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.
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.
Sachs GS. A 25-Year-Old Woman With Bipolar Disorder. JAMA. 2001;285(4):454-462. doi:10.1001/jama.285.4.454