Dr. Daniel Fletcher
You say unethical, I say resourceful.
Latest Treatment Suggestions
peter greene: Tell Gary to take a 24-hour break from having OCD. read more
Nancy Botwin: Considering Gary's negative reactions to your treatments, perhaps you should attempt to form a closer, more intimate relationship with... read more
Mia: Maybe Gary would respond to negative reinforcement. Everytime Gary acts on his OCD, has an incident of repeating or whatever, you should... read more
[X] Gary - Session#35 Transcript
Dr. Fletcher
(writing notes) Ben Chambers wrote on www.helpmypatients.com: "Enough of going easy on Gary. Tell him if he doesn't go on a psychiatric drug indicated for OCD, you're going to stop seeing him. It's almost unethical for you to stay on your present track with him."
Dr. Fletcher
Gary, thank you for trying to take the Paxil for me. I think that was a smart move.
Gary
What?
Dr. Fletcher
I think it was good that you're taking the Paxil. Why don't you tell me how you've been doing this week?
Gary
How I've been doing this -
Dr. Fletcher
Now, you look a little immobile. Are you feeling alright?
Gary
Ever since I've been taking these pills I just don't have any energy.
Dr. Fletcher
Oh, you've got a new look. You changed your beard. That's nice.
Gary
Yeah. Yeah, I have a goatee now.
This girl slept over at my house on Saturday and the next morning I was trimming my beard. You know, I have to keep clean lines all around. And I couldn't get to the side parts because I don't have a three-way mirror so I got her to come in and she was going to help. I told her, 'You need a vertical line, just like that, right under my ear.'
Dr. Fletcher
Well, I think she did a good job anyway. It looks like it came out OK, so -
Gary
I had a full beard. Anyway, so she did it and then I looked in the mirror and it's totally messed up. So I started screaming at her and I had to shave it all off. I yelled at her that she should never touch me again. I told her, 'Leave,' and then she pushed me and I slipped on a towel and hit my head and passed out in the bath tub. I woke up four hours later and - cock target, you know?
(gestures toward goatee)
Gary (Fridays)
Gary refuses medication for his Obsessive Compulsive Disorder.[Patient History]
[Suggest Treatment]
Session#35: Gary, 12/23/05
Last session took Ben Chambers's advice and told G to take Paxil or stop coming in
G tried 10mg and came in catatonic
Will probably discontinue Paxil

