This is the 5th episode of illness. Patient was last well before one month. Symptoms of illness
was reduced sleep, increased talk and talking aloud, using abusive words, increased
psychomotor activity, poor personal hygiene, increased food intake, assaultive behavior etc. On
examination he had p...
Name of patient : Mr. Santosh Mane.
Age : 40 years
Date of Admission : 26/01/10
Marital Status : Married & divorced after 6 months.
Education : 10th Standard
Occupation : Farmer
Income : Rs.200/-
Address : #35, Neharu nagar Belgaum.
Ward : open psychiatric ward.
Religion : Hindu
Socio Economic Status: Low Income Group
Diagnosis : BPAD mania
INFORMANT: Client’s brother is the informant. He is staying along with patient from birth
itself. He had good intellectual and observation ability. He had moderate degree of concern
regarding the patient.
PRESENTING CHIEF COMPLAINTS
According to patient he had no problem for admitting him.
According to informant, patient had reduced sleep, increased physical activity, using abusive
words, assaultive behavior, talking with him self and aloud. The onset of illness was one month
before. Precipitating and aggravating factor is reduced sleep.
HISTORY OF PRESENT ILLNESS
This is the 5th episode of illness. Patient was last well before one month. Symptoms of illness
was reduced sleep, increased talk and talking aloud, using abusive words, increased
psychomotor activity, poor personal hygiene, increased food intake, assaultive behavior etc. On
examination he had persecutory delusion, grandiose delusion, poor dry compulsion and mood
labile. On admission Inj.Phenergan 25 mg 1M and Inj. Haloperiol 5mg 1M stat ordered and
administered. He had no history of head injury before illness.
,PAST PSYCHIATRIC & MEDICAL HISTORY
Client had history of similar illness in past. This disease was started on his 18 year of age
and was treated in a private hospital. No treatment history available and was admitted here on
20/1/98 and discharge on 12/2/98. Other episodes are:
2nd episode -> 10/3/01 – 21/4/01
3rd Episode -> 28/3/05 – 29/5/05
4th episode - > 6/2/07 – 1/3/07
On each admission he had got Inj.Phenergan and Inj.Serenase and he was on T.clozapine
25 mg HS & T.valproate 200mg bd. But he had poor drug complaints. He had history of
cigarette smoking before 2 years and now he had no habit of smoking. He had no history of any
serious medical illness like CAD, HTN, DM, asthma etc and surgical history of any head injury,
trauma etc.
TREATMENT HISTORY
Client was treated in a private hospital first. No treatment history available. After the
treatment from NIMHANS he was on
Tab.clozapine 25 mg HS
Tab. Valproate 200mg tds
Tab. Diazepam 2mg ½ HS
He had no habit of taking medicine at correct time (poor drug complaints).
FAMILY HISTORY
Client’s father and mother died because of old age and CA stomach respectively. He was
married and divorced after 6 months. He had no children. Now he is living with his younger
brother. He had positive family history of mental illness. His younger brother had mental illness
and he was committed suicide on his 18 years of age.
FAMILY TREE
KEY
: MALE : MALE DIED
: FEMALE
: CLIENT : FEMALE DIED
, PERSONAL HISTORY
Perinatal history
No history of any febrile illness, medications, drugs, alcohol use, trauma to abdomen and
any physical or psychiatric illness during pregnancy. He was a wanted child. No history about
breast feeding and weaning available. The delivery was normal vaginal delivery. He had history
of measles during prenatal period. He had no birth defects.
Childhood history
Patient was brought up by his mother and father. No history available regarding breast
feeding and weaning. No history of maternal deprivation. He had temper tantrum during his
childhood period.
Educational history
Age of beginning school age on 6 years and was studied up to 6th standard. He had good
relationship with peers and teachers. He had learning problems and absenteeism in school. He
terminated his study because he was poor in study and financial problems.
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