DR PARKER: Ms G is a 25-year-old woman who
is slowly coming to terms with her diagnosis of bipolar disorder. She lives
with her boyfriend and currently attends school. She experienced 2 manic episodes
resulting in inpatient psychiatry hospitalizations. Ms G has lost her medical
insurance, which is complicating her access to medical and psychiatric care.
In the summer of 1998, Ms G worked in a restaurant, and described the
atmosphere as "very tense, pressured, nonsupportive, and demanding." Although
she cannot recall all the details, her family brought her to a local emergency
department for evaluation of her agitated mental state. She was transferred
by ambulance to an inpatient psychiatry unit.
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