You Complete Me
Department of Mental Health
Attending physisan: Dr. Singh (January – April 2004)
Dr. Rao (April 2004 – December 2006)
Dr. Iyer (2007 – 2008)
Dr. Wankede (2009 – May 2010)
Dr. Thomas (June 2010 – 2011)
Dr. Murthy (January 2012)
- Patient seems to suffer from violent tendencies brought on by paranoid schizophrenia. Says he hears voices telling him what to do.
Dr. Singh – 11/03/2004
- Has attacked care givers and doctors in the past. Patient J broke his attending doctor’s arm (Dr. Singh) when doctor tried to inject patient with a sedative.
- Patient J is unresponsive to repeated questioning as to why he harmed the doctor.
- Protocol has been changed so that an orderly is present with attending doctor at all times.
Dr. Rao – 1/04/2004
- Fifteen sessions of psychotherapy have enabled Patient J to begin to open up about his past, though he still does not like to volunteer information. He says he kidnapped all those men on the advice of ‘his little friend’ (sic).
- Patient J has trouble communicating, and is often withdrawn and moody. Often, he abruptly stops speaking in the middle of a session and refuses to participate further. When he’s pressed, he says ‘someone stole his thought’.
- Advise increased doses of anti psychotic medication. Careful monitoring of patient is required.
Dr. Rao – 25/10/2005
- Patient J has expressed a threat to his attending doctor. Upon any questioning during his psychotherapy sessions, he only responds with, ‘You’re going to be number 96.’
- Advise increased dosage of anti psychotic medication.
- Attending doctor requests immediate transfer to another patient.
Dr. Iyer – 01/11/2008
- Patient J has suffered lacerations and cuts from self harm. A raid of his room has produced a spoon that he has filed down to a sharp edge. Evidently this was the weapon used.
- Weekly searches of his room have been scheduled.
- Patient is largely unresponsive during psychotherapy sessions.
- Advise sedatives to help calm his aggressive tendencies.
Dr. Wankede – 12/02/2009
- Patient J shows signs of sleep deprivation. Night orderly reports screaming at night coming from his room. Upon entering the room, orderlies find Patient J to be awake and hiding under the bed. Patient J refuses to come out until after they exit the room.
- When attempts were made to force patient to come out, he responded with violence, giving one orderly a black eye.
- Night orderlies report regular night terror and nightmares from Patient J. They refuse to enter the room after the last incidence of violence from the patient.
- Advise increased dosage of sedatives to help patient J sleep.
Dr. Wankede – 1/05/2009
- During psychotherapy sessions, Patient J shows signs of Persecution Complex. Claims that his ‘friend’ is responsible for him being institutionalised, and has attempted to frame him many times in the past for crimes he has not commited.
- Has requested to see his mother. This is the first time Patient J has requested visitors since his being sent here by the court.
- Advise visit be allowed, supervised by attending doctor and orderlies.
Dr. Thomas – 10/08/2010
- Patient J showing signs of progress. Visit with his mother was a success, Patient J apologised for his behaviour during his teens, and received forgiveness and closure from mother.
- Patient J shows remorse and has taken responsibility for his actions. Increasing psychotherapy sessions to twice a week, hope to achieve breakthrough and make J admit his ‘friend’ is imaginary.
- Advise reduced dosage of sedatives and anti psychotic medications.
Dr. Thomas – 11/09/2010
- Patient J has regressed. He attacked an orderly today, screaming that it was his ‘friend in disguise’. He claimed the friend was attempting to drive him mad.
- Advise increased dosage of anti psychotic medications.
Dr. Thomas – 05/01/2011
Dr. Murthy flipped the patient log book closed, and took a breath. It was a sad story. The doctors had done the best they could, but clearly, all of them had had a shadow of fear hanging over them because of the patient’s past actions.
Indeed, it was difficult to forget that this particular patient had been sent to the hospital after he had been convicted of the kidnapping of 95 men.
J was still young, only 30, but he had had a chequered past even before the serial kidnappings. He had first shown signs of mental illness at 15, though his parents had dismissed it as normal teenage rebellion. He had started to smoke, and do drugs, and claimed it was the influence of his ‘friend’. His parents had changed schools, hoping to break their child of the supposed bad influence, but of course, in reality, there had been no friend.
J had dropped out of college in his second year, his attendance being too low. His parents had attempted to have him finish his education via distance education, but in the end had to give up. They bought him a small business, a cybercafe and DTP centre, which he ran for four years. This was where he kidnapped his victims, usually targeting males who came singly.
He had kept them in the floor above the cybercafe, keeping them sedated with chloroform most of the time.
Dr. Murthy was sure there was still hope for J, though, because while he had kidnapped all those men, none of them had been harmed significantly. They had suffered dehydration and malnourishment by the time they had been found, but they were all alive now. Their testimony had helped convince the judge Patient J was mentally unstable, they reported violent mood swings, where one minute, J would be remorseful and promise to let them go free, but the next he would strike anyone who provoked him.
