| Sumario: | A middle-aged man has rapid, pressured speech and labile shifting affects compatible with bipolar disorder, but calms as he talks. His speech is sometimes tangential, not making sense. He is asked about medications and alcohol intake. He admits to drinking on weekends, but not on weekdays. He reports often getting intoxicated when he drinks because drinking makes everyone happy. He says he usually passes out once each weekend, and also has black outs that he likes because it stimulates him with his art and music. He reports when he drinks he makes comments he regrets. He says he has been arrested twice due to alcohol and that he went to rehabilitation once at the urging of his aunt and the staff members at the center. He reports he was only in the center for one weekend. He reports he often has morning tremors after a weekend of drinking. He denies ever trying to stop drinking. He denies using cannabis but stopped because he felt paranoid. He also does not like that cannabis because it slows his thoughts and he has things to do. He prefers being hypomanic. He reports he will use cannabis to slow him if he has to go to court and needs to be calmer, but does not like the feeling. He denies other drug use such as IV drugs.
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