Shirley M., Social Worker at the Health Institute: April 13, 2005 “Karen is seriously delusional but no harm to others. She stares at herself for hours in mirrors and believes she loses her soul through her urine and feces, so she saves them in bottles and boxes and ingests them. This causes diarrhea and flares up her hepatitis C. A sweet girl, she makes excuses and lies when confronted with her behavior and its consequences. She is constantly trying to flee and is considered a flight risk so is in lock down. She will need therapy and medication the rest of her life. Her mother Inger was
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