Case Study; Client with Bipolar Disorder

Chief Complaint
"I am a genius and better than everyone else in this room. I am doing very well, which is to say,
magnificently. I don't find it funny that we are here. My brother is the one who brought me here
to this location. I should be at work. There are a lot of errands that I need to be done by me.
Patient Presentation
Mr. JT, 36 years old, was admitted to the psychiatry unit yesterday after being taken to
the clinic by his brother. The patient's brother gave all of the relevant medical history
information. Recent reports indicate that he has been exhibiting strange behavior. Over the past
month, he has averaged less than five hours of sleep per night. It is said that the patient can
remain awake for a significant number of hours. He has been occupying all of his time on the
internet, particularly on social networking sites, where he plays various gambling games.
The customer reports that they do not consume any food and have shed a sizeable amount of
weight. He asserts that eating is not a primary concern of his. He claims he is not an "average
man" because he does not depend on food and regularly consumes it. After being absent from
work for more than a week and consistently arriving late, the customer came dangerously near to
being fired. The management gave him one final reprimand before terminating his employment.
Mr. T is quite active in conversation with women across many dating sites. "I am really young
and I need to take advantage of every moment of my youth," he says. Lately, he has been going
to night parties, and the people he talks to the most are young adults in their early 20s. He denies
homicidal or suicidal ideation. He explains, "God given me a gift that I cannot stop using; I am
gifted, and I cannot just die." After a disappointing experience on online dating, he recently
shattered his phone by hitting it against the wall.