NR602 I HUMAN CASE WEEK 6 SARAH
JAMIESON WHO PRESENTS FOR MOOD
ASSIGNMENT CHAMBERLAIN
UNIVERSITY 2026 NEW UPDATE
Sarah Jamieson is a 24-year-old female presenting with intermittent mood swings
characterized by an 8-day manic episode (decreased need for sleep, grandiosity,
pressured speech, impulsive spending) followed by two weeks of depressive
symptoms (irritability, fatigue, hypersomnia, difficulty concentrating).
💬 INITIAL PATIENT INTRODUCTION
"Hi, I'm Sarah. Thanks for seeing me. I was referred here because of concerns
about my mood. I'm not really sure what's going on with me, but I've been having
some weird mood swings lately – like feeling super energetic and then crashing
hard. My friend said I should probably talk to someone about it, so here I am."
2. CHIEF COMPLAINT & REASON FOR ENCOUNTER
Chief Complaint (CC):
"I was referred here because of concerns about my mood."
Alternative Presentation:
• "I've been having mood swings and feeling really tired lately."
, • "I'm here because I was referred for mood issues."
Reason for Encounter: Patient was referred by a provider or counselor for
evaluation of mood instability, including an episode of elevated mood and energy
followed by persistent irritability and fatigue .
3. COMPLETE DIALOGUE & HISTORY QUESTIONS
Opening Questions & Patient Responses
Question Patient Response Clinical Significance
"How can I help you "I was referred here because of Establishes referral
today?" concerns about my mood." context
"Do you have any other "I've been having mood swings and Indicates mood
symptoms or concerns feeling really tired. I don't know what's instability and fatigue
we should discuss?" going on with me." core symptoms
"Sometimes I feel really up and
"What do you mean by energetic, like I can do anything. But Cyclical pattern - key
mood swings?" then I crash and feel irritable and bipolar diagnosis
exhausted."
Mood Episode Characterization
Question Patient Response Significance
"About two weeks ago, I had about 8
"Can you tell me Duration clue - 8 days
days where I felt amazing - like I could
about a time when meets DSM-5 threshold f
do anything. I didn't need much sleep at
you felt 'really up'?" hypomania/mania
all."
JAMIESON WHO PRESENTS FOR MOOD
ASSIGNMENT CHAMBERLAIN
UNIVERSITY 2026 NEW UPDATE
Sarah Jamieson is a 24-year-old female presenting with intermittent mood swings
characterized by an 8-day manic episode (decreased need for sleep, grandiosity,
pressured speech, impulsive spending) followed by two weeks of depressive
symptoms (irritability, fatigue, hypersomnia, difficulty concentrating).
💬 INITIAL PATIENT INTRODUCTION
"Hi, I'm Sarah. Thanks for seeing me. I was referred here because of concerns
about my mood. I'm not really sure what's going on with me, but I've been having
some weird mood swings lately – like feeling super energetic and then crashing
hard. My friend said I should probably talk to someone about it, so here I am."
2. CHIEF COMPLAINT & REASON FOR ENCOUNTER
Chief Complaint (CC):
"I was referred here because of concerns about my mood."
Alternative Presentation:
• "I've been having mood swings and feeling really tired lately."
, • "I'm here because I was referred for mood issues."
Reason for Encounter: Patient was referred by a provider or counselor for
evaluation of mood instability, including an episode of elevated mood and energy
followed by persistent irritability and fatigue .
3. COMPLETE DIALOGUE & HISTORY QUESTIONS
Opening Questions & Patient Responses
Question Patient Response Clinical Significance
"How can I help you "I was referred here because of Establishes referral
today?" concerns about my mood." context
"Do you have any other "I've been having mood swings and Indicates mood
symptoms or concerns feeling really tired. I don't know what's instability and fatigue
we should discuss?" going on with me." core symptoms
"Sometimes I feel really up and
"What do you mean by energetic, like I can do anything. But Cyclical pattern - key
mood swings?" then I crash and feel irritable and bipolar diagnosis
exhausted."
Mood Episode Characterization
Question Patient Response Significance
"About two weeks ago, I had about 8
"Can you tell me Duration clue - 8 days
days where I felt amazing - like I could
about a time when meets DSM-5 threshold f
do anything. I didn't need much sleep at
you felt 'really up'?" hypomania/mania
all."
