CASE STUDY OF

BIPOLAR
DISORDER
NAME : Rajeev

Informant : Father

Place : Cochin

Date : 10 Mar 2024

Age : 24yrs

Sex : Male

Occupation: Student
Chief Complaint (CC) :-

Constant worry throughout the day – 2

mnths

Difficulty in concentration – 4 month

Aggressive, high palpitation, anxiety, fear

and angry – 6 month
Hallucination Behaviour – Present

Eye Contact – Improper

Behaviour – Unpredictable

Interpersonal Relationship – Introvert

Speech – Spontaneous, Minimal

Mood – Unpleasureable, Depressive, Anxiety,

History of Present illness-HOP

6 month ago he was apparently normal

than developed worry about his daily
work and felt apprehensive while
carrying it out. Worry was constant and
present all through the day.

His worries increased gradually and he

could not concentrate on business and
would do some minor mistakes which
resulted in aggressive, high palpitation,
anxiety, fear and angry.

There was no significant past or family

history.
General and systemic examination –
Normal

Mental status examination – MSE

General Appearance, Attitude and Behaviour

–Patient was conscious, oriented, alert,
cooperative, rapport established, eye contact
was improper.

Psychomotor activity – Normal

Speech: Spontaneous, Minimal, Tone Loud

Mood – Unpleasureable, Depressive, Anxiety,

Mood Swing
Hallucination Behaviour – Present

Eye Contact – Improper

Behaviour – Unpredictable

Affect – Anxious, reactive, high range of emotion,

congruent to mood in appropriate situation, no
liability, Trouble sleeping, wakefulness.

Thought:

Form of thought: The client fall comfortable & false

belief occurs in his mind.

Content: Worry & Apprehension about his business.

Perception: anger
HIGHER MENTAL
FUNCTIONS – HMF

Attention – Sustained

Concentration - Intact

Consciousness –
Conscious, Cloudy

Memory – Immediate

Intelligence – Good
HISTORY OF PRESENTING ILLNESS – (HOPI)

Adequate

MSE – High palpitation, anxiety, fear and angry

Speech – Reaction time may be Muted

Mood/Affect –Inappropriate, Irritable

Thought – Over Conclusion, Flight off Idea,

Ignorance, Phobia

Perception - Appropriately Present

Diagnosis – Generalised Anxiety Disorder

Differential Diagnosis –

Bipolar Disorder, Manic Depression-

Mood Swings(Mania/Hypomania)

Suggestion-

Goal Setting

Impaired Social Interaction

Cognitive Behavioural Therapy (CBT)

JPMR

Deep Breathing Exercises

Mindfulness
Thank You