這是一篇照顧一位躁鬱症患者於鬱期時之護理經驗。依據五大層面：身體、情緒、智能、社會和靈性層面，來進行整體性評估。另外透過會談、臨床觀察、病歷記載、家屬會談等進行資料之收集。個案在對於自己、外在環境、未來皆呈現負面想法，不知如何與他人互動，出現自殺行為，在生理上併有睡眠及飲食方面之問題。筆者透過心理支持、認知行為治療及護理措施後發現，(1)在暴力行為方面：個案之負面思考減少，會用替代想法呈現，至今無自殺行為出現；(2)營養方面：與營養師共通討論協助下96年3月至8月，個案體重由53公斤(BMI：19 kg/㎡)增加到57公斤(BMI：22 kg/㎡)；(3)個人因應能力方面：從發病時不與人互動，至今可主動參與課程及協助他人，目前接受庇護性職業訓練；(4)睡眠品質方面：也由原本3小時/天，提升到7小時/天。

This report is about the caring experience of a patient with manic-depressive psychosis during a period of mood disturbance. The aim was to conduct a comprehensive assessment about the patient＇s physical,
emotional, intellectual, social, and spiritual status. Data were collected through talking with the patient, clinical observations, medical records and conversations with family members. The case presented negative beliefs towards oneself, towards external environment, and the future. He did not know how to interact with others. He also reported several suicidal attempts, sleeping and dietary problems. After applying nursing techniques of mental support and cognitive behavior therapies to the case, the author found that: (1) the case reported less negative thinking in terms of violent behavior; (2) no suicidal attempts was reported; (3) with efforts from a dietician, the case＇s weight has increased from 53kg (BMI：19 kg/㎡) to 57kg (BMI：22 kg/㎡); (4) in terms of personal coping capability, the case has made progress from no interaction with others to actively participate in a variety of social activities; (5) His sleeping quality has improved from 3 hours/day to 7 hours/day.