Bratabiphita

The patient, a 21 year-old female, suffers from a disease that I have never seen before. After countless hours of research and studying the patient from age 4-21, I have come to the conclusion that the patient has Bratabiphita, or Spoiled-Rotten Syndrome. She is unapologetic and manipulative. Other symptoms include complete disregard for rules, no evidence remorse for her actions, no regard for law enforcement, trouble sitting still, hyperactivity, and the patient becomes bored easily and lashes out at those who try to calm her down.

The patient was first brought to me by her parents at the age of 3. She was attending pre-school at the time and when told by teachers to follow directions and participate in classroom activities, the patient would do the exact opposite of what she was told. For example, when told to color inside the lines of the dog picture, she colored everything on the paper (including the white border) except the dog.

Since attending college, the patient seems to finally understand the importance of listening to her professors so that she can succeed. However, as the patient has gotten older, she no longer listens to anything her parents say. She has also continually had confrontations with law enforcement officers and often finds herself in trouble with the police for yelling obscenities or for disorderly conduct.

I have tried many things over the years, medication wise. When the patient was 6, I prescribed her Ritalin which was supposed to calm her down. The patient often refused to take the medication because she would say that it hindered her creativity. Adderall was later prescribed but the patient realized she could sell them in her high school and make a nice profit, therefore the prescription needed to be removed. Her parents have tried many other non-medical treatments but have not found a solution. For instance, they have tried to take away numerous privileges that the patient enjoys. But, since the patient is manipulative, she often convinced her friends  or other relatives to give her what she wanted.

There are several triggers I have noticed that set the patient off. When a parent, peer, or doctor tries to tell the patient what to do, she ignores the advice and does the exact opposite. When the patient is forced to do something that she doesn't agree with, she acts out and then shows no remorse.

The cause is still unknown but after speaking with the patients mother numerous times, I have come to the conclusion that the patient acts the way she does because at a very young age she was told that she could do whatever she wanted to and took it literally.

I recommend that this patient be put into a situation where she has nothing and knows nobody. If out into this type of situation, all of the people around her cannot be manipulated. The patient needs to learn that laws are to be obeyed and authority figures need to be listened to and respected before she can succeed as an adult.