also, about the bipolar; even with very strong medications to control it she still shows severe symptoms.
^while Christa is taking powerful psychiatric medications, she continues
to experience severe symptoms of bipolar disorder that are highly disruptive to her sleep, mood, thinking, and behavior. Even medicated, these severe symptoms are so disruptive to her mental status that she must have additional medications (i.e., Ativan) to interrupt her severe insomnia^
^at the time of the crimes, Christa was dealing with three contributing factors that
increased her irritability, and therefore, aggression: PTSD, bipolar disorder with manic or hypomanic episode, and PMS.
Experts in Bipolar disorder (Preskorn et al., 2022) warn that individuals with bipolar disorder are at risk for agitation turning into aggression if they are not treated:
…episodes of agitation associated with bipolar disorder are common. Symptoms
can range from mild (uneasiness, restlessness) to severe (aggression, violence) and escalation can occur quickly. Patients presenting with agitation require prompt
medical attention to facilitate evaluation and to prevent escalation and injury to
themselves and medical personnel.