TIP: Click on subject to list as thread! ANSI
echo: grand_rounds
to: PHIL THWING
from: KURT ULLMAN
date: 1996-06-06 21:31:00
subject: TEMPERATURE SENSITIVITY

PT>No signs of dementia, but he is incredibly demanding and meticulous. He
PT>denies the routine O-C d/o questions of songs running through his head,
PT>counting things, stereotypical behaviors, superstitions, etc. 
	Well I could see how the fixation on the temperature could count
as a superstition and adding/deleting clothes constantly certainly is a 
stereotypical behavior if you think about it. They can be simple acts or 
ritualized behavior. I guess the cut off might be if it is interfering with 
ADLs or functioning.
	Have you done an MMPI? The hyprochrondriasis, anxiety and depression 
scales (among others) might be interesting. 
PT>He does give me a 1-3 page (typed, single-spaced w/o many errors) repor
PT>on every burp and odd thought that crosses his head in between our visi
	Munchhausen's (g)
PT>So my psych-buddy, any thought as to an applicable "functional" disorde
PT>to label this gentleman with?
	My current leanings are more toward Lonely Old Man Syndrome, Not 
Otherwise Specified.
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 * PW * Army Liason, Office of Naval Contemplation
(1:231/875)
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* Origin: IBMNet Connection BBS, Indpls.,IN 317-882-5575 All nodes v34+

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