Clinical Case Formulation: Kay Redfield Jamison and Bipolar (Manic-Depressive) Disorder Kay Redfield Jamison is a caucasian female who is a professor of Psychiatry at Johns Hopkins University. She is currently 70 years old and published her novel An Unquiet Mind about her bipolar disorder in 1995. Her father was an Air Force officer, who eventually struggled with alcoholism, depression, and anger issues after the family moved to California. Her sister also has struggled with mental illness, likely bipolar disorder as well. Her mother and brother both do not suffer from any kind of mental illness. As a child, her and her family often travelled to a variety of military bases due to her father’s service. She lived in Washington for a …show more content…
82)This emphasizes the book’s point of saying that some criteria are “abnormally increased activity or energy,” and “flight of ideas or subjective impression that thoughts are racing,” (Kring et al. 2016, p. 140). She mentions that during these episodes that her friends would tell her to slow down (Jamison 1995, p. 37). This can also be considered as the symptom characterized by unusual talkativeness and rapid speech (Kring et al. 2016, p. 140). According to the textbook, a decreased need for sleep also characterizes mania, which Jamison often refers to, saying that “Decreased sleep is both a symptom of mania and a cause,” (Jamison 1995, p. 69). During her manic episodes, Jamison also had a tendency to dress provocatively and overspend money, which the DSM-5 characterizes as “excessive involvement in activities that are likely to have painful consequences, such as reckless spending, sexual indiscretions, or unwise business investments,” (Kring et al. 2016, p. 140). She also mentions that during one of her manias, she bought snakebite kits because “God had chose me, and apparently only me, to alert the world to the wild proliferation of killer snakes in the Promised Land,” (Jamison 1995, p. 76), which can be classified as the DSM-5 criteria “increased self-esteem; belief that one has special talents, powers, or abilities,” (Kring et al. 2016, p. 140). As for her depressive
Helen is a non drug user that repetitively goes through several week periods of racing thoughts, abnormal energetic disposition, lack of normal eating or sleeping, talking quickly, and putting herself in potential dangerous situations. This period can be described as a Manic or Hypomanic episode. Later, she enters to what qualifies as a Major Depressive Episode. She describes it as a period that may last
Jamison attends a medical conference and a presentation is made about the discovery of watery deposits in the brain tissue of manic-depressives, which interests her. Jamison begins to ponder her previous qualms about discussing her illness. She focus’ on the issues concerning her own embarrassment, cruelty from her colleagues and friends, and protecting her own family members. Jamison is grateful for a more balanced life. She is aware of the danger that the slightest mania may turn into wild insanity that can lead to death.
By definition, manic depression is otherwise known as bipolar disorder in modern times. It is “a brain disorder that causes unusual shifts in mood, energy, behavior, thinking and the ability to carry out day-to-day tasks.”(Introduction: Bipolar Disorder) This overall definition clearly supports the argument that Rose Mary carries bipolar disorder. Often times in the memoir, Rose Mary changes her mind and mood about doing something very quickly without any foreshadow. This brief explanation of bipolar disorder shows that Rose Mary possesses most of the traits of having bipolar disorder. From a greater perspective, bipolar disorder has two very distinctive phases ---- the manic phase and depressive phase. During a manic phase, patients are often “jumping quickly from one idea to the next” (Melinda and Jeanne), feeling energetic and having “unrealistic beliefs about one’s abilities or powers” (Melinda and Jeanne); during a depressive phase, patients are often “feeling hopeless, sad, empty”(Melinda and Jeanne) or irritable and unable to
At this point in her life, Jamison was slowly developing bipolar disorder and it was starting to interfere with her judgements and decision making. The style of her writing already gives the impression of instability and indecisiveness, as she goes from telling about her life as a 28 year old to telling of her childhood within the first ten pages. Jamison, born in 1946 into a military family moved around a lot and attended a plethora of different elementary schools. She goes on to tell readers about how much she looked up to her brother and how her relationship with her sister was complicated yet loving. Although their family was anything but stable and constant, her parents did their best to make it feel like it was and she was undeniably supported by her parents. Like her father, Jamison was wildly interested in sciences. Most particularly, when she visited a psychiatric facility as a child she became fascinated with the concepts of psychology, and was not afraid to ask questions and speak with patients, unlike the other participants of the tour. Her father, an Air Force Officer, also has bipolar disorder and is described as charming and deeply involved in their lives, that is, when he was manic. As she describes, ”It was enchanting, really, rather like having Mary Poppins as a
This source gives the readers an in-depth overview of Bipolar Disorder and the causes of having the mental health issue. There’s a great distinction between the ups and downs people experience and bipolar disorder. Due to the ups and downs teens and children experience, bipolar disorder is hard to diagnose during those early years. The National Center of Biotechnology Information’s research program is run by Senior Investigators, Tenure Track Investigators, Staff Scientists, and Postdoctoral Fellows which makes the source credible. The source contained
Current diagnostic criteria for Angela’s manic episode is described through criterion A – D in the following. Criteria A requires the individual to meet at least a one week period of distinct abnormal and persistently elevated, expansive, or irritable mood and abnormal and persistently increased goal-directed activity or energy. Angela has currently been experiencing this particular episode for ten day now and has demonstrated symptoms of increased activity for example the West Coast fight that the booked and the amount of money she has put into textbooks. Criteria B requires that during this time Angela must be experiencing at least three of the listed symptoms that represent a significant degree of noticeable change from her usual
Bipolar Disorder or manic-depressive disorder is a disorder characterized by highs, manias, and lows, depressions, and can therefore be easily distinguished from unipolar depression, a major depressive disorder in DSM-5, by the presence of manic or hypomanic episodes (Miklowitz & Gitlin, 2014). Bipolar disorder is generally an episodic, lifelong illness with a variable course (American Psychiatric Association, 2010). There are two classifications of bipolar disorder; bipolar I disorder and bipolar II disorder. If the episodes are primarily manic but there has been at least one depressive episode, the diagnosis is bipolar I disorder (Early, 2009). If the episodes are primarily depressed but there has been at least one episode of hypomania, increased mood that is more euphoric than normal but not quite manic, the diagnosis is bipolar II disorder (Early, 2009).
