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Clinical Crossroads
January 24/31, 2001

A 25-Year-Old Woman With Bipolar Disorder

Author Affiliations

Author Affiliation: Dr Sachs is assistant professor in psychiatry, Harvard Medical School; Director, Harvard Bipolar Research Program, Massachusetts General Hospital, Boston.


Clinical Crossroads Section Editor: Margaret A. Winker, MD, Deputy Editor.

JAMA. 2001;285(4):454-462. doi:10.1001/jama.285.4.454

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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