I am not
@srg, but can help with abbreviations etc. I work in Psychiatry.
- Diagnosed in early 20s with Bipolar Disorder and PTSD.
- Endorses history of situational depression only (this does not really correlate with a Bipolar diagnosis as depression is biological in a true Bipolar Disorder)
- Endorses history of situational anxiety only.
- No history of or current self-harm.
- No history of psych hospitalizations.
- No history of psych meds (which is concerning if she truly struggles with a Bipolar Disorder. There is Bipolar 1 and Biolar 2 Disorder. Bipolar 1 is more severe and requires a mood stabilizer).
- "SA" in mental health lingo is "suicide attempts). She denies a history.
- "SI/HI/SIB/AVH" is "suicidal ideation/homicidal ideation/self-injurious behavior/auditory & visual hallucinations". She denies a history of and current symptoms.
- Trauma history of sexual assault. "Sexual Assault" is usually not abbreviated on the psych eval and "SA" stands for "suicide attempt".
- Sister is a so-called "protective factor" aka something that keeps MF from harming or killing herself/something that keeps her here.
- She did not require any psych meds while incarcerated.
Based in what I am seeing, i would thoroughly assess for history of depressive/hypomanic/manic
episodes. Bipolar 1 is unlikely; she could have not managed w/o meds. Possibly Bipolar 2, but that'sa stretch based on eval... I would closely assess for Borderline Personality as the root cause is trauma; especially sexual trauma. Some red flags are:
- Fear of abandonment (need baby to hold on to ex)
- Unstable relationships (estranged from family)
- Problems with self-image
- Impulsive, risky behaviors (legal problems)
- Self-harm/suicide attempts (which she denies)
- Mood swings (mood described as labile in eval)
- Chronic feelings of emptiness
- etc.
But, yes, there is much more to her than this psych eval leads us to believe... much, much more... this is a very, very abbreviated eval.
Hope this helps... Let me know if you have any questions.