Back With A Vengeance

Patient Record #1312: Cayden

Personal Information

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**Patient Name**: Cayden Grace Fuller

**Date of Birth**: July 28, 1992

**Age**: 18 (Admitted at age 10)

**Family**:

Father: James Fuller (Deceased)

Mother: Diane Fuller

Siblings: None

**Date of Admission**:

September 10, 2002

**Reason for Admission**:

Cayden Fuller was admitted to Moonstone Psychiatric Facility following a traumatic incident involving a fatal car accident. At the age of 10, she was involved in a collision that claimed her father's life and severely injured her mother. Witnesses reported that Cayden had exhibited extraordinary levels of strength in the aftermath, lifting wreckage far beyond her physical capacity in an attempt to free her father. Although her physical injuries were minor, she began experiencing violent, uncontrollable rage episodes shortly after the event. These outbursts were often accompanied by further displays of heightened strength, leading her mother to seek medical assistance.

Following several unprovoked fits of rage at home and in school, during which Cayden physically assaulted her peers and teachers, her mother sought psychiatric evaluation. It was determined that Cayden's behavior posed a risk to others, and she was admitted to Moonstone Psychiatric Facility for further observation.

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**Doctor's Diagnosis**:

Initial evaluations, conducted by Dr. Anton Greaves, suggested that Cayden was suffering from *intermittent explosive disorder* (IED), a condition characterized by sudden episodes of intense aggression and rage disproportionate to the situations that triggered them. However, the severity of her outbursts and the recurring reports of unusual physical strength led to further scrutiny.

Subsequent psychological evaluations noted a deep-seated trauma from the loss of her father, which had manifested into physical and emotional volatility. Dr. Greaves initially posited that her behavior was a form of *trauma-induced psychosis*, wherein Cayden subconsciously rejected her father's death, translating her emotional turmoil into violent outbursts. These outbursts were particularly severe in environments where she felt powerless or threatened.

Dr. Persephone Meadows, who later took over Cayden's case, reclassified her condition as *dissociative rage disorder* following signs that her outbursts were often accompanied by memory lapses, where Cayden had no recollection of her actions. During these episodes, Cayden would frequently reference a version of herself she called "The Protector," a more aggressive, primal aspect of her personality that seemed to take control during moments of distress. This secondary personality has been linked to her unexplained physical strength.

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**Session Notes**:

**September 15, 2002**

Cayden remains largely uncommunicative, refusing to engage with staff or other patients. She has expressed anger toward her mother for sending her to the facility and denies any memory of her aggressive episodes. When pressed about the car accident, she becomes visibly tense, and her physical strength increases, as evidenced by her ability to bend metal restraints during a particularly agitated session. Sedatives were administered.

**January 8, 2003**

During today's session, Cayden spoke of a "protector" that comes out when she feels scared or cornered. This protector, she claims, takes over when she is unable to handle the emotions or pain she feels. When asked to elaborate, she described the protector as "not human" but an extension of herself designed to keep her safe. This protector is highly aggressive and often lashes out to eliminate perceived threats. She claims she is only vaguely aware of what happens during these episodes.

**March 24, 2005**

Cayden's aggression has escalated, particularly during attempts to physically restrain her. Today, she attacked a security guard unprovoked, demonstrating abnormal strength that resulted in the guard suffering a broken arm. When asked to recall the event, she had no memory of the incident and seemed genuinely confused by the accusations. It is clear that Cayden's dissociative episodes are worsening, with "The Protector" emerging more frequently. She becomes especially dangerous during moments of perceived abandonment.

**August 17, 2009**

Dr. Meadows has taken over Cayden's case, focusing on the link between Cayden's dissociative states and her strength. After several sessions under hypnosis, Cayden revealed that her protector emerged during the car accident, when she felt powerless to save her father. She described a surge of energy, an uncontrollable force that allowed her to lift the wreckage, though she has no idea how she did it. Hypnotherapy has brought out this protector, though Cayden remains resistant to direct interaction with this aspect of herself.

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**Aggression Levels**:

**Severe.** 

Cayden's aggression is highly unpredictable, often triggered by feelings of fear, helplessness, or betrayal. During her dissociative episodes, her behavior becomes primal, lashing out without consideration for the safety of others. The emergence of her secondary personality, "The Protector," poses a significant risk to both staff and patients, as it not only amplifies her emotional response but also seems to grant her abnormal physical strength. Attempts to restrain her often exacerbate the issue, as Cayden perceives these measures as direct threats to her safety.

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**Final Notes**:

Cayden Fuller's case remains a point of contention among the facility's staff. Her psychological profile suggests that her aggression is rooted in deep-seated trauma and unresolved grief, though the extent of her dissociative personality and its connection to her physical strength remains unexplained. The protector personality has become increasingly dominant, and further study is required to understand the full scope of her condition. Dr. Meadows has been focused on reintegrating Cayden's dissociated aspects into a single, manageable personality, though progress is slow. Given the unpredictable nature of her outbursts, Cayden remains under close observation.

**Status**: 

High-security patient, monitored with regular therapy sessions and controlled social interaction.