She turned 40, lived on the streets for a while but got herself a trailer and a car. She knows a lot about working the social system for her benefit; she becomes very cagey, highly rational whenever she senses a restriction, a criticism. Her coherence, prosody, and concentration all improve during these moments of mild arousal; her blaming the Klan and Chinese for her difficulties lessens.
She's happy with her SSRI; it cuts into her shyness and abates her moments of rage triggered by small frustrations. All in all, she's handling a lot of adversity and having some fun.
Still, I think some risperidone may help her organization and social coherence (she had terrible reactions to Haldol during an inpatient stay). She's so bright; my Puritan Psych Adaptations think she must be unhappy because she's not producing thoughts and services on a higher level.
"This medicine might make a world of difference." "That's not true, I still have nature to contend with. If a meteor came along to hit my neighbor, I wouldn't hold up my hand."
I drove to Rotary Club. There's a traffic jam in Royersford because of repaving. (we still need asphalt until petroleum runs out. We, too, will have more of Nature to contend with!)
There's a young mother pushing a stroller along the walk. I'm past dating years but still smile at her.
I can understand my own behavior as Psych Adaptations, portions of them still working even though the complete sequences will not be run again (and never did run particularly well in the first place!). And the new asphalt a similar, fractional operation of H&G Adaptations working on a far grander scale than dreamable in the Pleistocene. My client, functioning around her schizophrenia, shows more forethought at times than the rest of us.