College of Nursing-PMHNP, Walden University NRNP 6665: LATEST PMHNP Care across the Lifespan I. ACCURATELY ANSWERED-2022/2023. Spring QTR
Subjective
... [Show More] Initials : P. P.
CC: I have a history of taking meds and stopping them. I don’t feel like I need them.”
HPI: PATIENT is a 25-year-old Caucasian female that has been referred for a mental health assessment. She reports history of depression, anxiety, and bipolar disorder, but is currently not taking any medications. She reports being on a medication that began with an “L”and although it helped, “it squashed me in creativity.” PATIENT has history of four previous hospitalizations for mental health treatment. Her first hospitalization was when she was a teenager and she had been up for four to five days with no sleep and states “I think I may have been hearing things”. She reports her mother had her admitted for mental health treatment. In 2017, she attempted suicide by overdosing on Benadryl. Her most recent hospitalization was spring 2020 after being brought to the emergency department by the police for dancing in a filed in her nightgown, playing the guitar. She reports that “four to five times a year, I have these times when I don’t want to get out of bed. I have no energy. I have no motivation to do anything. I can’t feel any interest in creativity…..This is usually happening after I have been up for four to five days….Everyone says I am depressed but I am not sure. It could be that I am exhausted from working so hard.” She reports feeling energized and motivated when she has periods of creativity. She states “ I love those times. Those are the reasons I don’t always take my medications….. I have lots of energy to do a lot of things. I can go 4-5 days with very little sleep….My friends tell me I talk to much and appear scattered”. She reports being permicuous during her creative episodes and these episodes usually last about one week.
Psychiatric History
• Hospitalizations -four times, most recent in the spring of 2020
• Suicide attempt in 2017-overdose on Benadryl
• Diagnosed with depression, anxiety, and biopolar
Medication Trials [Show Less]