8/29/13: Consulted with patient in private quarters again. Patient still presents with extreme insecurity and paranoia. Thinks whole world is against him. British Prime Minister who had promised to join in "surgical strike" against Syria has now pulled out due to opposition from Parliament, leaving Patient with no ally. To make matters worse, Vladimir Putin has been calling and laughing a sinister laugh at him. Patient put his phone on speaker to demonstrate:"Bwaaha-ha-ha!" Bloodcurdling, I will admit. I am unable to sedate Patient further as Patient should be Commander-in-Chief only if he is of sound mind or as near to sound mind as this moron is likely to get.---Dictated by Dr.S.H.Rink