psch yr 4
Post on 07-Apr-2018
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8/4/2019 psch yr 4
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Name: PS
Age: 50
Address: Kingston 11
Occupation: Property Appraiser
Marital Status: Married for 11 years
Known to have Bipolar Type I (32years) Schizophrenia
Historian: Wife and sister
Presenting Complaint: AgitatedNot sleeping x 1/52
Aggressiveness
Excessive Talking
History of Presenting:Known to have Bipolar Type I since 1979 (32 years) and schizophreniaand admitted to Bellevue
Hospital x 2. He has also had admission to ward 21 with the last time being in 1998. he is followed up at
the Hagley Park Health Centre and his last visit was on June 11, 2011. He is currently maintained on
resperidol 3mg po bd and epilim 200 po notce. Since 1/52 Mr. Clarke has progressively being agitated,
not sleeping well, aggressive and excessive talking. He was seen by his private doctor 2/7 for decreased
sleep and was given largactil 50mg notce. He was still unable to sleep even though he doubled the dose
of the medication, the night before admission.
Says he was up early the following morning of presentation, exercising on the road. For the past
week his speech has been excessive and loud and using a lot of expletives which is unlike him. He has
also been talking a lot about Jah. No report of physical aggression.
Current stressors 2/52 he has been acting in the managerial post at work and has been finding
it stressful.
Past Medical History: HypertensionPast Surgical History: NilPast Psychiatric History: Schizophrenia; Bipolar Disorder Type I (32 years)Drug History:
Medication
resperidone 3mg po bd
Sodium Valproate (Epilim Chrono) 200mg po bd
Chlopromazine (CPZ)50mg po notce
Co-Diovan 160/12.5mg po bd
Substance Use
No smoke; No cocaine, marijuana
Chanique Cousins - 607000167
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Alcohol occasionally
Allergies-nil
Social History:Lives with his wife and children.
Living conditions
Social Relations:
Current stressor acting as Property Estate Manager
Family History:Personal History:
He is the second of three children of his mother. Father is married but no to his mother (at the
time of his birth). Father died at age 70 years. Mother is still alive at 84 years.
School History:
Ardenne High School up to 5 th form
Utech: first degree in Land, Economy and Valuation Survey (Graduated in 2007 with Honours)
Employment:
Ministry of Transport and Works x31yrs. Working in NWA Division Property Appraisal for the
past 10 years. Currently acting as Property Estate Manager.
Ambitions and Plans:???
Psychosexual History:Has been married for the last 11 years but has been with his wife 14 years prior to marriage. Has
3 children from the union. Last child has a twin sister who died shortly after birth.
Premorbid personality: Quiet.Assessment:Multiaxial Classification:
Axis I: Bipolar Type I disorder
Axis II: nil
Axis III: Hypertension and obesity
AxisIV: compliant with medication
currently acting as Property Estate Manager
Plan :Sodium valproate 400mg po bd (increased)
Chlopromazine 25:25 po
Chanique Cousins - 607000167
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Chanique Cousins - 607000167
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