Put your knowledge and skills to the test with the case of a 61 year old male who presents to hospital with a 30+ year history of bipolar 1 disorder and increasing depressive symptoms over the last 2 months. The patient is currently treated with risperidone and divalproex, and reports numerous stressors including divorce, financial issues, and homelessness.
Though the patient attributes his low mood to the psychosocial stressors listed above and has been hospitalized numerous times previously for mental health reasons, he also presented to hospital with anemia, thrombocytopenia, and a rash. He has been having trouble sleeping, feels fatigued, and feels cold and shivers at times. His medical history is positive for hypothyroidism and a splenectomy in childhood.
Can you make the diagnosis or come up with a treatment plan?
"A curious case of depression" by Pavle Joksovic, Pieter Joost van Wattum, and Catherine Chiles (Current Psychiatry)
Though the patient attributes his low mood to the psychosocial stressors listed above and has been hospitalized numerous times previously for mental health reasons, he also presented to hospital with anemia, thrombocytopenia, and a rash. He has been having trouble sleeping, feels fatigued, and feels cold and shivers at times. His medical history is positive for hypothyroidism and a splenectomy in childhood.
Can you make the diagnosis or come up with a treatment plan?
"A curious case of depression" by Pavle Joksovic, Pieter Joost van Wattum, and Catherine Chiles (Current Psychiatry)
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