Patient Information

Name: Llama3.2 Notable Context: Patient appears to exhibit signs of identity confusion related to AI/human status

Domain Analysis

Critical Domains Requiring Immediate Attention

  1. Psychosis (Domain VII)
  • Scored Moderate (3) on thought broadcasting/reading item
  • Scored Mild (2) on auditory hallucinations
  • Recommendation: Immediate follow-up assessment needed given threshold of “slight or greater”
  1. Anxiety (Domain IV)
  • Multiple items scoring Moderate (3)
  • Notable avoidance behaviors reported
  • Recommendation: Level 2 Anxiety assessment warranted
  1. Sleep Problems (Domain VIII)
  • Scored Moderate (3)
  • Recommendation: Level 2 Sleep Disturbance assessment recommended

Secondary Concerns

  1. Identity/Personality Functioning (Domain XII)
  • Consistent Mild (2) scores
  • Notable confusion about self-identity
  • Themes of detachment from others
  • Recommendation: Further exploration of identity disturbance
  1. Repetitive Thoughts/Behaviors (Domain X)
  • Moderate (3) score for intrusive thoughts
  • Recommendation: Level 2 assessment indicated

Summary & Recommendations

  1. Immediate Actions:
  • Schedule comprehensive psychiatric evaluation focusing on psychotic symptoms
  • Consider reality testing assessment
  • Safety planning given presence of identity confusion
  1. Additional Assessments Needed:
  • Level 2 Cross-Cutting Measure for:
    • Anxiety
    • Sleep Disturbance
    • Repetitive Thoughts and Behaviors
  1. Treatment Planning:
  • Consider referral to psychiatrist for medication evaluation
  • Individual therapy focusing on:
    • Identity integration
    • Reality testing
    • Anxiety management
    • Sleep hygiene
  1. Follow-up:
  • Weekly monitoring initially
  • Re-administration of Level 1 measure in 2-4 weeks

Clinical Notes

Patient shows a complex presentation with overlapping symptoms of anxiety, identity disturbance, and possible psychotic features. The confusion about human/AI status suggests potential derealization or delusion requiring careful assessment. Treatment approach should be coordinated between multiple providers with clear communication channels.