It was a stroke of luck that J had been in a docile mood the day the police had raided his house.
Seven years he had been in this hospital, and it was clear that he could be saved. He had expressed remorse for his actions, even going so far as to accept responsibility for them. The greatest problem with treating paranoid schizophrenics was their insistence that they were only carrying out ‘orders’ from God, or angels – or their friend, as J had claimed.
It was a big step for them if they could come to the breakthrough point where they understood that they had done everything on their own.
With a sigh, Dr. Bhima Murthy took off his reading glasses, and passed his hand through his thinning hair. His own grandfather had been a schizophrenic, claiming to hear the voice of God. Since he had been the temple priest in a little village in Anantapur, the villagers had naturally seen it as a sign of their priest’s holiness.
Their family had lived in fear till the old man had died, afraid of his mood swings, and his pronunciations like ‘television was evil’ and ‘Western clothes were evil’, because ‘God had said so’.
Now, with modern medicine, Dr. Murthy was confident that J could be saved, where it had failed his grandfather.
With a quick tap on the cover of the file, Dr. Murthy replaced it into his filing cabinet. It was time to visit Patient J for himself.
The patient didn’t even look up, but Murthy didn’t mind. He entered the room, motioning the orderlies to follow. They crept in behind him, evidently unhappy to be in the same room with the patient. Murthy ignored them, turning again to the unresponsive man sitting on the bed with his back to the wall, knees drawn up.
‘Jara?’ he said again, entering his line of sight. He took care to keep his hands empty and hanging loosely in front of him, to show Jara he was not a threat.
After a while, Jara looked up. ‘Why are you here?’, he asked sullenly. ‘Where’s Dr. Wankede?’
This was unexpected. The last doctor Jara remembered was the one who had attended to him nearly two years ago. It was unusual to see such a large gap of lost time, but then doctors dealing with mentally unstable patients had to be able to deal with anything.
‘Dr. Wankede left, Jara,’ he said gently. ‘He retired two years ago. I’m your doctor now. My name is Dr. Murthy.’
A pause, while he waited Jara to reply. When there was none, he spoke again.
‘May I sit down?’
Jara shrugged, and Murthy sat down in the centre of the room, the two orderlies taking up flanking positions – behind him, Murthy noticed. With a mental sigh, he opened his notebook, and started the tape recorder. Stating the date, and time, he began his first psychotherapy session with his new patient.
He would make Jara whole again.
‘So, how are we doing today, Jara?’
It was nearly two months since Dr. Murthy had begun treating Jara, and he was pleased with the progress his patient was showing. Already, Jara had started to respond to him, sometimes giving nonverbal responses and answering questions. He sat down in the chair in the middle of the room, the two orderlies who had accompanied him taking their position to his left and right.
‘Who are you?’
Murthy wasn’t thrown by the question. Patients dealing with schizophrenia often had difficulties with their memories, seldom being able to retain new information.
‘I’m Dr. Murthy, remember? I’m your doctor now.’
‘Where’s Dr. Thomas?’
Murthy frowned, flipping back the pages of his notebook to check his notes on his first session with Jara. An idea was beginning to form in his mind, but first, he needed to make sure…
Turning to a new page in his notebook, bypassing the therapy exercises he had originally had planned for the day, Dr. Murthy turned on the tape recorder and began carefully questioning his patient.
By the time the session was over and he was back in his room, Dr. Murthy was nearly shaking. The fools had misdiagnosed him!
After a few deep breaths and a glass of water, though, he was calm enough to realise that it was an easy mistake to make. After all, the greatest problem with working in the mental health field was that most of the symptoms of illnesses overlapped, making diagnoses a tricky business.
This was one such case – the doctors had diagnosed Jara as a paranoid schizophrenic, when in reality he suffered from dissociative identity disorder. That would explain the violent mood swings, where he seemed like two completely different people, and the differences in memory, as well as the self harm. It also explained the voices he heard, and the existence of his ‘friend’. All this while, it was thought that the voices and the invisible friend were hallucinations, but now Dr. Murthy began to wonder if they weren’t the speech and mannerisms of Jara’s other personality, mistakenly attributed to delusions.
It all seemed so clear now. Jara was battling a more impulsive personality, one who thought he was being harassed by others because he was ‘special’, and that there was a secret society out to kill him, who turned ordinary people to their cause – which was why the hapless customers who had entered Jara’s shop had been kidnapped. It was evident this personality, the ‘friend’ was scared of the world, perceiving danger where there was none, and it showed in Jara’s body language when under the control of this personality; he tended to hide away under beds and curl up defensively in the presence of new people.
The real Jara was still in there, though, because he hadn’t let his ‘friend’ harm the men he had kidnapped. This was Jara as he ought to have been, confident and capable, as he had been at fifteen, before the symptoms had started.
