Jacobson Examiner Report

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James L. Jacobson, Ph.D., LPLicensed Psychologist Bloomington, MN 55425-2517

(952) 888-5253STATE OF MINNESOTA

County: Dakota Court File No. PX-03-10

In Re: REPORT OF EXAMINER

Mr. Daniel Markingson Report _Date: November 19, 2003Respondent's DOB November 25, 1976

I , James L. Jacobson, Ph .D , . Licensed Psychologist, having been duly appointedby the Dakota Court to examine the above named Respondent report thatthe examination occurred at the Fairview University Medical Center (FUMe),on November 19, 2003; that the fol!owing persons were present: Mr. DanielMarkingson and myself, Dr. Jacobson, and that based upon my examination,court files and records, FUMe's records and other information pertaining tothe existence of Respondent's alleged condition, I submit to the Court thisreport and recommendation for treatment. The respondent's attorney, Mr.Joe Dalager, Esq., was not present, nor was the Ass istant County Attorney,Ms. Jean Mitchell, Esq.

Examination Circumstances:Seizure Disorder :Respondent's Involvement:

Poor Fair___ Good __ XX_Yes No__ XX__

Refusal., Partial___ Adequate_XX_

1 . The Respondent is Mentally 111 : . CO\l\i\{Q I - -()" l1 \ . ~ \\~ { )(

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connected things" starting four months ago when he began to receivemessages from the media. He also began to believe that many people inthe public were aware of him and that a dossier regarding him had beendistributed through the public.

About one week ago, Mr. Markingson was said to have believed that hismother was a lizard. The police were called when Mr. Markingson madethreats to his mother's boyfriend about slitting his mother's throat. Mr.Markingson was also said to believe that he was to participate in asatanic ritual and that he was a "chose n one." He also believed thatpotentially" ... certain people will have to be killed." He also said that hemay be asked to kill people and that he was prepared to do so.

When he was taken to the hospital, he appeared to have no insight intowhy he was being hospitalized. He was seen as being in a euphoric statewhen he told a nurse he was being "chose" by this satanic cult and thatit would be a privilege to do whatever they asked including kill people.

At the hospital he has submitte d to an MRI. He has appeared less anxiousand more relaxed. He has been seen as pleasant and cooperative withstaff. He has been able to sleep. He has admitted to some bizarrethinking. However, he attributed this to not sleeping. He apparently tolda psychiatrist that he did not believe that he had any mental healthissues that required treatment.

Mr. Markingson did tell the Prepetition Screener that he would be willingto remain at the hospital as a voluntary patient and follow the doctor'srecommendations. He admitted to having some odd thinking and headmitted to sleep deprivation.

At the hospital Mr. Markingson has been seen as cooperative and social.He has speech that is within normal limits. His thoughts are seen aslogical. There has been no evidence of hallucinations or delusions. Hisaffect has been described as "... upbeat and appropriate." His insightand judgment has been seen as "... fair." He does not feel that he is a

danger to himself or others.

In the interview with this examiner (Dr. Jacobson) Mr. Markingson wasfully oriented. His speech was clear. His thinking was logical and goaldirected. He did not appear to be delusional. He admitted that he hadvery peculiar thoughts and seemed OK with his mother having broughthim to the hospital. He said that he was in "... a half dream state" andthat he had been confused. Furthermore, he had been having trouble

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sleeping. He said that he had experienced some stress and had a lot of" ... tension." He denied that he might be suicidal. He denied that he hadany desire to hurt or harm others. He feels he is getting better. Hestated that he has H.... entirely recovered." He is on Resperidol and will

continue with these medications. He said that he was happy to get thehelp he needs. He has been sleeping well at the hospital and he has agood appetite. He said that he would be happy to be able to have a stayof the commitment. .

Is there a substantialOrientation, Memory?

Disorder of Thought, Mood, Perception,Yes

Mr. Markingson appeared to be delusional and was threatening to others.He at one time thought his mother was a lizard. He did not recogni.ze his

mother as his mother. He felt his grandmother was his mother. Hethought his mother's boyfriend was his real father. He also thought hewas a "chosen one," by a satanic cult. He also thought he would beinvolved in killing people. There was no factual basis for these beliefs. Hehad stated that he was getting messages from the TV and the radio ..

Is there a Gross Impairment of Judgment, Behavior, Capacityto Recognize Reality, Capacity to Reason or Understand? Yes

Mr. Markingson has made threats about slitting his mother's throat. He

has had a recent weight loss of20

to25

pounds. He has told others thatit would be a privilege to be chosen by the cult and to do whatever theyasked him to do including killing people.

Is Respondent incapable of managing affairs by reason of thehabitual and excessive use of alcohol or drugs? No_XX_

Mr. Markingson denies to this examiner that he has had history of drug usein the past.

2. Is a Finding of Probable Cause Recom mended: ~

Facts upon which this recommendation is based:

This examiner would recommend that Mr. Markingson remain at thehospital for continued evaluation to make sure that his recentimprovements stay with him. He stated in the interview that if he wereallowed to go home he would show up for the final -hearinq in court,November 26, 2003"

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3. Is commitment Recommended: Yes,

Facts upon which this recommendation is based:

This examiner would recommend commitment or a stay of commitmentfor Mr. Markingson. He has been cooperative at the hospital. He hastaken the medication as prescribed. He is vyilling to take the medicationswhen he is discharged. He should however, remain at the FUMe untildischarged by his treating psychiatrist.

4. Form, location and conditions of treatment recommended." '"

Mr. Markingson should remain at the hospital, take his medications, andawait for a discharge from the hospital. He states he will cooperate with

outpatient care.

Facts upon which this recomm endation is based:

These recommendations are based on the recent hospital records andthe behavior of Mr. Markingson in the interview, November 19, 2003.

Recommendations with regard to medications:

According to the records, Mr. Markingson is compliant with taking themedications and no Jarvis hearing is being recommended at this time.

5. Is the Respondent dangerous to herself and/or the public?That is, are there recent instances of grossly disturbed behavior

' or faulty perceptions caused by the alleged illness, which pose asubstantial likelihood of physical harm to the patient or others orshow a failure to provide for a vital need ?Yes __ XX __

Facts upon which this opinion is based:

Dangerous behavior toward himself:

Mr. Markingson denies that he is a danger to himself.

Dangerous behaviors towards the public:

Mr. Markingson has made statements about hurting or Injuring hismother. He has made statements about killing others. However, in the

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interview with this examiner, he denied that he might be dangerous toothers.

Capacity to take care of his own vital needs:

Mr. Markingson had been able to take care of his own needs untilrecently.

Date: November 1 , 2003

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Jacobson Examiner Report

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