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Clinical Case Studies
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A Patient With Bipolar Illness and Her Neuropsychological Signature

Albert J. Scott

Private Practice, Hermitage, PA, ajs1{at}htol.net

Michael J. Cleary

Slippery Rock University, PA

This article describes a case study in which neuropsychological assessment was carried out on a 30-year-old, previously diagnosed, bipolar female to determine existence of specific deficits in cognitive function. The patient, whose mood cycles were 12 hours to 24 hours, was subsequently evaluated 8 hours per day for 5 consecutive days (a complete work week of neuropsychological assessment). Neuropsychological results showed motor slowing, right hemispheric dysfunctioning, and memory problems during depressive periods and attentional and executive problems during hypomanic and manic periods. The most normal performance was found during euthymic periods. In addition, left and right hemi visual neglect, aphasia, and sensorimotor problems were present across all mood states. Treatment implications are subsequently described.

Key Words: bipolar • neuropsychology • therapy

Clinical Case Studies, Vol. 6, No. 5, 412-429 (2007)
DOI: 10.1177/1534650106295157
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