No known psych hist
admitted academic medical center
convulsing in bedroom
taken to er
administed lorazipan
no change in presentation
loading dose of another med stopping convulsion
therapudic levels of usual anti epileptic
no infection or metabolic disturbance
no use of illegal drugs
admited to neuro
eeg ordered
began confulsing again
intravenious lorazipan administered
no epileptiform activity on eeg
placed on video eeg monitoring while anti epileptics were tapered and discontinued
convulsive motor activity with no epilelptic on eeg
psych requested
denied depress, sleep disturb,
no thoughts of si
no mania/psychosis
no family history
denied recent psychosocial stressors
"life finally where she wants it to be"
concerned about seizures disrupting life and cost of hospitalization
became irritable after eeg results came bac negative

Irene 29

• tired of being sad n alone
• chronoic and severe depression
• not responded to anti depresseants and mood stablkiizer
• benefit from CBT and DBT
• ECT had been suggested and refused
• SI and Cutting
• prev focus on truama
• pot father
• little memory from 7-13 years old
• in ability to remember family holidays, vacation, school events
• Reported good relaitonship with both parents
• Dad had alcoholism, but became abstinent
• SI occured after visiting family
• socially withdrawn until college when dhe became good
• gifted teacher of autistic children
• difficulty at sexual intimancy with men
• fealt worthless
• slept poorly and felt tired
• denied use of alc and drugs
• nasuea and stomach pain at smell of alc
• well groomed and cooperative, coherent and goal dirrected responses, void of emotion
• sad and constricuted, numb
• denied hallucination, confusion, no thought to kill herself
• si around
• amnesia for daily life
• unexmplained possession, time loss, fugue
• denied self division, hallucination, inner voices, passive influence symp
• denied flashbacks or intrusive memorioes
• flashbacks of chase by danger man
• hyperfocused at work
• intense startle reaction
• repeated counting and singing in mine
• compulsively checked for door to be locked

.

Completed short course of CBT
anxoety had not reappeared
never taken osych med no psch his
study psych, worked as hospital orderly
considerered career in med
prev. worked regularly and had friends
reoccurant obdominal pain wrapped job prospects and social circle
chrones falirs cause missed interviews
single since college
emailed other memebrso f bowel disorder people
aunt also had chrones
diff. obtaining collateral information from prev. doctords