Bipolar I Disorder with Psychotic Features
Bipolar I disorder, or formally known as manic-depression disorder, is a mental disorder in which a person experiences frequent mood swings that can drastically change the direction of one’s life. Individuals with bipolar disorders experience unusual, dramatic mood swings, and activity levels that go from periods of feeling intensely happy, irritable, and impulsive to periods of intense sadness and feelings of hopelessness, thus affecting behavior in some ways. According to nimh.nih.gov (2012), bipolar I disorder can result in damaged relationships, poor job or school performances, and even suicide. The disorder impacts the mental, physical, emotional, and cognitive aspects of one’s life.
The nature of bipolar I disorder is precisely indicated by the case study presented here. The client is a thirty-eight year old single white male, unemployed and admitted to a mental facility (Park Place Behavioral Health Care). The individual was admitted to the facility through an ex-parte order for involuntary examination granted by the Osceola County court on December 7, 2015.
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Medications such as mood stabilizers, antidepressants or antipsychotics are normally used for this disorder. In this case, while in the facility, the client was getting 1000 mg of Depakote ER, an anticonvulsant that is given to treat the manic phase of bipolar disorder twice a day, 2 mg of Risperdal twice a day, which is an atypical antipsychotic to help with severe mania, Ativan 4 mg PO or IM prn agitation every four hours as needed for anxiety, and Cogentin 2 mg twice a day for treatment of extrapyramidal side effects. Some of these medications have serious side effects; therefore, it is important for a physician to supervise patients to monitor progress and any possible side effects or drug
Bipolar I is identified by the length and severity of the manic and depressive episodes. The manic episodes must last for at least seven days or they must be so severe that a person requires immediate hospitalization. The depressive episodes last around two weeks. These episodes, both manic and depressive, must be an extreme, major alteration from the person’s normal behavior. An effective treatment plan for bipolar I includes medication and psychotherapy. The medication helps with stabilizing a person’s mood and the psychotherapy is for the prevention of relapse and the reduction of symptom severity. Many people with bipolar I take combination medicine treatment. The treatment includes a mood stabilizer; sometimes an anticonvulsant other times a non anticonvulsant, and an antidepressant, to help reduce depression episodes. Doctors prescribe both an anticonvulsant and an
“Bipolar disorder, also commonly known as manic depression, is defined as a serious mental illness in which common emotions become intensely and often unpredictably magnified. Individuals with bipolar disorder can quickly alternate from extremes of happiness, energy and clarity to sadness, fatigue and confusion. All people with bipolar disorder have manic episodes abnormally elevated or irritable moods that last at least a week and impair functioning. But not all become depressed ” (American Psychological Association, 2015). Bipolar disorder can vary in each individual. The symptoms fluctuate in pattern, severity and rate of recurrence. Some people are more susceptible to either mania or depression, while others change proportionately between the two types of episodes. Some have frequent mood disruptions, while others live through a few throughout their lifetime.
The client is a 35 year old African American female who presented as open and anxious during the assessment. In 2011, the client was diagnosed with Bipolar and Anxiety. In 2015, the client was hospitalized for 7 days at Richmond Behavioral Health Authority. The client was admitted due to symptoms of irritability, lost track of time and blacked out. The client was prescribed Seroquel and Topamax.
Bipolar disorder is a mental illness which causes extreme mood swings in which the person would have times of emotional highs (manic or hypomania) and lows (depression), with periods of normal mood in between. Bipolar can affect relationships and the ability to carry out day to day tasks.
There are many ways to cope with bipolar disorder, some more effective than others. Ways that people with bipolar disorder cope are through psychotherapy, medications, substance abuse, electric shock therapy and more methods that are not mentioned above. Psychotherapy is a way of coping through talking with a counselor; this is able to help because the patient is able to talk about what is bothering them and the way that one is feeling at the time. However, bipolar disorder needs more then psychotherapy since it is a chemical imbalance. Bipolar disorder can be helped with medications that can help fix the imbalance. “Pharmacotherapy is still the essential treatment for the acute mania in bipolar disorder. The only drugs that were approved by the FDA were lithium and chlorpromazine.” (quote acute mania) As years went by the more new discoveries were made for different mood stabilizers to treat bipolar disorder. When being prescribed to any medication for mental illness, the therapist should make sure that they are giving the correct dosages for the patient and making sure the side effects if any, are not irrational or making the symptoms worse rather than better. One of the typical and most used
Bipolar disorder, or manic-depressive disorder, is a disorder characterized by extreme mood changes. An individual who suffers from this disorder can have extreme highs or extreme lows. They could go from being overly energetic and outgoing to feeling empty, depressed, angry and just completely worthless on a daily, weekly, monthly and or even yearly basis. Diagnosis, dramatic changes in one’s life, and even treatment can have a serious effect on an individual that is suffering from Bipolar disorder – possibly even resulting in self harming themselves physically.
