various guidance counselors at the college were working with the patient to help him adjust to the college setting. They had apparently asked him to stop carrying the sign around campus, per the patient, one of these counselors actually physically destroyed the sign to prevent this behavior. He left an angry note with Ms. Walsh, who is in administration. He provided a copy of this note, and it is contained in the chart. it did not specifically

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Christian Chandler (003 79 67) Page 2 of 4 November 5, 2004

threaten her, but expressed his dislike of her and communicated an "intimidating glare" in a pictorial fashion. Based on the letter sent to him by the college, this was interpreted by the administrator as being a form of harassment. There were several hearings held on the matter and ultimately the patient was suspended. The criteria that have been set for his return to Piedmont included anger management classes, psychological evaluation, and "social skills counseling." He has already undergone psychological evaluation by Robin Hawkes at the Center of Learning Potential. The recommendation concerning Mr. Chandler's emotional status is that he seek psychiatric and psychological treatment. The psychologist felt that counseling and medication would possibly address his obsessive thought patterns and assist him with social skills. She also recommended anger management training.

PAST PSYCHIATRIC HISTORY:

Mr. Chandler was diagnosed with autism around age five or six. He has never had ongoing treatment by a psychiatrist, but has been treated in the past by Impramine for unclear reason. He has never been in a psychiatric hospital and has no history of violent or self-injurious behavior. He has no history of sexual acting out.

PAST MEDICAL HISTORY:

The patient has not had significant medical problems other than his autism. He has no history of head injury, loss of consciousness, seizures, CNS infections, stroke.

MEDICATIONS:

Paxil 20 mgs. q. day, which the patient has been on for the past four years.

Herbal supplements/over-the-counter - none.

ALLERGIES:

None known.

SUBSTANCE ABUSE:

The patient does not use tobacco or caffeine. He does not drink and he does not use illicit substances.

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Christian Chandler (003 79 67)
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November 5, 2004

DIAGNOSIS:

Axis I: None
Axis II: Autistic disorder, 299
Axis III: None
Axis IV: Suspension from school, social isolation
Axis V: 70

PLAN:
1. After discussing the risks, benefits, and side effects, the patient and his parents agreed to have his Paxil increased from 20 mgs. to 30 mgs. They were offered a prescription, but preferred to have this done by their primary care physician.

2. Releases of information were signed for the counselors at PVCC in case this became necessary for further evaluation purposes.

3. We will try to work with the department of rehab services to facilitate any other services that might be available for Mr. Chandler

4. The patient's parents were unsure of whether they will be following up here at the clinic in the future as there are insurance concerns which might limit this. They were, however, informed of access to emergency care and encouraged to call the clinic with any questions or concerns.

5. No follow-up appointment has been scheduled, although should they wish to continue the patient's psychiatric care at this clinic, we would be more than happy to see him.

6. The patient was seen by the attending, Dr. Zachariah Dameron, who agrees with the above-mentioned assessment and treatment plan.

Jeff Raynor, M.D. Zachariah C. Dameron, III, M.D.
Resident in Psychiatric Medicine Attending

JR:ns T: 11/12/04 D: 11/11/04

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