Читать книгу Dynamic Consultations with Psychiatrists - Jason Maratos - Страница 72

Miss C was noted since July 2017 to be showing increasingly irritable and labile mood when she was taking her evening school examinations. She scolded her mother and sister on trivial matters. She had recently joined an insurance course and planned on taking the qualifying exam. She spent about US$1,000 this month on clothes and handbags and was spending more on dining. She mentioned that she needed to be someone “with class.” She mentioned that she will get rich and be the breadwinner of the family. She tended to lock herself in a room at night and listen to music, experiencing decreased sleep as well. She absconded from home 2 weeks before admission and stayed at her classmate's home for 5 days. She enjoyed her time there, chatting with the family, but they found her unmanageable and asked her aunt to take her home. She had an outburst of anger t a week before admission when she was nagging to have a portion of her sisters' food and her mother confronted her. She handed a glass bottle to her mother and asked her mother to kill her. Her mother smashed the bottle and pointed it to herself said she would kill herself instead. Miss C eventually locked herself in the toilet and splashed water on her face. She was seen at the outpatient department in August 2017 and a compulsory admission was arranged by F123 of the Mental Health Act due to manic relapse.