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Mr. Alewine Case Summary

610 Words3 Pages

Dr. Keith requested a mental health evaluation on a Mr. Alewine. He is a 28 year old male who presented to the ED via EMS for chest pains, suicidal ideation, and symptoms of psychosis. Mr. Alewine reported arriving in Siler City from Tennessee after a 16 hour bus trip. He reports after his 16 hour trip, he went to a mechanic shop to call 911 for chest pain and suicidal ideation without a plan after stressing about having a place to stake for a few days. Per documentation Mr. Alewine was asked about current chest pain on a scale of 1 to 10, he reports a 1. At the time of the assessment Mr. Alewine endorse suicidal ideation with a plan to overdose on his medications and experiencing auditory and visual hallucinations. He reports seeing demons …show more content…

Alewine appears guarded during the evaluation and changes up his story several time of why he feels the way he does and it appears to be depend on his circumstances while in the ED. He asked several time when he is going to get to go up to the TU, where will we be placing him for a few days, and what are his options for getting somewhere to stay for a few days. Mr. Alewine states, "I would be less suicidal if y 'all could get me a place to stay." He later admits to being untruthful about experiencing suicidal ideation with a plan and symptoms of psychosis. Mr. Alewine admits to coming to North Carolina and having no specific place to go. At one point during the evaluation Mr. Alewine reports coming to help his mother who lives in a nursing home. Later denies having no plan to support his mother. He reports only having $52 dollars on him and is able to get into a Motel. He reports wanting to go to inpatient to give him some time until he receive his SSI check for $735 on March 1st. Mr. Alewine has been informed being untruthful about wanting to manipulate the system is wrong and resources are shelters in the community to aid with with his stressors. He expresses knowledge of knowing what he has done. Mr. Alewine does not appear to be exhibiting signs of agitation, aggression, or responding to internal

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