Kirkjuvegur 23, 900 Vestmannaeyjar, single-story detached house built in 1965. Main entrance at front, no security features. Street parking available. Current conditions: 8°C, overcast, moderate wind. GPS coordinates: 63.4409° N, 20.2717° W. Nearest landmark: Vestmannaeyjar Church.
35-year-old female, experiencing acute anxiety and paranoia. Patient reports feeling like she is being watched and that people are trying to harm her. Patient is agitated, pacing, and speaking rapidly. No known physical injuries. Patient has a history of anxiety but no prior psychiatric hospitalizations. No known allergies. Medications: None. Last meal was a light lunch at 13:00. No alcohol or drug use reported by caller.
Timeline: 1400 hours: Patient began feeling anxious and restless 1430 hours: Patient reported feeling like she was being watched, becoming increasingly paranoid 1445 hours: Patient began pacing and speaking rapidly, expressing fears of being harmed 1500 hours: Caller (patient's sister) arrived at the house, found patient in current state, and called emergency services 1505 hours: Current time, patient still agitated and paranoid Prior Events: Patient has experienced episodes of anxiety in the past, managed with lifestyle changes. No prior formal psychiatric treatment. Patient has been under increased stress at work recently. Last medical check-up was 6 months ago, routine exam.
Initial Impression: Acute Anxiety with Paranoia Justification for F3 Classification: - Patient is experiencing a psychiatric crisis but is not currently a threat to self or others - Time-sensitive condition requiring assessment and potential intervention, but not life-threatening - Patient is agitated and distressed, warranting timely response Differential Diagnoses: 1. Acute Anxiety Disorder (most likely) 2. Paranoid Delusional Disorder (possible, needs further assessment) 3. Substance-Induced Psychosis (less likely given caller report) 4. Bipolar Disorder (less likely, no prior history) Required Actions: - Dispatch of ground EMS with basic life support capabilities - Assessment of patient's mental status and safety - Possible transport to nearest psychiatric unit for evaluation - Avoidance of confrontation, use de-escalation techniques