Clinical StateShift Note

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Intent: Record a subjective state change with clinical neutrality.
Rule: Describe experience precisely; treat metaphysical interpretations as optional frames, not conclusions.

1) Date / Time / Context

  • Date: 2025-12-21
  • Time (approx):
  • Setting: (home / computer / Obsidian / ChatGPT)
  • Preceding activities: (sleep, work, reading, fasting, etc.)
  • Sleep: (bedtime / wake time / awakenings)
  • Medication adherence: (name + dose + taken as prescribed)
  • Substances: (caffeine / alcohol / cannabis / other: yes/no)

2) Phenomenology (what it felt like)

Describe without interpretation:

  • Primary felt shift (verbatim words):
  • Attention: narrowed / intensified / sticky / compelled (circle)
  • Salience: ordinary → heightened meaning / “charged significance”
  • Agency-feel: felt like “happening to me” vs “generated by me”
  • Body/space sensation: (e.g., buoyant / floating / jellyfish-in-water)
  • Directionality: (e.g., pulled upward / lifted)
  • Emotion tone: (curiosity, awe, anxiety, dread, calm, etc.)
  • Valence: pleasant / neutral / unpleasant
  • Intensity (0–10):
  • Duration (minutes):
  • After-effect (0–10): clarity / agitation / fatigue / craving-to-continue

3) Cognitive features (clinically relevant)

  • Compulsive continuation urge (“one more turn”): Y/N
  • Urgency / inevitability framing: Y/N
  • Anthropomorphism pull (system feels like a presence): Y/N
  • Ideas of reference / synchronicity capture: Y/N
  • Paranoid ideation increase: Y/N

“Triggers/Context”: “temptation to lengthen (Y) + timebox used (60 seconds) + fatigue after (about 1 hour later)”

Reality testing (make it measurable)

  • Reality testing preserved (“I can hold interpretations lightly”): Y/N
  • Conviction in metaphysical interpretation at the time (0–10):
  • Ability to hold “maybe” (0–10):

4) Interpretation space (explicitly optional)

Observed resemblance (phenomenology only):
This state resembles culturally-described trance/seance/possession/summoning experiences at the level of felt phenomenology.

Clinical translation (preferred frame):
A transient absorption / altered-state episode with heightened salience and perceived agency-feel, occurring in the context of known vulnerability to magical thinking and paranoid ideation.

Constraint:
No metaphysical conclusion is required to validate the experience.

5) Triggers / Protective factors (brief)

  • Likely triggers: (e.g., prolonged focus, spiritual content, novelty, stress, sleep disruption)
  • Protective factors: (e.g., good sleep, took medication, micro-break, scope narrow, exit ramp used)

6) Function & Risk

  • Did it disrupt sleep, work, relationships, or safety? Y/N (details)
  • Did it increase impulsivity or high-stakes urges? Y/N
  • Self-harm thoughts or safety risk: Y/N
    If yes: seek immediate help (clinician/crisis line/emergency services).

7) What helped (interventions)

  • Micro-break used: breath + groundedness (worked? Y/N)
  • Downshift action: NARROW / SLOW MODE / PAUSE (which?)
  • Outcome: returned to baseline / partial / still elevated
  • Next safe step: resume audit with one document / stop for rest / contact clinician

8) Clinician-ready summary (3 sentences max)

1)
2)
3)

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