ESRA PSYCHOSOCIAL CENTRE
Centre for psychosocial,
sociotherapeutic and sociocultural integration
Clinic for delayed reactions and illness
resulting from a Holocaust or migration syndrome
Vienna, 3 March 2010
SPECIALISTS’
REPORT
Re: Ms. Beth Schlesinger, DOB: 22.8.1984
Taborstr. 38/2, 1020 Vienna
Dear colleague,
Ms Beth Schlesinger came to our clinic on 10 November 2009 because of a
sleep deficit over a period of months caused by a very troublesome care
situation with 6-month-old twins.
The patient stated the following:
She was born and grew up in Manchester, England, has two brothers,
married a Viennese and has been living in Vienna for three years. She has
worked as a TESOL teacher (Teacher of English to Speakers of Other Languages)
and at a migrant organization.
Ms. Schlesinger has two sons, twins aged six months. Her husband is a
house officer (intern) at the Wilhelminenspital (KAV, 1160 Wien) in Vienna. The
pregnancy was normal, a Caesarean section at the Vienna AKH (General Hospital)
in the 35th week. The children are healthy but could only be
breastfed for 4.5 months, as they had become used to a bottle by that point.
Neither parent was able to sleep much at night – at the most two hours –
as one of the children would then wake up, leading to extreme stress. The
parents tried to react quickly when this happened so that the other child did
not wake up too. The patient is exhausted although she has a daytime household
help. The situation is too much for her and she is unable to sleep during the
day as well.
Ms. Schlesinger’s family lives in England, her husband’s family in
Vienna. The latter, however, do not help her. On the contrary, her
mother-in-law phones her again and again, wanting to know everything but
offering no assistance whatsoever. She also has a sister-in-law (the boys’
aunt) in Vienna but neither her mother-in-law nor her sister-in-law does
anything to help her.
Psychopathological status: clear-thinking, fully oriented, no hints of
positive symptoms of schizophrenia, labile mood, emotions predominantly
negative, makes exhausted impression, under considerable stress, normal
cognitive powers except for disturbance of attention resulting from exhaustion,
enormously stressful situation due to sleep-deprivation and disruption of her biorhythm.
The patient was offered parent counseling for the stressful situation
she was in. Other strategies were discussed.
Zoldem® (zolpidem) when required was prescribed for sleeping problems.
Diagnosis: adjustment disorder F 43.20 (brief depressive reaction due to
the stress associated with situation at home)
Signed: Dr. David Vyssoki, Medical Director Dr. Waltraud Fellinger-Vols,
Psychiatrist
Added by translator: ICD-10
F43 Reaction to severe stress, and adjustment disorders
F43.0 Acute stress reaction
F43.1 Post-traumatic stress disorder
F43.2 Adjustment disorders
.20 Brief depressive
reaction
.21 Prolonged depressive reaction
.22 Mixed anxiety and depressive reaction
.23 With predominant disturbance of other emotions
.24 With predominant disturbance of conduct
.25 With mixed disturbance of emotions and conduct
.28 With other specified predominant symptoms
F43.8 Other reactions to severe stress
F43.9 Reaction to severe stress, unspecified
Original German report of the findings of the psychiatrist and the diagnosis that she is simply suffering from the stress of lack of sleep.
Psychopathologischer Status: klar, allseits orientiert, geordnet,
kein Hinweis auf produktive Symptomatik, Stimmungslage eher labil, mehr
im negativen Bereich affizierbar, wirkt erschöpft, belastet, kognitive
Leistungen bis auf erschöpfungsbedingte Konzentrationsstörung
unauffällig, massive Belastungssituation durch Schlafdefizit mit
Biorhythmusstörung.
Angesichts der belasteten Situation wurde der
Patientin eine Elternberatung angeboten, weiters wurden Strategien
besprochen. Eine Einschlafhilfe durch Zoldem 10 mg Tabletten bei Bedarf
wurde verordnet.
Es wurde die Diagnose einer Anpassungsstörung F
43.20 gestellt, im Sinne einer leichten depressiven Reaktion im Rahmen
der Belastungssituation.
Für Rückfragen stehen wir gerne zur Verfügung
=====================
EXCERPT
FROM DR SCHLESINGER'S REPLY TO BETH'S CUSTODY APPEAL, AUG 2011
[Notice that he not only disagrees with the psychiatrists reporting that they failed to find post partum depression but he wants to include in the report that she has "a paranoid personality structure". Finally he distorts the ESRA report - which while noting that Beth was in a situation of acute stress from sleep deprivation dealing with the twins - does not say that they recommend "urgent therapeutic help".]
update In the excerpt below the German says ... Also the children father rejects the ESRA diagnosis which asserted that Beth does not have post partum depression. @Flower raised the question who else disagreed with the report. The translator said that the reason
that she omitted the previous sentence is because it make a false
assertion. It says that not only does Beth reject the ESRA report which
says she doesn't have postpartum depression but also Michael rejects it.
In other words Dr. Schlesinger's lawyer is falsely asserting in
the appeals document that Beth says the ESRA psychiatrist was wrong and
that she in fact does have post partum depression and that also Michael
agrees with that.
“The
father disagrees with the negative statement (regarding post partum
depression) and wishes it to be changed to an alternative or
additional one about her paranoid personality structure, the way she
manipulates her environment, and that the ESRA (Vienna Jewish
community psychosocial centre) therapist, who the mother and a
girlfriend ["Janet"] went to see, stated that she was subject to a situation of
acute stress and recommended that she get urgent therapeutic help”
„….Auch
der Kindesvater bekämpft diese Negativfeststellung und begehrt an
deren Stelle die Ersatz- bzw die ergänzende Feststellung zur
paranoiden Persönlichkeitsstruktur, zu deren ihre Umwelt
manipulierenden Verhalten sowie dazu, dass jene Therapeutin der ESRA
(dem psychosozialen Zentrum der IKG), die die Kindesmutter gemeinsam
mit einer Freundin aufgesucht hatte, bei ihr eine akute
Belastungssituation konstatiert und ihr dringend therapeutische Hilfe
anempfohlen hat „