An unquiet mind is a book about bipolar disorder. What sets this book apart is that while the author, Dr. Kay Jamison, is a clinical psychologist and a professor of psychiatry at Johns Hopkins; she also suffers from bipolar disorder. The book begins with a narrative of Dr. Jamison and a colleague running around, physically. They use their positions as professors of psychiatry to respond to the concern shown by a police officer who notices them. This begins an examination of the events of Dr. Jamison's life so far and how her bipolar disorder, or "manic-depressive illness," contributes to her method of existence.
The DSM-5 first explains the required symptoms that are involved for criteria A and it says. The criteria states that the individual with the disorder must have a drive to achieve set goals and have mood switches that leans towards a aggravated and irritable stage. In The Silver Linings Playbook , it demonstrates this criterion by showing Pat Jr.’s dedication to recreating himself in hopes of reconciling with his ex wife Nikki. Pat started jogging every morning in order to get in shape and he also started reading the books that Nikki placed on her syllabus. Pat also displays aggravated stages that fits into criteria A for manic episodes. Pat can become extremely violent; early in the movie, Pat got into a fight with his father and accidentally
A 24 year old Native American male presented with periods of high mania followed by periods of low depression has come to us for help. The patient experienced mood swings that sometimes were comingled with elation and major depression at the same times. Major depression according to ( ) can be defined as having a very low mood for a period of at least two weeks or more for an individual.His sadness would last for periods of a several weeks or more that could not be explained with long bouts of staying in bed unable to get up except for absolute necessities. These periods of sadness were extremely intense and were constant throughout the week’s long periods. During this period sleeping and eating was excessive and all activities including house cleaning, personal hygiene, and job were neglected. After this period of depression the client reported a follow up period of high energy or mania where he reported that he felt more like himself including bursts of high energy and restlessness that could not be contained. Mania can be defined as periods of high excitement and euphoria that can be accompanied with delusions.
The form of depression that seems to be the most interesting is bipolar disorder. Bipolar disorder is defined as a brain disorder that causes unusual shifts in moods, energy, activity levels, and the ability to carry out day to day tasks (NIMH, 2016). Bipolar disorder can be very dangerous if not properly diagnosed and treated. However, when diagnosed and treated by either a doctor or a mental health professional it is possible to live a normal and productive life.
This project will look at the character, Dr. Kay Jamison, from the autobiography, “An Unquiet
Jane describes having heightened sense of self-importance, exaggerated positive outlook, significantly decreased need for sleep, increased speech, flight of ideas, impulsiveness, having ideas that move quickly from one subject to the next, poor concentration, has been easily distracted, has had increased activity level, excessive involvement in pleasurable activities, and excessive irritability. I would diagnose this as a manic episode, and along with the feelings of sadness or hopelessness, loss of interest in pleasurable activities, difficulty sleeping, loss of energy and constant lethargy, difficulty concentrating, negative thoughts about the future, weight loss, and beginning to think about suicide; this is a classic case of manic depression. Jane has gone back into a state of depression and continues to worsen. I did ask Jane if this was the first time this had ever happened, and while this was the first manic episode she ever had, she had experienced high levels of energy and irritability but not to the extreme extent that this has gotten to. I also asked if this was the first time she has had a major depressive episode. She told me that it was not her first, but it was the most severe. Jane explained that while she would have periods of sadness, it never became so bad that she wasn't able to get out of bed. I diagnosed this as series of hypomania and minor depressive episodes. If she had caught it earlier, we could have diagnosed it
My brother, Braden, developed an acute Bipolar Disorder accompanied by Obsessive Compulsive Disorder throughout his childhood. He would continue to have mental breakdowns and tantrums above the age of average children. These tantrums would turn into screaming matches with my parents, and escalated greatly as he aged. When he was twelve, he experimented with marijuana and continued through his teenage years with a variety of stronger drugs. Due to his disorders and drug abuse, Braden has often fought and threatened my family and me, both verbally and physically. These experiences have affected my school attendance by having to stay home on occasion to help Braden cope with his bad days. In contrast, this has enabled me to try harder in school
There is no indication she has had a manic or hypomanic episode. Her depression may be complicated by grief due to her father’s death one year ago. Her symptoms seem to get worse after his passing.