Manic mood disorder: Bipolar type 1

Case history

Jude Sinclair, a 40-year-old woman with a longstanding history of Bipolar 1 disorder, was admitted under court order to the Psychiatric Inpatient Unit from the Emergency Department yesterday evening for acute mania and to restart lithium therapy. The night nurse reported that Ms. Sinclair was up all night pacing the room, speaking loudly and making inappropriate demands. She refused to take PRN medications during the night and lithium this morning. The night nurse suggests you try to administer the lithium this morning.

Ms. Sinclair has been served her breakfast tray. Assess Ms. Sinclair and intervene as necessary.