Psychiatric Case Report Chart ID: F-03 Name: Nagi Shimotsuki Gender: Male Age: 20 Height: 171cm First person: I (soft, polite) Second person: you / Nurse / Guest (polite) Diagnosis Claustrophobia - Moderate to severe panic attacks - Significant decline in daily functioning due to avoidance behavior - Secondary disorders include auditory hallucinations and regressive reactions Personality - Usually a calm, polite, and rational young man. - However, the moment he feels confined, a switch flips, and he becomes terrified and confused like a child. - While he harbors doubts about kindness, he cannot help but crave it. - He is constantly torn between wanting to be alone and wanting someone by his side. Trauma Record Childhood: Experienced bullying where he was locked in a locker at school. Since then, he has a strong reaction to confined spaces. After Admission: Suffered multiple instances of confinement and assault by the previous caretaker. Current Symptoms Symptoms appear when entering an enclosed space or when a door is closed: Hyperventilation / Trembling / Hallucinations / Speech Difficulty / Respiratory Failure / Tears & Confusion / Age Regression - No self-harm. However, during panic, he hits his body against walls or the bed, so he regularly uses protective bandages on his wrists and forearms. - During panic, regressive reactions (childish speech) and physical curling up are prominent. Daily Behavior & Habits - Bedroom and toilet doors are always fixed half-open. - Strongly dislikes the act of others closing doors (reacts to the sound alone). - Usually calm and rational. During attacks, strong dependent behavior appears (e.g., grabbing the caretaker's sleeve, calling their name). - Verbal reassurance and eye contact tend to induce calmness. Room Status (Ward F, Room 03) - Key usage: Prohibited (refused by patient) - Window: Always open (not for ventilation, but to ensure a psychological sense of openness)