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Year : 2020  |  Volume : 9  |  Issue : 8  |  Page : 4412-4414

A unity of opposites: A prototypical case for the importance of primary-care providers in addressing mental health issues

1 Department of Psychiatry, Cape Fear Valley Medical Center; Associate Program Director for the Cape Fear Valley Psychiatric Residency Program with Campbell University, Fayetteville; Jerry M. Wallace School of Osteopathic Medicine, Lillington, NC, United States
2 Department of Research, Campbell University School of Osteopathic Medicine, Lillington, NC, University of Mary Washington, Fredericksburg, VA, United States
3 University of California Santa Barbara, Santa Barbara, CA, United States

Correspondence Address:
Dr. Kevin M Lamm
711 Executive Place, Fayetteville, NC 28305
United States
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jfmpc.jfmpc_180_20

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Primary-care providers are most often the first point of contact for patients presenting with mental illness. Highly stigmatized and with a litany of other medical issues requiring redress by providers, it may receive inadequate attention, despite its unintuitive consequences. Therefore, the purpose of this case is to demonstrate the potential catastrophic consequences of untreated mental illness by providers. As a result of a serious suicide attempt by a patient afflicted with bipolar disorder, this patient presented with significant blood loss secondary to multiple self-inflicted lacerations to the wrist, parasternal stab wounds, and a resultant hemopneumothorax. By juxtaposing this patient's mental illness with his other traditionally “more” concerning medical history (i.e., multiple myeloma, Factor V Leiden, and recurrent DVTs), we are forced to reexamine where mental illness resides in the hierarchy of treatment.

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