COMET(2011/10/03)

S：1000627 depressed mood,stopped medication,blamed medication since no more hypomanic feeling
     1001003：took solian 0.25# and prozac 2# from 中國 consider about ECT,reluctant to ECT
O：1000530 elevated mood,inflated self-esteem
     1000627 depressed mood for 2 weeks lack of energy,lack of pleasure
     1001003：took abilify 5mg for 1wk,poor response to wellbutrin 1#,headache off and on
                      mother：rigid thought
A：296.50 Bipolar affective disorder depressed , unspecified
     296.30 Major depressive disorder recurrent episode , unspecified
P：藥品名稱__________________________________________________________
     TLMT    Lamictal ( Lamictal)                        50mg/tab    0.5   tab  QD     7d
     TWEL   Wellbutrin XL (30'S) (Wellbutrin)  150mg/tab    0.5   tab  QD     7d
     TXAN    Xanax XR (4級) (Xanax XR)            0.5mg/tab       1   tab  TID    7d
     TATV5  Ativan (4級) 0.5mg/tab (Anazepam 0.5mg/tab )   1   tab  PRN  20d

    處置及檢查項目______________________________________________________
    45087   Re-educative individual psychotherapy