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She had died by suicide during a depressed period, two years earlier. His maternal uncle also suffered bipolar disorder and his maternal grandmother had suffered severe depression. The following examples were produced toward the end of one long hospitalization. Josh was leaving the psychiatric ward to walk a few city blocks a couple of times per day. He still felt “a bit racy”, a term universally understood by people who suffer mania which refers to racing thoughts and the desire to keep moving.
He must be in gaol and can’t reach through the bars. He’s got a great singing voice and he’s a terrific dancer. Have I told you about the first time we made love? Fuck, I hate the bastard. But, his mother’s a real tight-arsed bitch” It is difficult to analyze the form of her thought form this overheard snippet with absolute certainty, but some conclusions can be attempted. This young woman wanted to contact her husband. When she could not reach him by telephone, other forms of communication sprang to mind, letter post and carrier pigeon.
Even the word yes may be mumbled or otherwise difficult to discern. CASE DRAMATIZATION Phil Biro was 18 years of age. He was exceptionally clever at physics and mathematics and was to commence at University in a few weeks. His life was otherwise unremarkable. His mother was a science teacher; his father was a pharmacist. He enjoyed football and skateboarding. He had some male and female friends and took no illegal drugs. 22 Over six weeks Phil had become isolative and hostile. In the days before the following interchange, it became clear that he had a delusion about bikies threatening him and was experiencing auditory hallucinations which he believed was Stephen Hawking.