Complex Integrated Psychiatric Disorders

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Running head: COMPLEX DISORDERS Complex Integrated Psychiatric Disorders Kathleen Owens, MSN, FNP-C University of Cincinnati Complex Integrated Psychiatric Disorders Psychiatric mood disorders of such as Bipolar are often complex to diagnosis. Bipolar I is differentiated from Bipolar II by a history of at least one manic episode in a person’s life, with Bipolar II being diagnosed and characterized by a history of major depression with at least one episode of hypomania (Sadock, Sadock, and Ruiz, 2015). Bipolar is often misdiagnosed as major depression, especially in the presence of a dual diagnosis of substance use disorders. Individuals with Bipolar often have a history of self-medicating their mood symptoms of mania and…show more content…
Prevalence Adolescent population ranges from 0.06-0.1 percent of general population, with prevalence rates as high as 5.7 percent with subthreshold manic symptoms. Over the past 15 years Bipolar diagnosis and treatment has increased 40 times with youth hospitalization rates increasing from 3.3 per 10,000 to 5.7 per 10,000 (Sadock et al, 2015). Adult Bipolar II disorder internationally is estimated at 0.3% with 0.8% prevalence in the United States (APA, 2013). Clinical Manifestations and DSM 5 Criteria Bipolar major depression causes clinically significant distress or impairment in social, occupational or daily functioning that is not attributed by another medical condition or current substance abuse (APA, 2013). During a two week period of time, the patient will display at least five or more the following depressive symptoms daily or nearly every day: 1) depressed mood most of the day, feels sad, empty, hopeless 2) markedly diminished interest or pleasure in nearly all activities 3) significant weight loss or weight gain without purposeful dieting, increased or decreased appetite 4) insomnia or hypersomnia nearly every day 5) psychomotor agitation or retardation observable by others 6) fatigue or loss of energy 7) feelings of worthlessness or excessive feelings of guilt 8) diminished ability to think, or concentrate, indecisiveness 9) recurrent thoughts of death, suicidal ideation with or without specific plans or attempts (APA, 2013) Diagnostic Examination: Validated
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