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Patient: #1864 Maria

Patient: #1864 Maria. By Bronte Blanco Period 4. Observations. Note To Doctor: Patient has no documents prior to admission. Handle with caution. Last minute admission. First Analysis : º Frantic º Obsession with phone º Delusional “Magician husband” Further Analysis: TRAUMA*

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Patient: #1864 Maria

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  1. Patient: #1864 Maria By Bronte Blanco Period 4

  2. Observations Note To Doctor: Patient has no documents prior to admission. Handle with caution. Last minute admission First Analysis: º Frantic º Obsession with phone º Delusional “Magician husband” Further Analysis: TRAUMA* Patient may have Manic Depression, evident with her extreme mood swings, deep sadness with mention of personal life, inability to soundly sleep (as reported by night guards) and non-social behaviors. (acts highly indifferent towards others) Signs of Obsessive Compulsive Disorder, due to non-stop demand for a phone. Resorts to same story when questioned, regardless of what’s being asked. Needs cigarettes to stay calm. Perhaps a sign of malfunction with her ability to stay calm. Constantly mentions a magician who is her husband. Perhaps a form of Schizophrenia or Dissociative Disorder. It is unclear what exactly is the reasoning behind her illusions. However, her anxiety, mood swings, obsessive-compulsive habits, abuse of drugs (cigarettes), depression and sleep disorders all support both ailments.

  3. Manic Depression(Bipolar I) Mental ailment in which patient feels extreme highs and lows in his/her emotions. This can make patient psychotic with the inability to control their own feelings. (Bipolar I) infers the patient has shown signs of manic and depressive episodes. Above: A Manic Depressive patient’s brain. Indicates where endorphins or lack of chemical reactions may occur with this illness.

  4. Minor Obsessive Compulsive Anxiety disorder in which the patient has no control over their thoughts and need to repetitively think, say or do something. The brain fixates on one thing, which results in the patient feeling compelled to relieve that thought in whatever way they see is best. Compulsions can be harmful or irrational, resulting in possible harm to those who surround them. Patient does not have severe OCD. However, does suffer a Mild form of obsession over A phone and a magician. Also obsesses over the same Story and her misfortunes.

  5. Dissociative Disorder/Schizophrenia (Category: undecided) Patient feels as if they exist within an alternate reality. Not connected with one’s self and conscience. These symptoms apply to both illnesses. Schizophrenia, the patient sees and can speak to people or character who only exist within their minds. (magician patient speaks of) Dissociative is more of a personal displacement of his/her mind. Patient does not feel fully connected to his/herself. Can cause patient to not be able to identify themselves, or others around them.

  6. Schizophrenia brain deformity in neuropathy

  7. Trauma Patient may have suffered a great deal of trauma before being admitted to asylum. Perhaps abused/abandoned by husband, has a phobia of magic and thus correlates magic with spouse. Also abandonment would explain her fear of being late or now showing up on time for husband. Trauma can leave gaps in a patient’s memory or alter his/her perception of a time in their lives. With patient’s unexplainable fear and obsession with certain objects and odd characters, this gap of memory and altered perception could play a large part in treatment and diagnosis.

  8. Treatment Plan Manic Depression: 1800 mg/day of Lithium medication-Therapy sessions 5 times a week (if confirmed) Schizophrenia: Saphris 2 tablets daily (also helps with depression)- Daily therapy sessions*if worsens, stronger medication doses or injections OCD: Luvox 150mg/day- Cognitive therapy sessions 4 times a week

  9. Work Cited "Dissociative Disorder information." Dissociative Disorder. NHS Foundation, 05 Aug. 2011. Web. 21 Feb. 2014. "Hypomania and Mania Symptoms in Bipolar Disorder." WebMD. WebMD, n.d. Web. 19 Feb. 2014. Jenike, Michael. "Medicine for OCD." International OCD (Obsessive Compulsive Disorder) Foundation. IOCDF, n.d. Web. 20 Feb. 2014. Robinson, Lawrence, Melinda Smith, and Jeanne Segal. "Obsessive-Compulsive Disorder (OCD)." : Symptoms, Behavior, and Treatment. Help Guide, Feb. 2014. Web. 20 Feb. 2014. "Types of Depression: Major, Chronic, Manic, and More Types." WebMD. WebMD, n.d. Web. 20 Feb. 2014.

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