Bipolar disorder is an emotional instability checked by great movements in disposition going from a hyper to a depressive state. Bipolar disorder is additionally called bipolar disease or manic depression. Bipolar disorder oppresses 3 to 5% of the populace with inconvenient impact on life possibilities. People with Bipolar Disorder will face life span danger for mood shifts, including fatal consequences. “It is sixth most common cause of disability in the United States (Altman et al., 2006).” As demonstrated by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition the two most basic sorts of Bipolar Disorder are bipolar I disorder (BDI) and bipolar II disorder. There are a wide range of symptoms and a few distinct
Bipolar I, also know as manic depression to some, is a mood disorder that affects emotion. The disorder is categorized by a persons erratic mood shift. Bipolar I disorder was given its name because of the emotional episodic mood shifts that a person with the disorder goes through. The mood shifts are categorized by having a depressive low to a manic high. To be diagnosed with Bipolar I disorder the person needs to have at least one manic episode and at least one depressive episode in their life time. Even if the person only has one manic episode and then was in a continuous depressive episode the rest of their life, they will still classify as having Bipolar I disorder since the manic episode is a big decider on the classification of the disorder.
The following essay will look at the health related issue bipolar disease first previously described as ‘manic depression insanity’ was seen as different from other mental illnesses by psychiatrist Emil Krapelin in 1899 (Goodwin, Guy, Sachs, Gary, 2010).However the illness ‘bipolar’ was named in the 1960’s by psychiatrist Angsy and Perris who both understood the illness happened in mania and mood altitude (Goodwin, Guy, Sachs, Gary, 2010). According to the National Institute of Mental health in many cases diagnoses for the condition isn’t diagnosed until the late adolescent to the early adult years of a person’s life. The reason being that the condition is not easy to identity therefore, the life long illness can unfortunately go unrecognised for years until a proper diagnosis is done (National Institute of Mental health 2012).
In the three papers I have submitted this semester on Bipolar I Disorder (BD), I have discussed etiology, subpopulations and comorbidity, and current gaps in care. In this paper, I will continue to discuss these topics by outlining what kinds of epidemiological evidence are still needed to improve care for children and adolescents with mental health disorders, identifying anxiety disorders as subpopulation that needs further research, and giving three recommendations for how we should address gaps in care for those with Bipolar I Disorder.
Bipolar disorder (bipolar affective disorder or manic-depressive disorder) is a long-term disorder where a person’s mood fluctuates between severe depression (lows) and mania (highs), with normal moods in between (sometimes). The time spent in and between extremes could last a few days, weeks, months or even years. There are also instances where no time between extremes is experienced and up to 4 mood fluctuations are experienced per year, this is dubbed Rapid Cycling. Bipolar is not mood swings, they do not merely last up to a few hours. There are treatments for bipolar disorder but it is not curable, the condition can only be improved.
According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) bipolar disorder is divided into several more specific categories. Bipolar I Disorder, is categorized by mixed episodes of mania that can last anywhere between seven days to two weeks. Bipolar II Disorder is defined by depressive and hypomanic episodes, although they are not mixed or exaggerated. Bipolar Disorder NOS, is when the symptoms of bipolarity are clearly present in a patient and they alter his/her normal behavior, yet it does not quite fit in the criteria of either Bipolar II or I. Cyclothymic Disorder, another form of bipolarity, is a very mild form of the disorder yet the patient’s manic or depressive episodes do
The person served is a 65 year old, white female who was referred to Supportive Housing from Runnels Hospital on 11/14/2015. Prior to Runnels hospital, the person served had lived in Old Bridge, NJ for nine years where she was evicted from her apartment due to issues with her neighbors. She has a diagnosis of Bipolar Disorder and has had multiple hospitalizations due to not following up with her medications. The individual was discharged on 4/7/2015 from Runnels Hospital to supportive housing once housing was found and she was ready for living in the community. Her initial goals were for medication management, skill building for community living, organizing apartment and support for her anxiety. She was re-hospitalized at Overlook Medical
Bipolar disorders affect approximately 2.6% of the adult population in America. With nearly 6 million men and women affected by the disorder in both a medical and clinical capacity, it is essential that we understand and eliminate any barriers to self-reporting or adherence to treatment plans. Specifically, studies have reported that gender identity plays a role in the self-reporting measures in order to make a diagnosis. While women have a high frequency of self-reporting their symptoms as well as seeking treatment, men consistently demonstrate much lower rates of self-reporting as well as adherence to treatment. Because gender and gender identity impact the effectiveness of clinical treatment for those with bipolar disorders, we are interested
Bipolar Disorder also known as Manic Depressive Illness involves outstanding mood swings. The individual has periods of depression, and periods when they feel either unusually good or pressured and irritable. It affects 1-2% of the population. Genetics plays a significant role. About 15% of children with one bipolar parent develop the disorder.