Opinion ID: 2670154
Heading Depth: 2
Heading Rank: 1

Heading: Curtis’s History of Mental Illness

Text: Curtis began exhibiting symptoms of delusional disorder as early as March 2009 after he fell from a ladder and lost consciousness. Curtis was hospitalized because he suffered from recurring nausea and vomiting. He underwent a CT scan that revealed “mild deep white matter disease.” Curtis’s wife reported that Curtis’s mood and personality had changed dramatically after the injury; Curtis no longer trusted people, became apathetic, and absconded from home for lengthy periods of time. In April 2010, police officers were dispatched to Curtis’s residence following a domestic dispute call. Curtis and his neighbor were arguing, and when the officers arrived, Curtis threatened them with a gun. Curtis was taken into custody and was later ordered to be evaluated by Western State Hospital in Kentucky, where he was hospitalized for nine days. Curtis was diagnosed with delusional disorder and prescribed a daily dose of two milligrams of risperidone, which was administered orally. At discharge, Curtis was “able to carry on a reality based conversation without evidence of paranoid ideas.” The Discharge Summary recommended that “no guns -2- be in the home ever again.” Curtis’s wife removed more than 200 firearms from their residence before Curtis returned home. In March 2011, Curtis was again ordered to be hospitalized for a mental examination. The hospital report indicated that Curtis did not display any psychotic symptoms. At the time of the evaluation, Curtis was not taking any antipsychotic medication.