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Case Presentation - Bpad Gs

A 23-year-old male carpenter presented with a 2-month history of overtalkativeness, decreased need for sleep, irritability, and grandiose delusions as reported by his father. His symptoms occurred episodically over 3 years with full recovery between episodes. His diagnosis was bipolar I disorder, current episode manic with psychotic features based on his subacute onset of symptoms, past manic episode, and presentation of pressured speech, grandiosity, and reference delusions on examination.

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Aarti Gupta
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988 views10 pages

Case Presentation - Bpad Gs

A 23-year-old male carpenter presented with a 2-month history of overtalkativeness, decreased need for sleep, irritability, and grandiose delusions as reported by his father. His symptoms occurred episodically over 3 years with full recovery between episodes. His diagnosis was bipolar I disorder, current episode manic with psychotic features based on his subacute onset of symptoms, past manic episode, and presentation of pressured speech, grandiosity, and reference delusions on examination.

Uploaded by

Aarti Gupta
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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CASE PRESENTATION

SUPERVISOR : DR. RUPESH CHAUDHARY


• Mr GS , 23 years old male , studied upto 8th class,
Sikh by religion, carpenter by occupation, unmarried,
living in a nuclear family, belonging to middle
socioeconomic status, resident of village Birmi,
Ludhiana
CHIEF COMPLAINTS
AS PER PATIENT
Main theek haan bilkul
CHIEF COMPLAINTS
AS PER INFORMANT; Mr. BS, 48 years old male,
father of patient, illiterate, labourer by occupation,
Bolda bohat hai
Gussa karda hai
Tik ke nhi baithda
Sonda nhi hai since 2 months
• Information- Reliable
• Onset- Subacute
• Course of illness- Episodic
• Precipitating factor : could not be elicited
LIFE CHART
Diagnostic formulation
• Mr GS , 23 years old male , studied upto 8th class, Sikh by religion,
working as a carpenter, unmarried, living in a nuclear family, belonging to
middle socioeconomic status, resident of village Birmi, Ludhiana,
presented to DMCH, Ludhiana with Mr. BS, who is father of patient, living
with patient , history being reliable and adequate, presented with duration
of current episode of 2 months , with subacute onset with total duration of
illness of 3 years with episodic course of illness with complete inter
episodic recovery, with no known precipitating factor with current episode
characterized by overtalkativeness, overactivity, decreased need for sleep,
irritability over minor issues, verbal abusiveness towards others, increased
self confidence, inflated self esteem with grandiose ideas, suspiciousness
towards family members with with no history of fearfulness, self muttering
or self smiling with no history of persistent sadness of mood, decreased
interest in routine activities with no history of repetitive thoughts, ideas,
images, urges or any compulsive behaviour with no history of head trauma
or any neurological deficit
with past history of episode of overtalkativeness, overactivity, decreased
need for sleep, inflated self esteem in 2019 with complete inter- episodic
recovery with no history of any comorbid medical or surgical illness with
no family history of any psychiatric illness with well adjusted premorbid
personality with GPE within normal limits with MSE findings revealing
increased psychomotor activity, decreased reaction time, increased rate,
tone and volume of speech with dysphoric affect with delusion of
grandiosity and delusion of reference with intact memory ,attention,
abstract ability and judgement with insight Grade1 .
MOST PROBABLE DIAGNOSIS

Acc. To ICD-10 (F31.2)


Axis I; Bipolar Affective Disorder current episode manic with
psychotic symptoms.
Axis II; Severe social, familial, personal and occupational
dysfunction.

Acc. To ICD-11- Bipolar type I disorder, current episode manic,


with psychotic symptoms.

Acc to DSM-5- Bipolar type I disorder, current episode manic


severe with psychotic features.
• THANK YOU

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