Manic Memories

 I've had times when I've been very angry and screamed at people and had no idea that I was manic! I don't KNOW I'm delusional when I'm delusional. I want the crazies to stop. I want the others that I'm screaming at to stop screaming at ME! It never occurs to me that they might be screamign back at my screaming. EIther way, its not good. I left a fight like that once and took my car out and drove to a drug store, calling my sister telling her

Possible trigger: 

I wanted to kill myself

and so my sister asks me where I am and the police show up but I'm on the phone with my pdoc by then so when I get out of my car, two cop cars have blocked me in and the police are searching my car with flashlights. The end of that story is that they called an ambulance and my sister showed up and said she wanted to cancel the call, but they said "Nope! It' too late now. The wheels are in motion!!" (The wheels of the process not the ambulance wheels!) I ended up at the psych ER and they let me go and my sister drove me home. So yeah- you can see how things get out of control when I'm manic!

File: GAF Rating

5/02/2016 File marked with "Current GAF: 30".

From WebMD: The Global Assessment of Functioning Scale rating of 30 (-21) reads:

Behavior is considerably influenced by delusions or hallucinations OR serious impairment in communication or judgment (e.g. sometimes incoherent, acts grossly inappropriately, suicidal preoccupation) OR inability to function in almost all areas (e.g., stays in bed all day, no job, home, or friends).

File: 5/02/2016 Paranoid, delusions, aliens, anxiety, balcony

[PDOC] 05/02/2016

F31.2: Bipolar disorder, current episode manic severe with psychotic features (Active as of 10/16/2015)

F29: Unspecified psychosis not due to a substance or known physiological conditioner (Active as of 11/21/2013)

F31.9: Bipolar disorder, unspecified (Active as of 10/29/2014)

F39: Unspecified mood [affective] disorder (Rule Out as of 11/21/2013)

4/20/15: Clt's current symptoms and presentation and symptoms are congruent with previous diagnosis.

11/21/13: Client reports paranoid thinking with delusions. (Thinking people are aliens and endorsing a hx [history] of beliefs that she can fly and that she will not die for long if she kills herself.) Client reports a hx of auditory and visual hallucinations, but none at the moment. Client reports anxiety related to personal relationships. Clients reports that she tried to overdose to kill herself last night with plans to do so again.

10/08/13:. Pt presents as preoccupied, possibly responding to internal stimuli, hears voices telling her to stab herself, reports some improvement in psychotic symptoms.

10/1/13: Client presents "ramped up" with thoughts of jumping into traffic or "Flying off her balcony" w/o specific intent of suicide. She is calm in presentation but she reports that she has felt increasingly "ramped up" over the last 2 weeks. She spoke with her psychiatrist this morning and she recommended she resent to PES. [Psych. Emergency Services]