Page 21 - Delaware Medical Journal - April 2018
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CASE REPORT
plan. General homicidal thoughts with no plan. Abnormal perceptions: Absent.
Orientation: Alert; oriented to person, place and time. Attention: Normal; Short term memory: Normal; Language: Able to repeat phrases; Intelligence and fund of knowledge: Average; Insight: Fair; Judgment: Poor.
Interview regarding Slender Man:
Slender Man in 2014 after she heard about the two girls who stabbed a classmate in the woods. AA reports she was fascinated when she found out that the girls told
the police that Slender Man told them to stab their friend. AA reports she started looking up Slender Man on Google and searching pictures of the woods. She had heard about a story where a girl in Ohio, who was following Slender Man, stabbed her grandmother. AA reports that she was mesmerized by Slender Man’s abilities communicate with him since he doesn’t have a mouth. AA reports she joined the “Creepypasta” forum and met different friends on the chat groups. In this forum she learned techniques of how to murder people, such as tricking people to go hiking into the woods and using a rock to kill them, making it look like an accident. She also studied how to mix different pills in water in order to have someone lose consciousness. The participants on the forum also discussed taking someone to the basement, tying them up, and having them beg for mercy. As AA became more and more interested in the different ways to murder an individual, she downloaded the application for Slender Man on her phone. AA reports that her friends would talk about Slender Man in school and different ways to kill people that would make them angry. When asked how Slender Man helps her, AA responded, “He helps me feel better about myself.
rid of the people that annoy me.” Prior
Data collected from 1,588 US households with children between the ages of 10-15, with monthly internet usage in the last six months.16
to her admission to the CSU, AA was encouraged by the discussions of the forum and had come up with a plan to kill her sister.
During her stay at the CSU, AA received individual and family therapy on a
daily basis. She responded positively to therapy and was able to reconcile with her sister and denied any active suicidal or homicidal ideations a couple of days after her admission. AA’s family and school counselor were educated about Slender Man. The client was discharged after one week. Her treatment plan and follow-up appointments were made with a psychologist, school counselor, and psychiatrist.
DIAGNOSIS
F32.1 Major Depressive Disorder recurrent, severe with anxious distress.
PLAN
1. Obtain medical records from prior hospitalization.
2. Personality, psychological, and IQ testing.
3. Lexapro 20 mg PO daily.
4. Individual psychotherapy weekly with Spanish-speaking therapist.
5. Coordinate aftercare with family and school staff.
DISCUSSION
As one can conclude from this case report,
part in the upbringing of children in this modern society. Due to the availability
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FIGURE V18: Prevalence of Violent, Bullying and Fighting Behavior Based Upon Violent Media Exposure
