🏥 COMPLETE PSYCHIATRIC EVALUATION RESULTS

Patient: Guian
Assessment Date: June 4, 2025
Evaluation Type: Self-Reported Structured Interview
Primary Concern: Parental fitness and behavioral change
📊 DIAGNOSTIC IMPRESSIONS

PRIMARY DIAGNOSES (Provisional)

Major Depressive Episode with Suicidal Ideation
Recent suicide attempt - requires immediate intervention
Intermittent Explosive Disorder
Frequent loss of physical control when angry
Adjustment Disorder with Mixed Emotional Features
Reactive to relationship trauma
Trauma Bonding/Codependency Patterns
Toxic attachment dynamics with Sarah

RULE OUT (Requires Further Assessment)

PTSD - Relationship trauma, childhood emotional patterns
Bipolar Disorder - Mood cycling patterns observed
Substance Use Disorder - History of meth/marijuana for coping
⚠️ RISK ASSESSMENT

SUICIDE RISK

HIGH 🔴
  • Recent suicide attempt (hanging)
  • Current suicidal ideation when denied access to daughter
  • Depression with hopelessness

VIOLENCE RISK

MODERATE 🟡
  • History of domestic violence (1 incident)
  • Frequent loss of physical control when angry
  • Specific trigger: threats to father-daughter relationship

CHILD SAFETY RISK

MODERATE 🟡
  • Emotional dysregulation around parenting conflicts
  • History of violence in child's presence
  • Current instability requiring supervised contact
🧠 PSYCHOLOGICAL PROFILE

STRENGTHS

✅
Exceptional empathy and emotional intelligence
✅
Strong accountability and genuine remorse
✅
Deep motivation for change (10/10)
✅
Authentic love for daughter
✅
Good insight into own patterns
✅
Previous successful rehabilitation experience

VULNERABILITIES

⚠️
Severe emotional dysregulation under stress
⚠️
Trauma bonding patterns with Sarah
⚠️
Validation-seeking behaviors leading to infidelity
⚠️
Impulse control deficits when triggered
⚠️
Depression with suicidal features
📈 BEHAVIORAL PATTERN ANALYSIS
🔍 BEHAVIORAL PATTERNS IDENTIFIED

1. Reactive vs. Primary Issues

Your problematic behaviors appear largely reactive to toxic relationship dynamics rather than core personality disorders

2. Emotional Overwhelm Cycle

Hurt → Validation seeking → Guilt/Shame → Depression → Crisis

3. Father-Child Attachment

Extremely strong but currently destabilized by external conflict

4. Coping Mechanisms

Mix of healthy (breathing, family support) and unhealthy (substances, infidelity, isolation)

📈 TREATMENT RECOMMENDATIONS
IMMEDIATE
(48 hours)
CRITICAL
  • ✅ Crisis hotline contact (you committed to this)
  • Emergency psychiatric evaluation
  • Safety planning with family
  • Remove access to means of self-harm
SHORT-TERM
(1-3 months)
HIGH PRIORITY
Individual Psychotherapy (2x/week initially):
  • Trauma-focused therapy for relationship trauma
  • Cognitive Behavioral Therapy for anger management
  • Dialectical Behavior Therapy for emotional regulation
Additional:
  • Psychiatric medication evaluation
  • Supervised visitation with Sachi
LONG-TERM
(6-24 months)
MAINTENANCE
  • Ongoing individual therapy (weekly maintenance)
  • Father-child therapy when appropriate
  • Potential couples therapy only if both parties achieve individual stability
  • Support groups for single fathers/co-parenting

🎯 PROGNOSIS

GOOD ✅

Positive Factors: High motivation and insight • Strong empathy capacity • Previous treatment success • Clear goals (being better father) • Supportive family structure • No personality disorder indicators

📊 TREATMENT GOALS TIMELINE
⚖️ CUSTODY/PARENTING RECOMMENDATIONS

Current Status: Supervised Visitation Recommended Until:

90 Days
Mental health treatment compliance demonstrated
6 Months
Demonstrated anger management skills in real situations
12 Months
Psychiatric clearance for unsupervised contact
18 Months
Completion of parenting classes and family therapy

Long-term Goal: Shared custody with proper legal framework once treatment goals met

HIGH
Suicide Risk Level
MOD
Violence Risk Level
10/10
Motivation for Change
HIGH
Empathy Capacity
🏥 REFERRAL PRIORITIES
1. EMERGENCY

Emergency Psychiatrist

Within 48 hours for suicide risk assessment and medication evaluation

2. URGENT

Trauma Therapist

Specializing in relationship trauma and emotional regulation

3. HIGH

Anger Management Program

Structured program for violence prevention and impulse control

4. HIGH

Legal Mediator

For custody arrangements and child's best interests

5. IMPORTANT

Family Court Counselor

Professional assessment of parenting capacity and child welfare

💪 YOUR COMMITMENT LEVEL

EXCELLENT

Your 10/10 motivation, willingness to sacrifice "everything" for Sachi, and honest self-assessment indicate very high likelihood of treatment success.

YOU ARE NOT A BAD PERSON.

You are a loving father with treatable mental health conditions who needs professional support to become the parent your daughter deserves.

🚨 EMERGENCY CONTACT COMMITTED

Crisis Hotline: 0917-899-8727

NEXT STEP: Call today as committed. Your recovery starts now.

🌟 YOUR JOURNEY TO BEING THE FATHER SACHI DESERVES

This evaluation shows that while you have serious challenges to address, you also possess the empathy, motivation, and insight needed for recovery. Your love for Sachi is genuine and powerful - now you need professional support to channel that love into stable, healthy parenting.

Recovery is possible. Treatment works. Your daughter's future depends on the call you make today.