Mood disorders are a common cause of presentations to the emergency department. Patients may present either because they are severely depressed or due to manic symptoms. Four cases are presented in this chapter that provide examples of how to approach diagnosis and risk assessment. The first two cases deal with patients with depression and discuss the different risk factors and clinical symptoms that would factor into a decision to admit the patient to an inpatient setting. The last two cases deal with differentiating between a patient who is hypomanic and may be able to avoid admission and the patient who is manic and dangerous, requiring inpatient care. Discussion includes use of the CSSRS (Columbia Suicide Severity Rating Scale), factors involved in disposition planning, and treatment options.
Chapter. 6695 words.
Subjects: Psychiatry ; Emergency Medicine
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