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Clinical Diagnosis of Pat Solitano in The Silver Linings Playbook

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Clinical Diagnosis of Pat Solitano in The Silver Linings Playbook
Clinical Diagnosis of Pat Solitano in ‘The Silver Linings Playbook’ (2012): Bipolar Disorder
Kathleen Wesley
2134 154 000
Deakin University, Burwood
Word Count: 2,843 (including in-text citations, timestamps and reference list)

The movie ‘Silver Linings Playbook’, filmed in 2012 and directed by David O. Russel, follows the life story of Pat Solitano, a former teacher who is released from a mental insituation and places significant importance on his getting his life back togther. Over the film’s course, it becomes apparent that Pat suffers from Bipolar Disorder.

Client Presentation

On general inspection, Pat appears to be in his late 30’s, a white male and of average male build. Pat is dressed in a a very worn, grey sweat suit, which made him appear underdressed, thus, grooming appeared somewhat dishevelled. His unkepmt hair with unshaven beard is potentially indicative of poor hygene. Pat fails to make eye contact where he experiences rapid and avoidant eye movements looking straight ahead, except during the times when he is recounting his wife’s cheating behaviour [Time 11.27] Pat upholds a defensive attitude throughout this interaction, which was characterized by intermittent angry outbursts, which increases when provoked and is emphasised through Pat’s fidgeting arms. Attitude is somewhat labile, irritable and combative.He articulated himself clearly except, while discussing his recent violent outburst. [Time 11.27] Speech was of normal volume, however was at an increased rapid rate where he barely takes breaths in between each thought. [Time 12.30] Whilst Pat remained seated throughout this conversation, his posture remained on edge, as displayed while leaning forward. He was somewhat uneasy and restless throughout the session due to display of of waving of hands. [Time 14.11], foot tapping, [Time 11.25], as well as hand, fist wringing and hand grasping [Time 14.15].

Diagnosis/Symptoms

According to the Diagnostic and Statistical

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