Psychiatrist: Do you feel you still have a strong identity?
Psychiatry: Of course, I am the voice of psychiatry, isn't that enough?
Psychiatrist: Now let us look at your past...you were born in Europe, Vienna I believe and over the next fifty years you became a kind of Wunderkind....amazing social success for one so young.
Psychiatry: Well modesty forbids me...but .yes, I had enormous success and influence...started off a bit sickly have to admit, Vienna at that time...used to faint a lot but...
Psychiatrist: None the less as you grew you had a very strong influence on quite a lot of things, I mean institutions like Education, Government, Child-Rearing and the Arts, and your influence even stretched into a few...how can we put it... raffish areas like Advertising and Councelling.
Psychiatry: Yes, that is true, especially in America...I was popularised by media types such as Woody Allen
Psychiatrist: Indeed you became a billion dollar industry.
Psychiatry: Well at a hundred bucks a throw...that target was easily reached.
Psychiatrist: Paying someone to hear yourself talk?
Psychiatry: That's one way of putting it.
Psychiatrist: So, what is your problem today?
Psychiatry: Oh you know...loss of confidence and a feeling I am being mocked for my inability to get provable results. And I kind of hear these conflicting inner voices and I just get the feeling that former friends, people who used to be supporters of psychiatry, are well....you know, laughing behind my back. Can I ask...I know it is a bit early...but what is your diagnosis.
Psychiatrist; Well it seems to me that you are suffering from whats is termed, conflictual anxiety and maturational variations, possible due to your success as a youth...and this is complicated by acute depression. I feel there is an Identity crisis accompanied by compensatory delusions of grandeur and a declining ability to cope. And you seems as a Patient averse to the therapeutic alliance and as your power and influnce decline you has shown yourself to have an incipient over-reliance on drugs.
Psychiatry: So, what is your prognosis for me?
Psychiatrist; Well at this juncture, I would have to be honest and say 'problematic'.It is going to take time. May I ask can you afford it.
Psychiatry: No so sure to be honest. Still
Psychiatrist: Sorry to be blunt...but I am afraid your time is up. I have another patient.
Psychiatry: Oh right, right.
Psychiatrist; Same time next week?
Psychiatry: Yes, yes, of course.
Psychiatrist; Well, goodbye,try to keep your spirits up.
Prognosis: problematic.
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