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August 18, 1894
[Editor's Note: The headings in this draft appear in Freud's original manuscript, but are not further explained.]
No. 1
Anxiety neurosis:
hered. disp.
Mr. K., age 24.
Father treated for senile melancholia; sister, O., good case of complicated anxiety neurosis, thoroughly analyzed; all the K.'s neurotic and comfortably gifted.1 A cousin of Dr. K. in Bordeaux. — In good health till recently; has slept badly for the last nine months; in February and March woke frequently with night terrors and palpitations; gradually increasing general excitability; letup owing to army maneuvers, which did him a great deal of good. Three weeks ago in the evening a sudden attack of anxiety for no apparent reason, with a feeling of congestion from his chest up to his head. Interpreted [by him to mean that] something dreadful was bound to happen; no accompanying oppression and only slight palpitations. Similar attacks afterward in daytime as well, at his midday meal. Two weeks ago consulted a doctor; improved on bromide, [condition] still continues, but sleeps well. In addition during the last two weeks short attacks of deep depression, resembling complete apathy, lasting barely a few minutes. Improved here in R[eichenau]. Besides this, attacks of pressure at the back of the head.
He himself began with sexual information. A year ago he fell in love with a girl who was a flirt; a huge shock when he heard she was