ABSTRACT

This chapter presents a case of a 34-year-old call-centre manager who attends her general practitioner (GP) surgery with her boyfriend. She complains of tiredness and a lack of enthusiasm for life. She vacantly watches the television, not able to take in anything. She feels 'empty' most of the time and finds it upsetting that she cannot even react to her boyfriend's efforts at reaching out to her. She is healthy and has no medical problems. She does not drink or use drugs. She remembers being admitted to a psychiatric unit on a section at the age of 19 as she had become 'very high'. The only other psychiatric episode she can recall was on a holiday to Greece when she became quite elated and was convinced that she was Venus, the goddess of love. She has only hazy memories of the episode, but remembers not taking the medication on her return to the United Kingdom.