Doris brown

Mrs. Doris brown , 62-year-old homemaker has been suffering from bipolar affective disorder for 35 years. She presented to us with a relapse which started about 7-8 months ago characterized by symptoms of depressed mood, anxiety, decreased socialization, loss of appetite and subsequent weight loss, decreased interest in household, poor self-care, ideas of worthlessness, pessimistic views of future, forgetfulness and psychomotor retardation. Later on she developed nihilistic delusions in which she negated the existence of her body parts and existence of her family members. Negation of existence of family members was not accompanied by any persecutory delusion or misidentification delusions. She also believed that she has been rendered very poor. She would say that their house may collapse any day and the occupants will die. Over the period she started refusing food as she considered herself to be dead. Her illness further progressed and about 4 weeks prior to admission to inpatient unit she developed mutism, refusal to eat, rigidity in all the limbs and fecal and urinary incontinence. She was brought to the emergency room of our institute.

now let's see what happened in that room~

In the room~

doctor Winston's p.o.v

"Mrs. brown who are you been doing?" doctor Winston asked

"release me, what do you want from me. Simon is calling me I need to leave. RELEASE ME NOW!!!!!!!" she screamed loudly

"Mrs. brown relax don't worry you're gonna be fine, here." I said and tried to offer her water.

She threw the glass and split the water on my face and started laughing and then smirked.

"YOU'RE SO DUMB, Simon is right all the humans are stupid" she screamed loudly.

"You're right, Mrs. brown" I said "What kind of person you're. you're against your own people"

she shock off her head and fell unconscious.