hedley's Journal: ClearDale Mental Health Facility 2033

Doctor Erdans notes Jul 8th 2033

Patient Darl McBride is a 70 year old paranoid delusional disorder subject that we have been treating since his arrival at the facility.
He is beset by frequent rambling tirades. Most of these episodes are flashbacks to some period in his life where he felt he owned something or was entitled to something that was plainly not his. This behavior has persisted on throughout his life and even today we have had numerous incidents with him claiming ownership of items that are unquestionably not his. To wit, yesterday he removed the batteries from the TV remote in the recreation room and was seen jumping on the chairs with the batteries clenched in his fist as he wildly was yelling that the TV was his and that all the patients owed him money for each hour they were watching it. Nurse Williams assisted by Nurse Walters restrained him and placed him back in his room on an increased Thorazine drip.
He freqeuntly threatens other residents telling them that he is going to examine their things. Most of his tirades center on this theme that other residents have taken things from him and are hiding these items in their rooms.
He is abusive to staff who often try to compromise with him and go with him to see what things he has claimed are "stolen". He never agrees to this and instead just claims items he finds and begins a new tirade waving the newly grabbed item claiming it "matches" something of his.

Unusual behaviour and amusing for what it is to a point but I am concerned for the safety of the residents here. He is prone to these outbursts and I do believe he may become violent.

Recommendation is to maintain the increased Thorazine dose until I see some improvement in his overall comportment.