Progress notes for patient 540463, OBAMA Barack, H.

11/07/2014  Patient is still in that unique state of shock and disbelief exhibited by those with Narcissistic Personalty disorder who confront severe rejection . Valerie Jarrett approached me to try and get patient into a mental state in which he could confidently address a crowded media gathering. The necessary treatment requires me to balance on a psychological knife-edge. Patient requires a mild sedative to keep him  calm, but if I overdo it he loses his fluency. and falls back on  silences and filler words to pad his responses. Like err..."um...,"  "er..."  "executive order..." Dictated by S.H. Rink M.D.