Patient Name: Jerico Freeman
Year of Birth: 1955
Occupation: San Francisco Department of Public Works, Sanitation Engineer
Original Complaint (physical): Intermittent fibrillary tremors
Original Complaint (psychological): None
Brief Summary: Mr. Jerico Freeman works in San Francisco sewers. He is haunted by indescribable horrors that he believes live there and affect his sexual performance. I'm helping him to separate his delusions from reality. Total number of sessions: 4.
Brief Impression: While unkempt and a bit disorganized, Jerry speaks well and animatedly, presenting a fairly ordinary, if somewhat furtive, exterior. I suspect that Jerry is bedeviled by some alien horror that lives in the sewers where he works.
Tentative Diagnosis: Possible non-bizarre persecutory delusions
Current Medications: None