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Ugh Notes...

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So I have a pt who has both narcissistic and aspd traits, depression super responsive to maoi. So pt has been gaming clinic x20 yrs, saying anytime an employee fired him/her, a short term disability letter was immediately provided for "treatment resistant depression."

I said go ahead and apply but my letter will reflect my own assessment of how well you were doing. Pt then said he/she would write a letter on his/her own behalf and have me sign"to save time"...I declined such an offer......

Ugh Notes...

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