SPRINGFIELD HOSPITAL CENTER HISTORY SHEET

D:3-15-82

R:3-16-82

T:3-16-82

NAME COLE, Charita Lynette CASE NO. 103278

MARCH 15, 1982

This 22-year-old, black, female, college student is admitted on A-Certificates from Sinai Hospital because “She is excited, manicky, hallucinating auditorily from God, paranoid, grandiose and delusional, unpredictable, somewhat violent and out of control”.

She is brought in on stretcher, quite agitated, uncooperative to interview saying, “where is my husband?” and refuses to answer. When questioned again to get more information says, “fuck you”, then very agitated and unmanageable. So, she is taken directly to ward and seclusion room. She is well developed, well nourished and physically not in distress. Denies alcohol and drug abuse. Her memory, intelligence, orientation and abstraction capacity cannot be assessed. She has no insight, totally impaired judgement and excited and agitated mood and unpredictable behavior. She is quite angry and hostile.

PROVISIONAL DIAGNOSES:

Axis I:	296.40	Bipolar disorder, manic type
	295.70	Schizoaffective Disorder, excited type
	295.20	Schizophrenia, catatonic, excited

Axis II:

799.90

Diagnosis deferred on Axis II

Axis III:

Deferred

ADMIT: Hitchman A-Wing

MKK:cab

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M-234

INTAKE - RECEPTION NOTE