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Case report:
Presenting Complaint
GM is a 47 years- old single unemployed lady , admitted involuntarily to the
Department of Psychiatry five Days ago as a result of Bizarre behaviour and
delusional thinking. Background significant for cocaine / cannabis /
hallucinogenic misuse.
History of Presenting Complaint
GM presented with 6/52 of severe depression and drug intoxication. She was
admitted involuntarily 5/7 days ago for bizarre behaviours , hallucinations ,
delusional thoughts and disorganised speech.
Bizarre behaviour and delusions was as follow:
Jumping around doing exercises and dancing and feeling energised from
2/52.
Agitation and pacing
Laughing inappropriately
Referencing “ the source “ within her communicating with a man’s voice.
- According to GM “ the source “ have present all her life. But she only
realised it few weeks ago , saying things such as “ spread love and
love everyone “ she believes that it is delivering a good message to
her and she must tell the world about it , GM find it difficult to
organise thoughts. She think it’s a unique trait of her.
denied risk to self or others and , denied any thoughts of self -harm.
Although she mentioned that she would like something “ quick and easy
“.
GM has a background of:
Substance misuse ( cannabis , cocaine , hallucinogens )
Alcohol dependency
Relationship breakdown which had a great impact on her.
Unemployed from 7 months
Homeless from 2 weeks
Past Psychiatric History:
2003 she was diagnosed with depression by the mental health service
2014 Private CBT for 6 sessions “ to feel better ”
2015 Counsellor for 2 years for panic attacks

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2018 Admission 6/52 for drug detoxification
Recently discharged for depression and addiction
Nil history of suicide attempts.
Medications:
Fluoxetine 20mg OD
Olanzapine 5mg nocte
Past Medical/Surgical History:
Corrective eye surgery ( astigmatism of left eye ) aged 3
2006 appendectomy
Family History:
- Father RIP age 62 secondary to renal cancer ( described him as
abusive )
- Mother - alive and well
- 1 brother age 45 alcohol dependence and heroin misuse
GM believes there is a strong paternal and maternal family history of
depression.
Alcohol & Substance Misuse:
- Reported daily alcohol consumption (28 units / week).
- Reported trying ecstasy , BZD and LSD recently.
- Long standing history of harmful cocaine use.
Personal History:
Born in 1971 , 1 younger brother , Normal development milestones
- CSA abusive alcoholic father
- Reports emotional abuse as child and felt neglected. Alleged CSA by
paternal uncle , mother moved to New York when patient was 19 and
returned back when she was 33.
- Always did great in school till 5
th
grade due to her mother new
partner being aggressive and abusive with her.
- She Has been successful early in carer she worked in different jobs
and most recently worked as data analyst.
- She reported cutting drugs for 8 years from 2007 to 2015 where she
met her new partner who is a drug addict.

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Case report: Presenting Complaint GM is a 47 years- old single unemployed lady , admitted involuntarily to the Department of Psychiatry five Days ago as a result of Bizarre behaviour and delusional thinking. Background significant for cocaine / cannabis / hallucinogenic misuse. History of Presenting Complaint GM presented with 6/52 of severe depression and drug intoxication. She was admitted involuntarily 5/7 days ago for bizarre behaviours , hallucinations , delusional thoughts and disorganised speech. Bizarre behaviour and delusions was as follow: ◼ Jumping around doing exercises and dancing and feeling energised from 2/52. ◼ Agitation and pacing ◼ Laughing inappropriately ◼ Referencing “ the source “ within her communicating with a man’s voice. - According to GM “ the source “ have present all her life. But she only realised it few weeks ago , saying things such as “ spread love and love everyone “ she believes that it is delivering a good message to her and she must tell the world about it , GM find it difficult to organise thoughts. She think it’s a unique trait of her. denied risk to self or others and , denied any thoughts of self -harm. Although she mentioned that she would like something “ quick and easy “. GM has a background of: ◼ Substance misuse ( cannabis , cocaine , hallucinogens ) ◼ Alcohol dependency ◼ Relationship breakdown which had a great impact on her. ◼ Unemployed from 7 months ◼ Homeless from 2 weeks Past Psychia ...
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