[DOCTOR AMY BUCKLAND]

5: JULY 20TH, 1997

DR. PHILLIPS' FINDINGS SUGGESTS DISPARITY BETWEEN PATIENT'S DISTAL AND PROXIMAL STIMULUS. THERE IS A GREATER AMOUNT OF NEURAL ACTIVITY THAN REQUIRED FOR PROCESSING ENVIRONMENT. PATIENT SHOWS AN INCREASE IN STIMULUS DESPITE NO CHANGE TO ENVIRONMENT, AND SO ONLY CONCLUSION IS THAT THE BRAIN IS CREATING ITS OWN STIMULUS (HALLUCINATIONS?) OR THE PATIENT IS SIMPLY RECEIVING SOMETHING THAT NONE OF US CAN PERCEIVE.

INCREASED DOSAGE OF CARIPRAZINE. MAY SWITCH TO A DIFFERENT PRESCRIPTION ONCE PATIENT REACHES A MORE STABLE AGE. LOW AKATHISIA LEVELS SO FAR, BUT PATIENT SHOWS SIGNS OF ACUTE INSOMNIA. IT IS DIFFICULT TO SAY AT THIS POINT WHETHER THIS INSOMNIA IS CONTRIBUTING TO THIS STIMULUS ISSUE OR IF THIS IS A NATURAL ESCALATION OF THE PATIENT'S CONDITION