hello! please add references in APA format 7th edition and

RiLaura Freitas Laura Freitas, a 32-year-old divorced woman, is admitted to a mental health unit with this chief complaint: “I’m God.” She was referred from an outpatient clinic and serves as her own chief informant. Laura had her first episode of mental illness at age 19, after her second baby was born. She can remember little about this period, except that it was called a “postpartum psychosis” and she spent some time in isolation for dancing nude in the hospital day room. She recovered and remained well until 3 years ago, when, for reasons she could not remember, she was placed on lithium carbonate. She has taken this medication from then until 7 or 8 days ago, when she stopped because “I felt so well, so powerful that I knew I didn’t need it.” Over the next several days she became increasingly agitated, slept little, and talked endlessly, until friends finally brought her for treatment. Laura was born in Illinois, where her father worked as an automobile mechanic. An only child, she often felt that her parents “would have been happier with no children at all.” She describes them both as “alcoholics” and notes that she ran away from home overnight on at least one occasion when she was 13. She twice experimented with marijuana as a teenager, but she denies using other drugs, including alcohol. At 18 Laura was briefly married to a bread salesman, with whom she has two children. The daughter, 13, lives with her father. The son, 14, is hyperactive and was at one time treated with Ritalin; he lives with her. Laura is a fallen-away Catholic who for the past 2 years has worked at a travel agency. She claims that her health has been “above perfect,” meaning that she has no allergies or medical problems. Her only operations were a tonsillectomy when she was 6 and a tubal ligation after the birth of her daughter. Family history is positive for alcoholism in both parents and both grandfathers. A paternal aunt intermittently “went to pieces,” becoming excessively religious and imagining various sins for which she felt excessive guilt. Laura is a somewhat overweight woman who looks about her stated age. She is quite agitated, jumping out of her chair every few moments to pace to the door and back. Given breakfast during a part of this interview, she intentionally smears grape jelly onto the trousers of a passing nurse. Subsequently, she lies down on the floor and kicks her legs in the air in apparent ecstasy. Laura seems to be struggling to control her verbal output; even so, she skips rapidly from one subject to another. However, the rate at which she speaks is approximately normal. Her affect is clearly elevated, and she declares that she has never felt better in her life. She admits that she might hear voices singing (the interviewer can hear no music); she enjoys singing along with what she hears. She claims that she is “the All-Powerful One” and that she is now “very clear” that she has no need for medication. Laura is oriented to person, place, and time. She names five recent presidents, and correctly (and with astonishing speed) subtracts serial sevens down, down into the negative numbers. When she finishes, she apologizes for taking so long to complete a task working with numbers. “After all,” she remarks, “I created them.” sk and Protective Factors

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