During the year 1990 I was in weekly psychotherapy with Stanley R. Palombo, M.D. (202 362 6004), a Washington, D.C. psychiatrist in private practice. At that time I was employed as a paralegal at the D.C. law firm of Akin, Gump, Strauss, Hauer & Feld. My employment was terminated on October 29, 1991 by reason of severe mental illness that rendered me not fit for employment -- or so the story goes.
I entered weekly psychotherapy at the George Washington University Medical Center Department of Psychiatry in September 1992, while I was unemployed. My psychotherapist was a resident named Suzanne M. Pitts, M.D. Beginning in January 1993, Dr. Pitts recommended that I take lithium for bipolar disorder. The illness underwent a (mysterious) spontaneous remission in early 1993.
In April 1993 I applied for Social Security Disability Benefits. In August 1993 Dr. Pitts recommended that I take antipsychotic medication to address my paranoia, although she never disclosed a diagnosis. My relations with Dr. Pitts were difficult.
In mid-August 1993, the Social Security Administration approved my claim for benefits. A brief time later I made an appointment to see my former treating psychiatrist, Dr. Palombo. Dr. Palombo therefore has first-hand knowledge of my psychotic mental state as of August 1993.
August 26, 1993
3801 Connecticut Avenue, NW
Washington, DC 20008
Stanley R., Palombo, MD
5225 Connecticut Ave., NW
Scheduled Appointment on August 30, 1993
Dear Dr. Palombo:
This will confirm our scheduled appointment at 5:30 PM on Monday August 30, 1993.
I would like to discuss with you certain difficulties I am experiencing with my current treating psychiatrist, Dr. Suzanne M. Pitts, a psychiatry resident at the George Washington University Medical Center.
Also, Dr. Pitts' consideration of prescribing a neuroleptic calls into question the soundness of your therapy of me, which seemed to assume that I was non-psychotic and which did not involve the prescription or consideration of a neuroleptic despite my seeming paranoid (psychotic) thought processes.
I look forward to seeing you. Thank you very much.
I recall that at the scheduled consult I asked Dr. Palombo why he did not recommend that I take anti-psychotic medication during my therapy with him in 1990. He explained that I was employed at that time, with all that implied about the severity of my illness and my ability to function. Dr. Palombo reinforced Dr. Pitts' recommendation that I try a neuroleptic.
In February 1996 Dimitrios Georgopoulos, M.D. at GW diagnosed paranoid schizophrenia.