Bipolar Disorders Case Summary

The patient is a 47-year-old female; she can communicate well with staff, and interacts appropriately with other patients. The patient is admitted for homicidal ideation with plans substance abuse. She was diagnosed with Bipolar disorder I mixed and Major depression disorder. The patient arrives via a private vehicle by self. She reports as depressed, and her best friend is in late stage cancer. Patient is having homicidal thoughts toward ex-boyfriend with plans to shoot him. While she is at a flea market she sees a gun and makes a plan, but did not have money to buy the gun. Patient is at not harmful to herself or others, except for her ex-boyfriend. During interaction, patient was active and was able to continue with her activities of daily living. She has a fair personal hygiene, and good eye contact. DSM IV was not described in the chart. According to The National Institute of Mental Health “Bipolar disorder may also be present
Side effects can be confusion, leukopenia, muscle weakness, anxiety, and fever, insomnia, fatigue, confusion, arrhythmia, bone marrow suppression. Also included are hepatotoxicity, stupor, bradycardia, hypoglycemia, headache, dizziness, and constipation. Side effects documented or noted for this patient are anxiety and insomnia. No other physical problems affected the client’s situation, but she was diagnosed with major depression disorder. While the patient was not in a special treatment, she did attend group activities. A reason to attend this group activity is for her to open up and expresses herself, to relate to others and see what other peers are going. The desired goals of the agency are to identify ways to improve depression symptoms and to improve anxiety. During treatment plan, the staff did believe that the patient was on track; they even discuss discharge of the patient within a couple