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She was hospitalized for ten days, at which time she was released, and instructed to stay bedridden for the next week; she was then scheduled for a follow-up. She did not go to the follow-up, but appears to have made a full recovery, and states she is experiencing no current pain or problems related to the injuries. 2Presenting problem: Patient states that she has realized that her behavior has become progressively more self-destructive. She states that she nearly constantly feels the need to be hurt, and no longer just for sexual arousal. For the last year and a half, patient reports that she has been “cutting” on herself (301.83 Borderline Personality Disorder) as a way to control these urges, but she is now becoming frightened because she feels she is losing control. She reports that she knew that she was being hurt badly during the incident that precipitated her last admittance to the hospital (see above), but did not want to stop the abuse. Patient reports suffering nightmares. From John and Joanna she formed Jona. This is now my officialname. Excuse me, but I ... I think I've lost control a bit." Jonacried."We've really been very very similar, you know. Since both of us alwayshad equal long hair, nobody could tell us apart when we wore unisexclothes. That always was funny." And that's why you try to be like him?" Hm. If I did so, I'm really sorry. I think it simply was a bit too muchfor me. I really try to act like the girl I am, but ..." "The pain is too deep, isn't it?" Yes it is. I loved Dad and Johnny so much, and losing my own identityis ..."Jona searched words for it: "Insane. Yes, I think, insane is theword for it." Jona, would you prefer to be called Joanna by me?" Er - I'd love to, but ... may be it's better to keep using Jona, for I-- I finally have to get used to this name." Why do you think that? With your former habits you showed up to protestso much against your new name, that you even avoided to act like agirl.I know Jonah is a male name,.
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