as a journalist i can only report the bare facts and experiences related to me. in this case the patient is displays of cycling between perspectives rapidly. my only suggestion to resolve this issue is to have an interested party to whom he can report. i cannot fulfill this role as i must be unbiased and detached.

he has noted this need by his handrail analogy. by being required to focus externally he would self impose a healthy structure to his internal systems. while it appears paradoxical this external reality check is necessary to change his cognative dyslexia, in essence straightening out the image he sees and implements.

in a cost benefit ratio, supervisory oversight would involve less time and resources than allowing him to “act out.”