Name: PS Age: 50 Address: Kingston 11

Occupation: Property Appraiser Marital Status: Married for 11 years Known to have Bipolar Type I (32years) Schizophrenia Historian: Wife and sister Presenting Complaint: Agitated Not sleeping Aggressiveness Excessive Talking History of Presenting: Hospital x 2. He has also had admission to ward 21 with the last time being in 1998. he is followed up at the Hagley Park Health Centre and his last visit was on June 11, 2011. He is currently maintained on resperidol 3mg po bd and epilim 200 po notce. Since 1/52 Mr. Clarke has progressively being agitated, not sleeping well, aggressive and excessive talking. He was seen by his private doctor 2/7 for decreased of the medication, the night before admission. sleep and was given largactil 50mg notce. He was still unable to sleep even though he doubled the dose Says he was up early the following morning of presentation, exercising on the road. For the past Known to have Bipolar Type I since 1979 (32 years) and schizophrenia and admitted to Bellevue x 1/52

week his speech has been excessive and loud and using a lot of expletives which is unlike him. He has also been talking a lot about Jah. No report of physical aggression. it stressful. Current stressors 2/52 he has been acting in the managerial post at work and has been finding

Past Medical History: Hypertension Past Surgical History: Nil Past Psychiatric History: Drug History: Schizophrenia; Bipolar Disorder Type I (32 years)

Medication resperidone 3mg po bd Sodium Valproate (Epilim Chrono) 200mg po bd Chlopromazine (CPZ)50mg po notce Co-Diovan 160/12.5mg po bd Substance Use No smoke; No cocaine, marijuana

Chanique Cousins - 607000167

Allergies- nil

Alcohol occasionally

Social History:

Lives with his wife and children. Living conditions Social Relations: Current stressor acting as Property Estate Manager

Family History:

Personal History: time of his birth). Father died at age 70 years. Mother is still alive at 84 years. He is the second of three children of his mother. Father is married but no to his mother (at the

School History: Ardenne High School up to 5th form Utech: first degree in Land, Economy and Valuation Survey (Graduated in 2007 with Honours) Employment: Ministry of Transport and Works x31yrs. Working in NWA Division Property Appraisal for the past 10 years. Currently acting as Property Estate Manager. Ambitions and Plans:???
Psychosexual History:

Has been married for the last 11 years but has been with his wife 14 years prior to marriage. Has

3 children from the union. Last child has a twin sister who died shortly after birth. Premorbid personality: Quiet. Assessment:

Multiaxial Classification: Axis I: Bipolar Type I disorder Axis II: nil Axis III: Hypertension and obesity AxisIV: compliant with medication currently acting as Property Estate Manager
Plan:

Sodium valproate 400mg po bd (increased) Chlopromazine 25:25 po

Chanique Cousins - 607000167

Chanique Cousins - 607000167