darkward horror stories anxiety

Patient id :05

DATE 04/06/2025

diagnose:Boundary Collapse Disorder, with possible overlab

therapist notes

linical Observation: When a patient demonstrates the capacity to reconstruct the therapist’s physiological or cognitive state—fatigue, altered breathing, loss of alertness—the therapeutic boundary may already be compromised. At this stage, the issue is no longer confined to the patient’s psyche. The integrity of the therapeutic structure itself becomes unstable.

Provisional Diagnosis

Boundary Collapse Disorder, with possible overlap of:

  • Shared Dissociative Episode
  • Therapist-Induced Vulnerability
  • False Memory Contagion

Final diagnosis deferred.

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therapist s margin notes

Since that session, I document my sleep before every appointment. Not for the patient. For myself.

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