NEW MOON

Forks High School Psychiatric Evaluation Form

Student: Bella Swan
Reason for Evaluation: Requested by Renee Dywer, mother.
Chief Complaint: Aspergers Syndrome
History of Present Illness: Diagnosed at age 5
Current Symptoms: Bella exhibits the obsessive interests, difficulty in social interaction, and problems with communication typical in high-functioning Aspergers patients.

Duration: Chronic
Depression: Yes
If yes: Bella's most recent bout of depression was this past winter when the object of her obsession, the student Edward Cullen, was sent to a Juvenile Detention Center for drug possession. Bella's father, Charlie Swan, was concerned by her withdrawal from the few casual social connections she had made in Twin Forks. We reccommended several local psychologists. In follow up with Mr. Swan two months later he reported Bella appeared to have come out of her depressive state, attempting to interact with school friends.

Anxiety: Yes
Panic attacks: Yes
Psychosis: None known

Past Medical History

Medications : none

Family History : Bella was raised with mother for most of her childhood. When mother re-married Bella came to live with her father, Charlie Swan, in Twin Forks, WA.

Social/Developmental/Educational: Bella is quite intelligent and does well in school. Her classmates are quite understanding of her "specialness" and make allowances for her poor communication skills and blank affect. However, Bella has more recently begun an obsessive friendship with Jacob Black, a student at the reservation school, and has begun to interact with his gang. This relationship has triggered risk-taking behaviour and her classmates have reported seeing her riding motorcyles, cliff diving, and standing in the middle of city streets playing chicken with cars.

Mental Status Examination

Appearance: Unkempt

Posture: Stooped

Affect: Apathetic

Speech: Short Answers

Intelligence: Average

Judgment: Questionable

MMSE (Mini Mental State Examination) Score: 23

Status: Bella Swan was absentee from school for three days, (April 24-26th), and Charlie Swan reported she was also missing from home. Bella herself gives no explanation for this event but it is believed to be drug related as Edward Cullen has returned to the school. Their obsessive relationship has begun again, which apparently has put some tension on her interaction with Jacob Black's reservation-based gang, which also deals with illegal substances. We will continue to monitor Edward Cullen, performing routine locker checks and working with his parole officer to attempt to curb any propensities for drug dealing. Mr. Swan has severly restricted Bella's freedoms and we will be working with him to formulate a plan to help Bella make better decisions.

School Counselor Signature: Susan Odd, M.S. (electronic signature)
Date & Time: 5.08.2009 3:07pm