OK, Mr Jones, so you’re saying that rather than seeing me - a middle-aged medical professional - you’re seeing a young lady dressed like a strippagram nurse, wearing red thigh-high boots? And instead of being about to lie down on my couch for a series of ocular function tests, you’re going to be tightly strapped down to a hospital bed and masturbated to a series of forced orgasms?
Goodness.
How about now, if I stand up and move away from the couch – can you see me now? Dark blue suit, short grey hair…? What do you see?
Really? Oh dear. Well, I might have looked a little like that thirty years ago… but only a little. And I don’t think I’ve ever worn a latex dress.
Things are worse than I thought, I’m afraid. This is perhaps the most sustained and coherent set of hallucinations I’ve ever encountered from someone in your condition. I’m sorry to have to tell you that without effective treatment, this is only going to get worse. I’ll be completely honest with you: you could end up losing touch with reality completely… these hallucinations would become your world. You’d obviously have to stay in a care facility… you’d be well fed and perfectly comfortable, but you’d have no interactions with the real world at all; everything you see and experience would be translated into these bizarre, fetishistic BDSM experiences.
Let’s delay the ocular tests for now – I want to tell you about an experimental treatment we can try. It hasn’t completed all of its clinical trials yet, but initial indications are promising so it is available for use, if the patient requests it. I’m not saying you should or that you shouldn’t. But unless you want to spend the rest of your life like this, I think it’s the only option. If it works, these hallucinations will end at once – for good. That has to be worth a try, I’d have thought. But it’ll be your choice.
Tell you what: I’m going to refer you to one of my colleagues, Dr Stevens. She is the specialist on this and she can give you some literature about it and answer any questions you might have.
Oh – here she is now, actually. Dr Stevens?
Poor chap. I do hope they can cure him.