【S】記憶不好、很煩、吵架後燒炭被發現(一時衝動)、Loss of interest、previous chest pain、insomnia、labile mood、Sometimes trance發呆poor memory【O】1.thyroid, EEG,MAR, CBC checkup2.Clarify her condition, psychological assessment3.Try to improve her sleep and impulsivity【A】 31239 Other disorders of impulse control, not elsewhere classified；V111 Personal history of affective disorders 【order】R/O dysthymia, R/O bipolar