Summer is an 18-year-old female who came for evaluation after an overdose of pills combined with alcohol in a suicide attempt. She had 4 prior suicide attempts along with a history or drug abuse, run away behavior, aggressive outbursts and school failure. Her SPECT study showed marked decreased activity in the left temporal lobe and prefrontal cortex bilaterally. She was started on the following medications. She responded positively to a combination of Tegretol and desipramine and psychotherapy.
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