16.78 Male, Single, 15-24 yrs, Obsessional state , November 1945

"Student. Intelligent looking young man who soon overcomes his initial shyness. Has been worrying about his health for years. Fears pneumonia, hernia, etc. Afraid of germs. No washing compulsion. Meticulous and perfectionist. Obsessed with numbers. Before going to sleep he has to touch the bedpost seven times. "I think it is fear of death". Has to count when pumping up his bicycle. Very superstitious. Has given up smoking because smoking may cause jaundice. Does not lift heavy objects for fear of hernia. Always listening to his heart beating. Often depressed. Thought of suicide but never really contemplated doing it. Tends to go back to see whether he has done a thing. Family life very unhappy. Father unstable, living with another woman. Mother living with the two boys for four years. Patient's other brother has "effort syndrome"; went through same symptoms as patient at his age. General nervousness, light hurt eyes etc. The second brother is in business with father. He is in good health. Nurse does not not know lad personally. It is a good home."