NR602 MOOD DISORDER CASE 2025 - SARAH JAMIESON I-HUMAN FULL WORKUP: HPI, ROS, PE, DIAGNOSTICS, SOAP NOTE, DDX & MANAGEMENT (A+ GUIDE)Case Introduction Patient Name: Sarah Jamieson Age: 24 years Sex: Female Reason for Encounter: Mood instability, recent episodes of elevated and irritable mood Setting: Outpatient psychiatric evaluation Chief Complaint: Ive been feeling up and down, sometimes extremely energetic and impulsive, and other times irritable and fatigued. History of Present Illness: Sarah Jamieson is a 24-year-old female who presents for evaluation of mood changes. She reports experiencing a distinct 8-day episode of elevated mood approximately two weeks ago, during which she had increased energy, decreased need for sleep, pressured speech, grandiose ideas, impulsive spending, and heavy alcohol use. Following this period, she has experienced persistent irritability, fatigue, and low-level depressive symptoms. She reports a history of a depressive episode during college that resolved without treatment. Past Medical History: No chronic medical illnesses No prior psychiatric medication usage Medications: Low-Ogestrel 28 (norgestrel/ethinyl estradiol) daily Social History: Lives alone; supportive family and friends Occasional alcohol use; no tobacco or recreational drug use reported Engaged in church and community activities Review of Systems (pertinent): Mood swings, irritability, fatigue No psychotic symptoms, hallucinations, or