ADMITTING INTERVIEW
So, Alexandria, tell me about yourself.What's there to say about me that isn't on the internet and just a click away? I'm an actress, and I live here in California.
You're an actress? How old were you when you started acting?I was sixteen when I got my first role and took some time off from boarding school to film. I only was in school for 1-2 months at a time after that, because I was always on location to film.
Your emergency contact is Clay. Why isn't it one of your parents?My parents are on the east coast. I haven't lived with them since I went to boarding school when I started high school in California. Clay and I have worked together since he was my handler when I was seventeen or eighteen. He's just been there for me since then.
So, you haven't lived with your parents since before high school. What is your relationship with the rest of your family like?It's complicated. My oldest brother disapproves of everything. My sister compared me to a pig when we were growing up in her diary, so I never got along with her well. My only decent sibling is my brother Ian. We went to school on different coasts, and he actually comes to see me when he can.
Let's move on. What about your friends? What are they like?I guess they're a lot like me. Kimmie and McKenna are my closest ones. We met at boarding school, and we've been close ever since. I see them the most when I'm not working on a script, like if I just have some down time in LA. We haven't been as close lately, but I think it was just growing apart. I was trying to go out less, and when I'm with them, it's all we do. I remember back in high school when we would always go out and sneak off campus, but I was trying not to be that person.
You say you were trying not to go out as much. Why was that?I was trying to get myself together. I knew the reputation I had gained in the industry, and I knew I needed to fix it to keep working. I guess it was kind of the case that I matured.
So, there was no other reason for your sudden change?I guess you could also say Clay influenced it. He was the only person I felt like ever really saw me for me, and he never tried to sugarcoat things with me. I feel like other people see me as this fragile actress who doesn't understand complex things, but Clay never did that for me, so I tried to clean myself up for him.
Why for him? Why not just to improve your reputation?I guess I don't mean for him necessarily, but I also wanted him to see me as something more than the messed up teenager he was hired to watch. I figure the rest of the world is only going to see what they want to, but Clay never lied to me.
Do you understand why you're here?I OD'ed.
But you say you were trying not to go out, so what changed?Do you know what it is like to live under a spotlight? Everything I do is criticized, but Clay is the only one not looking for me to mess up. He encouraged my best. I mistook it twice to be more than just friendship, and then I ended up alone, and I don't like myself when I'm alone...Look I'm feeling tired, so can we be done with this part of the whole thing?
TREATMENT NOTES
Patient appears to avoid sharing information about herself, which is unexpected given her occupation as an actress since she was sixteen. After many questions patient gave small amounts of information regarding her relationship with her family members.
Patient has what appears to be a closer relationship with Clay, her handler hired by production and her mother when she was seventeen to keep her from getting into too much trouble when she was on location filming. Changes in her habits can possibly be linked to her relationship with him, which seems more like a familial or romantic one than that of a work relationship.
When questions of her overdose were brought up the patient began to avoid them more. She blamed life under a spotlight and the close relationship with Clay.
The patient ended our conversation before we could bring up the change in her legal name when she was eighteen.
Best course of action remains inpatient treatment for substance abuse and possibly some medication for depression. Daily therapy sessions are recommended to continue to discover the root cause of patient's episodes of depression as well as group therapy and treatment for addiction. Patient has not shown significant signs of withdrawal.