Patient is a 42-year-old male who presented to the ED with an alleged overdose on 50-60 prescribe pills of 450mg PO Daily Trileptal. Patient stated: "I took pills because I was having mood swings." Step- father brought patient into the ED.
At the time of assessment, patient endorses feeling suicidal without a plan. Patient reports not being able to go see his son as the primary factor contributing to his current distress. When confronted about admitting being suicidal and taking medication to this clinician, patient stated "I just thought I might get to go to back to Highpoint if I said that, they have some good information up there." The patient presents with minimal eye contact during the assessment and story has change a few time. The patient reports he does not have a place to go. Patient reports having a history of suicide ideation, the last one being in 2015, where he was placed at HPR, when he reports cutting himself and a history of bipolar. The patient currently has multiple laceration on both arms. He reports he made those cut to aid in relieving his stress yesterday before he came into the hospital. Per documentation the patient was discharged yesterday for substance abuse issues only. Patient currently denies homicidal ideations and having any visual or auditory hallucinations. Patient does not appear to be exhibiting signs of agitation, aggression, or responding to internal stimuli. Patient denies experiencing all side effects of Tileptal. …show more content…
He reports yesterday the patient stole a laptop and mountain bike from his parents and sole them for drugs. The brother states," my brother lie and is more worried about drugs, I don't want him to go back to my parents home because he might take something else." The brother reports the patient has been having conflict with their mother for the past few
At the time of assessment, patient endorses feeling suicidal without a plan. Patient reports not being able to go see his son as the primary factor contributing to his current distress. When confronted about admitting being suicidal and taking medication to this clinician, patient stated "I just thought I might get to go to back to Highpoint if I said that, they have some good information up there." The patient presents with minimal eye contact during the assessment and story has change a few time. The patient reports he does not have a place to go. Patient reports having a history of suicide ideation, the last one being in 2015, where he was placed at HPR, when he reports cutting himself and a history of bipolar. The patient currently has multiple laceration on both arms. He reports he made those cut to aid in relieving his stress yesterday before he came into the hospital. Per documentation the patient was discharged yesterday for substance abuse issues only. Patient currently denies homicidal ideations and having any visual or auditory hallucinations. Patient does not appear to be exhibiting signs of agitation, aggression, or responding to internal stimuli. Patient denies experiencing all side effects of Tileptal. …show more content…
He reports yesterday the patient stole a laptop and mountain bike from his parents and sole them for drugs. The brother states," my brother lie and is more worried about drugs, I don't want him to go back to my parents home because he might take something else." The brother reports the patient has been having conflict with their mother for the past few