David W.~}reswald, M.A., M.P.C.C.16030 Ventura Blvd., S~ite #530

Encino, Ca. 91436(818) 907-5591

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March 20, 1994

RE: Jennifer Greene: Case Repbrt requestedMichael J. Siegel,P.O. Box 162221Sacramento, CA.(916) 725-1529

by:J. D.

95816-2221! 1

CASE REPORT

Jennifer Greene has been a patient under myintensive psychotherapeutic treatment since 2/25/93.self-referred for the treatmE~nt of Multiple Personal i tyMajor Depression and Post-Tra.umatic Stress Disorder.

care inShe was

Disorder,

Abuse History:

Ms. Greene is an apparent survivor of ritualistic abuse.From very early childhood this patient appears to have sufferedphysical/sexual/mental abuse of catastrophic proportions. Asampling of types of abUSE!and torture which Ms': Greene hasreportedly end'ur-ed includes the f oLlowi ng : (1) ~umerous anal,vaginal and oral rapes, (2) savage physical beatings, (3) torturewith electro,shock, (4) forced narcotic usage and ingestion ofnoxious mat.er t a Lss , (5) IDng periods of bound or shackledcon:finement, (J6) isolation, (7) starvation, as well as (8) beingforced to Hitness the t.orture and murder of other ritual abusevictims.

Symptomotology:

1<1s. Greene displays the :following symptoms, all consistentwith an }fPD/RAdiagnosis: (1) int.erna 1 voices, (2) time lossand/or a rrmee i a , (,3) drama-tic changes in handwrit.ing, (4) anoverwhelming history of child abuse, (5) intense flashbacks oft.raumatic experiences, (6) frequent horrifying nightmares, (7) anextreme propensity to dissociate and depersonalize, (8) frequentsuicidal idea t.ion and se If-dest.ruct.i ve impulses, and (9) avoluminous production of graphically detailed artwork of_ritualistic content. Most importantly, I have to date conversed'with more than 30 distinct alternate personalities. Ms. Greenehas displayed an ent.renched system of destructive progral1l:ijledresponses consis-:'ent wit.h mind-control techniques commonlyutilized in satanic and. druidic cult.s. Indeed, all the above

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appears to have been the result of lifelong abuseat the hands of an organized perpetrator group. It furtherappears that·~his patient has been continuing to be harassed andabu:!::edby cult members even while in treatment. Finally, Ms.Greene has been extensively assessed resulting in an ABSENCE ofany psychotic or factitious elements to her presentation.

DSMIII-R Diagnosis:

300.14309.89296.33

Multiple Personality DisorderPost Traumatic Stress DisorderMajor Depression, Severe, Recurrent

Medicat Lonx.~" \---------- "'"-

Medications have been. prescribed and monitDred by Ms.Greene's psychiatrist <Jacqueline Lichtenstein, M.D., 16550Ventura Blvd., Suite #420, Encino, Ca. 818-986-0404).Hospitalizatioii"s:

It has been necessary for this patient to be admitted forinpatient psychiatric treatment on several occasions in the pastsix mont.hss . All such admissions occurred at Hollywood CommunityHospital of Van Nuys. These hospitalizations were made in aneffort to: (1) protect the patient from her own suicidal andself-destructive impulses, (2) stabilize voLat I Le .conflictswithin her alter personality system, (3) provide protection froma forced or programmed return to activitieE5within the organizedperpetrator group, and (4) to provide a supportive environmentduring episodes of severely impaired functiemal ity. Though Ms.Greene has indeed made psychotherapeutic progress sinceinitiating treatment with this therapist, it is not unlikely thatadditional future hospital izations may be r-e quLr-ed ,

Present Cond~tion:

Given what this patient has had to contend with, she hasmade good psychotherapeutic progress during her course oftreatment. Ms. Greene ~s both motivated and courageous, and hasprocessed a huge amount of overwhelming emotionality I andterrifying memories of ritualistic abuse. However, she remainsseverely impaired, subject "to: (1) intermittent suicidaldepression, (2) intrusive and debilitating flashbacks of torlureand a variety of traumatic abuse, as well as (3) frequentepisodes of overwhelming anxiety, panic attacks, and amnesticdissDciation. . !

Prognosis:IThe prognosis for MPD in general, and for Ms. Greene! in

I=: a.l-t, ic u Le r ! i :=. e}~'~ellent . Pr ov Ldi TIp t.he"""l ;:.t.a.."·l i D. i 11.ter12.i "":/8

treatment, these patients invariably ~ill s~bsta;tially improve.However, the course of treatment is intensive and lengthy. Ms.Greene will require continued psychotherapy (2-3x/wk) for a

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'treatment schedu1.e" f or- some y~a£s £oYlowing. 'Despite the enormousamount o:f remaining traumata to be processed; I am confident thatshe-will make a full and complete recovery.

If I can·be of any further assistance I will be more than happyto oblige.

Sincerely,

David W. Neswald, M.A. f M.F.C.C.16030 Ventura Blvd. Suite #530Encino, Ca .. 91436(818) 907-5591

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