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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