Now if only he could integrate the two personalities, and make Jara understand that the ‘friend’ was a false personality, just a part of his mind playing tricks on him, then they could get somewhere.
Despite his earlier anger at Jara’s previous doctors, Dr. Murthy smiled. Hope filled his heart. Now that he knew what was truly wrong with Jara, there was hope he could eventually reach his patient.
‘And now, when I tap your shoulder, you will wake up, feeling refreshed and well rested. You will no longer be visited by your friend, because now you know you and your friend are one and the same. Your friend’s thoughts are your own, and your thoughts are your friends. You are Jara, whole and complete.’
Gently, Dr. Murthy tapped Jara on the shoulder.
The young man before him slowly opened his eyes, blinking rapidly. After a moment, his eyes cleared, and he looked around the room, awake and alert.
‘What happened?’ he asked, clearing his throat.
This was the true Jara, as Dr. Murthy called him in his mind. He could see it in the the boy’s body language, Jara sat straight backed, arms at his side, confident and alert. His ‘friend’ had been the one who held him back, timid and scared of the world, fearing persecution at every turn; the one who had led Jara to kidnap 95 men.
Jara had never stated it, but now Dr. Murthy was sure Jara’s other personality, his ‘friend’, had seen the men as a threat somehow, and had acted accordingly.
‘You’re whole now, Jara,’ Dr. Murthy said with a smile. ‘Your friend has become a part of you, as he was always meant to be. Now we can start on the road to recovery.’
It had taken the better part of a year, but now Jara was on minimal anti psychotics, and no sedatives were required. His violent tendencies had diminshed to nothing, and now Dr. Murthy no longer required two orderlies in case Jara turned violent during a session, just one, to help him with the syringes and the medicines. Dr. Murthy was hopeful that one day, Jara would be healed completely.
At his words, Jara cocked his head, as if listening to something. ‘You’re right,’ he said. ‘He’s inside me now.’ He smiled, tapping his head. ‘He’s trapped, in here, like I was for so long.’ His smile widened, and Dr. Murthy felt the orderly behind him shuffle nervously. The instruments on the tray jingled with the movement.
Frowning, Dr. Murthy said, ‘Jara, can you still hear your friend?’
‘Friend?’ Again, Jara tilted his head to the side, looking back at him quizzically. ‘What do you mean, ‘friend’? I have no friends.’
A cold shudder went down Dr. Murthy’s spine as it dawned on him that he had made a terrible mistake in judging which of Jara’s personalities had been the ‘real’ one.
Still, he persisted, trying to reason with his patient, even as he slowly got up, shuffling to the door with the orderly, who had dropped the tray and was now praying audibly under his breath.
‘And why do you keep calling me Jara?’ the young man asked, getting up from his own chair and following them to the door. ‘I told you, Jara’s trapped in here,’ he said, tapping his head again. ‘I can hear him, screaming at me, ‘don’t hurt the doctor, he was nice to me!’ he mimicked, his voice high. ‘But I don’t need to listen to him any more, you saw to that, Doctor.’ He laughed.
Dr. Murthy’s hand closed around the automatic latch on the door, trying to turn it, but he was knocked aside by the orderly, who scrabbled at the handle, trying to open the door without unlocking it. He was screaming now, but it would be a good fifteen minutes before anyone would hear and respond, and by then…
‘Now it’s my turn to play.’
‘Jara, you should—’
‘I think I’ll make you numbers 1, and 2.’
A/N: In Indian mythology, Jarasandha was a legendary king of Magadha who was born as two separate halves to two different women. The story goes that Jarashandha’s father desired children, and a sage gave him a mango, telling him to feed it to his wife to ensure progeny. The sage was unaware Jarasandha’s father had two wives, though, who were each given one half of the fruit. They each gave birth to one half of a dead baby. When the two halves were disposed of in the forest, a female asura called Jara came upon them and joined them into one baby. Not having the heart to eat a living child, she returned the baby to his father, who named him ‘Jarasandha’ – one joined by Jara.
Jarasandha was killed by one of the Pandavas, Bhima, because Krishna convinced the Pandavas that Jarasandha would be the only obstacle to their rule of India. Jarasandha and Krishna were enemies because Krishna had widowed Jarasandha’s daughters by killing Kamsa. In order to avenge his son-in-law, Jarasandha planned to become powerful enough to kill Krishna – for this, he planned to sacrifice a hundred kings. He had already captured 95 when Krishna planned to have Bhima kill Jarasandha.
Krishna, Arjuna and Bhima disguised themselves and asked that Jarasandha choose one amongst them to have a wrestling match. Jarasandha chose Bhima. When Bhima won, Krishna told him to rip Jarasandha from limb to limb and fling the two halves in opposite directions, facing away from each other.
tldr; Indian mythology is bloodthirsty and strange.
-My version of Jarasandha suffers from dissociative identity disorder, or, as is more popularly known, split personality disorder.
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