"Diagnosis: Anxiety state. "He is an immature, over-anxious type of boy who has had a good deal of physical illness in childhood, and who shows well-marked obsessional traits. He is now depressed, sleeps badly and wakes up night with the impression that there is somebody wlaking about the house making noises. This has been happening on and off during the past year and is rather worse recently. On several occations within the last few months when at work he has imagined he heard his boss calling him, when in fact, he did not do so. Similarly on a couple of occasions recently he has gone messages on which he was never sent. On one occasion the thought of suicide occurred to him, but he did not actually plan any method of doing it. The symptoms are suggestive of early schizophrenia, but on the other hand the condition may merely be an anxiety state developing in an over-anxious obsessional child due to the stress of puberty. For this reason I think it is worth giving him a trial on luinal Gr. 1 B.D., and I have given his mother some advice about his general management"."