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-       Smokes marijuana.

-       Arthritis in toe – painful to walk.

-       Incident in Jamaica previous, where he expressed mania like symptoms where he was submitted to psychiatric hospital – Ended up jumping into water trying to escape from police.

-       Age 9 – He was taught to play golf by his dad.

-       Successful at golf.

-       Diagnosed with Bipolar Type 1, 10 years ago.

-       Studied geology and economics at university.

-       Successful businessman.

-       He experiences extreme forms of mania for prolonged periods which manifest with alter levels of
perceptions and delusions of grandeur.

Katie

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-       His dad was a good support network, showing him how to play golf.

-       Has a good relationship with mom and dad.

-       Did not date much.

-       No children although wants to have children.

-       Paul has one friend, Kevin, a retired CEO of a utilities company who he met in a pub three years ago.
They met fairly regularly to discuss business.

-       Not married – invited 12 Ukrainian women to holiday in Jamaica to marry.

-       Moved to Florida perviously, joined golf club over there.

-      History of being a heavy gambler.

-       Those who he gambled with were not close friends.

-       Shy when socialising with women.

-       Businessman

Katie

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-       Lives with mom who is 81.

-       Owns different properties.

-       Businessman, very well off although has had business deals which have fell through and has lost money.

Katie

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Interpersonal-

·       One friend whom he met 3 years ago

·       Few identified stable friendships

·       No marriage or long term relationship. Paul does not have children despite wanting to.

·       Previous good relationship with his dad- he taught Paul to play golf at a young age and said Paul has been a good support to him. Father has now passed away.

·       History of gambling- not with people who he has close relationships to.

·       Broken relationships- affected by his self inflated ideas. Previous friendships/work relationships have also been affected by his manic episodes whereby people have lost money they had invested into Pauls projects.

·       Paul invited 12 women on holiday to Jamacia with him to decide which lady he would like to marry.

GM

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Intrapersonal-

·       Paul has hypertension, experiences dizziness and chest pain

·       Smokes 20 cigarettes per day and also smokes marijuana

·       Diagnosis of type 1 Bipolar Disorder

·       Paul experiences extreme mania for prolonged periods

·       Experiences grandiose beliefs, flight of ideas and also low mood- which he describes as ‘disabling’

·       Paul is a successful businessman, has been involved with international companies and has studied at degree level.

·       3 previous sections under the MHA 1983

·       One admission to hospital in Jamaica- jumped into water when unable to swim- highlights his level of psychosis, mania and distress.

GM

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Extra personal-

·       Owns multiple properties and had previously owned a quarry in Florida

·       Spent a period of time living in Florida, now lives with his mother aged 81.

·       Paul became a millionaire, however he overspends thousands of pounds during manic episodes.

GM

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Expressed himself to be "very close" with his family - Mom & Dad and they all love each other. This relationship is important to him and he said that it was a reason as to why he doesn't succumb to his depressive, dark thoughts of ending his life.

# data[].attributes.subject
Expressed himself to be "very close" with his family - Mom & Dad and they all love each other. This relationship is important to him and he said that it was a reason as to why he doesn't succumb to his depressive, dark thoughts of ending his life.

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Elisha

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Paul is highly educated and this seems to be an important factor to him and that others are aware, that he is a successful business man ( at least when he is manic). Even with the cycling that he goes through and the depth of the depression he faces. Paul seems to heavily rely and enjoy the symptoms of his diagnosis, and has no thoughts at this time to control it.

# data[].attributes.subject
Paul is highly educated and this seems to be an important factor to him and that others are aware, that he is a successful business man ( at least when he is manic). Even with the cycling that he goes through and the depth of the depression he faces. Paul seems to heavily rely and enjoy the symptoms of his diagnosis, and has no thoughts at this time to control it.

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Elisha

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Intrapersonal factors

Physical state

Diabetic type 2

Arthritis in toe – painful to walk

Over last year he has Increased blood pressure also chest pain, Smokes 20 cigarettes and Cannabis.

Psychosocial/cultural

Bipolar type 1 diagnosed 10 years ago

Yah, believes he is God.

Cannabis indicated in mania / altered mental state.

Developmental

Junior golf semi professional

University educated

Entrepreneur

Spiritual / belief system

Believes he is Yah, voice of God / Believes he is God. His word is law.

Whilst Manic Want to marry all 12 ladies, speaking to Stephen Hawkins.

WB

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Interpersonal factors
Social network
1 friend Kevin over last 3 years, mainly business connection
Relationship
No siblings lives with Mother now father has passed away.
Social interaction
Father taught him gold since he was 9 years old, became successful junior.
Close to parents, Father now deceased.
No significant history of romantic relationships
Mainly has work acquaintances.  Golf clubs friendship based around Gambling Paul asked to leave due to winning 23 times consecutively.
WB

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Extra personal Factors

Housing

Owns numerous properties

Lives with Mom now father passed away.

Location

Based in Straford upon Avon.

Transport

Wealthy, can use all modes with ease.

Communication/technology.

Educated and able to use forms of technology.

When manic illusions of grandeur, delusional, difficult to follow train of thought.

Finance

Millionaire, great business mind when stable, however history of business failure also.

Heavy Gambler, however won repetitively (23 times)

Manic episode greatly increases Paul’s expenditure, Vulnerability.
WB

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- Paul is the only sibling and has good relationship with parents
- His dad thought him golf from when he was 9 years old
- He is not in a relationship, but invited 12 women to Jamaica to marry
- He has a history of gambling
- His friend is Kevin a retired CEO
- He is a businessmen

Esther

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- Paul went to university and studied Geology and Economics
- He was a successful golfer
- Diagnosed with Bipolar 1 about 10years ago
- He smokes 20 cigarettes per day
- He experiences mania and depression

Esther

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- Educated
- Wealthy
- Own properties- lives with mum
- Dad passed away

Esther

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close relationship with his parents
Not married, but would like to be.
Shy around dating women

Intra personl

Diagnosed with Bipolar type 1, 10 years ago.
Successful businessman
Smokes marijuana
Experiences grandiose ideas
Wants to marry 12 women

Extra personal
Lives with his mother,
Father has passed away
spends huge amounts of money when in a manic episode

Paul seems to enjoy having Bipolar, and the  cyclical highs and lows it entails.
'flying' naturally
A high, he states is better than drugs.