Case Study 2: George Lawler Diagnosis 296.44 Bipolar I Disorder, most recent episode manic, severe with mood-congruent psychotic features Relevant V Codes V15.89 - other personal risk factors (family history); V62.2 – occupational problems; V61.9 – relational problems related to mental disorders Rationale George was diagnosed with Bipolar I Disorder, severe with mood-congruent psychotic features. Previously to being admitted to the hospital, George experienced his first serious depressive episode in college. He began to lose interest in everything, including his friends, girlfriend, and sports. Soon he began taking taking antidepressant medication and attending individual counseling sessions and was back to normal within several weeks. However, his symptoms for bipolar disorder came back over time (see below). While in college, he also experienced manic episodes. He was described as having periods of unusual ambition and energy. However, these symptoms went undiagnosed because his excess verbosity, his lack of need for sleep, and his ambitious goals did not seem pathological. This was due to the fact that his energy was productive, and probably adaptive in the competitive university environment. 8 months before his current state, George experienced yet another depressive episode. He began to worry excessively about his team and had trouble sleeping but felt tired all the time. His mood changed from tension and anxiety to severe depression. He began to blame himself for
Individual risk factors include: being a victim of child abuse, personality disorders, and extreme changes .In family situation, inter-family dependence problems, academic stress, poor academic performance, social deprivation, depression and suicidal. Anon, (2014)
Though the movie centers around Bob Wiley, each and every one of the characters' disorders are shown. Bob's major disorder is his dependent personality disorder. The disorder is a long-term condition in which people depend too much on others to meet their emotional and physical needs. Bob has always been dependent on his therapists. This is shown when he previous therapist refers him to Dr. Marvin. Bob’s attachment to his therapist is very stressful for the therapist. This is scene throughout the film while Dr. Marvin nears breaking down. It is also evident when Bob’s old therapist is leaving his practice. It is obvious that Bob was the cause of that. Bob is dependent on Dr. Marvin. This is seen as he tries to desperately call him after only about a day after Dr. Marvin goes on vacation, and then even fakes his own suicide to find out where the doctor was.
D1- Evaluate the potential long-term effects of these two types of abuse on the health and wellbeing of adults
Based on documentation provided at the time of this referral, face-to-face interviews and observations and reference reports, The following risk factors were identified
Statistics had shown that there would be psychological health problems such as a child are most likely
I am diagnosing Sheen with Bipolar disorder which is categorized as an Axis I disorder, in the DSM-V. Bipolar disorder affects approximately 7.5 million people eighteen years or older in any given year (Mohr, 2013). Of the three types of bi-polar disorder, I am diagnosing him with type I bipolar disorder, which is characterized by alternating depressive episodes and one or more manic episodes. “Manic episodes are periods of abnormally and persistently elevated, expansive or irritable mood” (Mohr, 2013). During mania someone exhibits extreme mood swings with irritability and sudden outbursts of misplaced rage, work output is decreased, and they may go on spending sprees or engage in promiscuity (Mohr, 2013). He must exhibit at least three of the following symptoms in order to be correctly diagnosed with the disorder. The symptoms for type I bipolar disorder are: decreased need for sleep, inflated self-esteem or grandiosity, distractibility, more talkative than usual, increase in goal
In this book, we are presented with the mental illness named ‘Manic Depression’ in which Mark was faced with as a freshman in college. Manic Depression is most commonly known as ‘Bipolar Illness’ and is usually confused with schizophrenia and unipolar depression. It causes huge shifts in mood, energy, thinking, and behavior. The manic depressive may have multiple mania behaviors at a time and depression the next second. For example, in the book, Mark showed one of the biggest signs of the bipolar disorder, uncontrolled sleepiness. This usually marks the beginning of a manic depressive episode which causes the person to become a total stranger to others. Manic depression can cause huge sex drives in the person that might even exhaust his/her partner. It can cause moods, such as fatigue, delusions,
The social determinants of health have been said to be causes of a variety of mental and physical illnesses. There are five main social determinants of health, in agreement with the Office of Disease Prevention and Health Promotion, and they include: "education, economic stability, health and health care, neighborhood and built environment, and social and community context." These five identified factors shape and influence everyone within a community and assist with understanding health across various levels of the socioecological background.1-2
Aristotle famously asked why is it that all men who have become outstanding in philosophy, poetry and arts are melancholic. This question remains unanswered today. Bipolar disorder is one of the most distinctive conditions in psychiatry. Many famous musicians, writers, and leaders of society have had bipolar disorder. Many of these people — and some of their physicians — have been concerned that the pharmacologic treatment of their mood swings might
Dohrenwend, Bruce P., Itzhak Levav, Patrick Shrout, Sharon Schwartz, Guedalia Naveh, Bruce Link, Andrew Skodol, and Ann Stueve. 1992. “Socioeconomic Status and Psychiatric Disorders: The Causation-Selection Issue.” Science 255:946–52.
Bipolar Disorder is a mental illness that causes rapid mood swings and depression. “Some studies have suggested that environmental factors can trigger the illness”(Bipolar Disorder 1). He got the disorder from how he grew up and for being in World War II. He is a person that never speaks nor does anyone think he listens, the patients and hospital staff just thinks that he is just there, until a man named Randle McMurphy causes him to reveal that he is neither deaf nor mute, and that he actually suffers from bipolar disorder. One time when they were voting on whether or not to watch a World Series game “McMurphy did something to…put some kind of hex on it…he’s doing it, wires…
In the movie Silver Linings Playbook, we follow Pat Solitano Jr., a man recently released from a mental institution (Cohen et al., 2012). He is a Caucasian male, likely in his early to mid-thirties and of Italian descent. He was a high school history teacher, living with his wife, Nikki, an English teacher. Upon finding his wife in the shower with another man, he nearly beats the man to death leading him to be sent to a psychiatric facility for eight months with a diagnosis of bipolar disorder. In this essay I will support the diagnosis of a Bipolar I disorder. A diagnosis of Bipolar I disorder, has specific criteria in the DSM-V that have to be met. I will be listing the criteria and through examples of Pat’s actions, thoughts and behaviours, he meets the criteria.
Before I truly understood Bipolar disorder, it was still a fairly common word in my vocabulary. Anytime I thought someone was being moody or fluctuating between emotions, I joked by claiming that person to be bipolar. Several incidents of this involved one of my roommates who seemed to be happy one day, and quite the polar opposite the next. However, it was not until my clinical experience on the psychiatric unit that I realized what true bipolar disorder was, and that she did not fit the criteria. Even though I always thought my roommate was bipolar, I quickly found after being exposed to a diagnosed bipolar patient that my roommate was instead just moody. I decided to write this paper on bipolar disorder, not because I have struggle with it or know a friend or family member with this disease, but because I had several misconceptions about what it entailed.