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D. Kennedy Case #291083Mr Kennedy is a 27-year-old Caucasian male who has a diagnosis of Bipolar | Disorder with Psychotic Features(F31.9). He was referred to occupational therapy for evaluation to assess the need to develop or reestablish skills necessary to resume community living with his wife of one year. The client was admitted to the ER of a general hospital following an incident on Valentine’s Day a little more than a year ago in which he stabbed and enucleated his right eye.Mr Kennedy cited a biblical passage as the reason for this self-mutilation.? The client was subsequently transferred to an outpatient mental health clinic, but 4 months later, he could not be maintained in the community and was admitted to a state psychiatric facility. This was his first psychiatric hospitalization, although he had a history of psychiatric consultations dating from adolescence; and since age 23, he has had difficulty maintaining employment secondary to his reports of having trouble “handling his emotions.” Medical history indicates that Mr Kennedy had a provisional diagnosis of schizophrenia, paranoid type, in the past. The client has no history of drug or alcohol abuse.

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