Psychoactive Disorder Case Study
Dr. Snyder requested an evaluation on a Mr. Efird. Mr. Efird is a 45 year old male who presented to the ED via LEO with multiple lacerations and stab wounds from a steak knife to his legs and arms. Mr. Efird reports to nursing staff he was attempting to kill himself. Per documentation Mr. Efird reports auditory hallucinations.
At the time of the assessment Mr. Efird is calm and cooperative. Mr. Efird reports earlier today he intentionally started to cut himself multiple time to kill himself. He states, " I don't want to life, I just gave up, I have no purpose." Mr. Efird reports a history of bipolar, cutting behaviors, and 2-3 suicidal attempts. He expresses feelings of depression. Mr. Efird describes symptoms as: feelings of hopelessness, worthlessness, Isolation, loneliness, tearfulness, sadness, irritability, and insomnia. …show more content…
Efird most recent UDS he tested positive for only cocaine. He reports using a 1.75 grams of cocaine 7/23/16. Mr. Efird reports a history of use, however only on certain occasions to stop he worrying.
Mr Efird father was contacted. He reports his son has had a history of bipolar and multiple hospitalization. He reports the first time his son was diagnosed was in 1989 when he went to Cape Fear hospital. The patient's father reports since then his son has had issues beig compliance with medication and engaging himself in outpatient services. The father reports he know his son has expressed feelings of loneliness to him. The father reports the last time he spoke with his son was Thursday, which from a brief conversation he thought he was "okay".
Due to an increase in depressive symptoms, suicidal attempt, history of attempts, harm to self, patient does meet criteria for IVC and inpatient hospitalization. TACT consulted with Dr. Snyder and it was recommended to refer for inpatient hospitalization for safety and stabilization. TACT assisted the ED doctor in completing IVC paperwork. TACT will search for appropriate
At the time of the assessment Mr. Efird is calm and cooperative. Mr. Efird reports earlier today he intentionally started to cut himself multiple time to kill himself. He states, " I don't want to life, I just gave up, I have no purpose." Mr. Efird reports a history of bipolar, cutting behaviors, and 2-3 suicidal attempts. He expresses feelings of depression. Mr. Efird describes symptoms as: feelings of hopelessness, worthlessness, Isolation, loneliness, tearfulness, sadness, irritability, and insomnia. …show more content…
Efird most recent UDS he tested positive for only cocaine. He reports using a 1.75 grams of cocaine 7/23/16. Mr. Efird reports a history of use, however only on certain occasions to stop he worrying.
Mr Efird father was contacted. He reports his son has had a history of bipolar and multiple hospitalization. He reports the first time his son was diagnosed was in 1989 when he went to Cape Fear hospital. The patient's father reports since then his son has had issues beig compliance with medication and engaging himself in outpatient services. The father reports he know his son has expressed feelings of loneliness to him. The father reports the last time he spoke with his son was Thursday, which from a brief conversation he thought he was "okay".
Due to an increase in depressive symptoms, suicidal attempt, history of attempts, harm to self, patient does meet criteria for IVC and inpatient hospitalization. TACT consulted with Dr. Snyder and it was recommended to refer for inpatient hospitalization for safety and stabilization. TACT assisted the ED doctor in completing IVC paperwork. TACT will search for appropriate