Case Study 2, Sco 1 Justin C. Scott Professor Fryxell Psy 424- Abnormal Psychology 29 Apr 2012 In Case Study 2, the patient appears to be displaying symptoms of 296.44 Bipolar I Disorder, Most Recent Episode Manic, With Mood-Congruent Psychotic Features, With Postpartum Onset. There were a plethora of factors that led to this diagnosis. The patient’s husband reached out for help, describing a long period of depression while the patient was pregnant coupled with an inability to focus attention long enough to add a simple column of numbers. This culminated with a sense of foreboding in the ninth month in which the patient described a feeling that she would not survive child birth. The patient’s husband then indicates that said symptoms abruptly vanished after giving birth to the child. The patient’s husband described a brief period of “normalcy” that dissipated unexpectedly three weeks later. The patient’s husband then describes a manic state that began when he arrived home to find the patient dressed in nothing but her undergarments, icing a cake. He states that she had just completed icing two other cakes and informed him that she made one for each of them and that she wanted to party. He describes this behavior as occurring while the baby was “howling” in its “basket”. He further describes the patient’s attempts at dragging him off to the bedroom while he was changing the distressed child, the patient seemed to be ignoring the child altogether. The patient’s husband then describes a progression of the manic state: decreased need for sleep, sudden flights of ideas, easily distracted, sudden increase in goal oriented activity (activities designed to illicit sex with husband,