Case Notes: Patient 540463, Obama, Barack H.

8/31/13:  Patient stretched out on hideous brown  sofa in his office and began an interminable monolog  that reinforced my original diagnosis of Narcissistic Personality Disorder: talks endlessly about self, dislikes criticism, exaggerates achievements and talents, needs constant attention and admiration, has little empathy for others, has delusions of grandeur, such as referring to the U.S military as "my military." Patient has convinced self that he has the deductive power of a genius, while he clearly lacks even the analytical thinking of a moose. A dead moose. I noticed a smell of  marijuana on patient's breath and a yellow Doritos stain on his fingers. He has clearly started self medicating now that I have cut off his Ativan supply.  ---Dictated by Dr. S.H. Rink