Group 4 Diagnostic Vignettes. Kevin And Mary Met 3 Years Ago

Guns being shot off in the house, an alcoholic mom coming at her with a butcher knife, and two sexual assaults were all things Marry Karr had to endure as a child. Even though she went through all of that she did very well for herself by not following in her parents’ footsteps. Many times the children in an alcoholic family tend to fall in to the same pattern alcoholism as the parents because they know of nothing else and were not taught what normal looks like (cite). It is amazing that she turned out okay after seeing what she went through chapter after chapter with her mom drinking heavily and her dad off at the “Liars Club” being relatively absent. With all the traumatic experiences Mary and Lecia went through, it was shocking Mary was able

3. What mental health treatment modalities would be helpful to Randy in addition to medication?

People with bipolar I disorder have full manic and major depressive episodes. Most of them experience an alternation of the episodes; for example, weeks of mania may be followed by a period of wellness, followed, in turn, by an episode of depression. Some, however, have mixed episodes, in which they display both manic and depressive symptoms within the same episode—for example, having racing thoughts amidst feelings of extreme sadness. In bipolar II disorder, hypomanic—that is, mildy manic—episodes alternate with major depressive episodes over the course of time. When a person experiences numerous periods of hypomanic symptoms and mild depressive symptoms, but not full-blown episodes, DSM-5 assigns a diagnosis of cyclothymic disorder. The symptoms of this milder form of bipolar disorder continue for two or more years, interrupted occasionally by normal moods that may last for only days or weeks.

The mood disorder of bipolar is a roller coaster of high and low emotions. Bipolar has many different components and can manifest as either Bipolar I or Bipolar ( Oltmanns & Emery, 2015) Bipolar I is described as having one manic episode. ( Oltmanns & Emery ,2015) Mania is a disturbance in mood characterized by symptoms as elation, higher self-esteem, hyperactivity and expedited thought process. (Oltmanns & Emery, 2015) To have Bipolar II, a person must have at least one depressive episode and a mild manic episode. A depressive episode includes hypomania meaning in bipolar II a person will not have a full blown manic episode. (Oltmanns & Emery, 2015) People who have bipolar have a tough time with their emotions, because their emotions are not stable. They oftentimes feel like they are on an emotional roller-coaster because of the erratic ups and downs ( Oltmanns & Emery 2015)

The treatment of choice for the MDD, MDD Recurrent, and Dysthymia; will be Psychotropic medication, CBT, Interpersonal Treatment,

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

describes that “He had the kind of pale, almost colorless eyes that made him seem distant and angry whether is was or not. He used them to intimidate people” (13), which doesn’t seem to mean anything to Dana very much in the beginning. However, it isn’t until she goes back in time with Kevin, that Dana realizes her disadvantage in the world and Kevin’s advantage. She must face the everyday fear of being sold into a new plantation and the constant worry that she may actually feel the pain of being whipped. In Kevin’s case though, he found being back in the particular time period as “boring” (find that exact moment) and not having much to do with him. Many people would argue that Kevin is considered a “bad” husband because he feels the need to be in control and overpower Dana. Indeed, he does become

As per the requirements in the DSM-V, in order to diagnose someone with Bipolar I, they need to have had at least one manic episode (American Psychiatric Association [APA], 2013). A manic episode is one that lasts for a minimum of one week would require hospitalization or have psychotic symptoms. This is differentiated from a hypomanic episode in that, for hypomania, the symptoms last four or fewer days, doesn’t require hospitalization and does not include psychotic feature. I will distinguish between the two using the presence of psychotic symptoms. Pat’s psychotic symptoms can be seen as both delusions and hallucinations (Cohen et al., 2012). His delusions are shown very early on in the movie; he is completely

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).

Robin’s presentation was consistent with Bipolar I. Within his bipolar presentation, he also had mood-congruent psychotic features and anxiety distress. Bipolar I means the patient must meet the criteria for at least one manic episode and at least one major depressive episode.

Bipolar disorder is a mental disorder characterized by an alternating or shift in moods of elevation and depression. It is also known as manic depression. This mental illness is that brings severe high and low moods, it can cause changes in sleep, energy, thinking, and behavior. “Bi” which means two or alternating between two, explains the two common episodic moods that occur in individuals with this disorder; mania and depression. According to the DSM there are multiple forms of bipolar disorder, coming in four major forms; bipolar I, bipolar II, bipolar disorder and Cyclothymia. Bipolar II which is a “major depressive episodes alternate with hypomanic episodes rather than full manic episodes.”(Barlow et al., 2014). Individual with bipolar I are similar, “except the individual experiences a full manic episode.” (Barlow et al., 2014). Lastly Cyclothymia is just a mild form of bipolar disorder. Mania episodes take into account the high elevated moods; where an individual’s is extremely energetic, excited, may partake in usually activities, for example excessive spending, promiscuity or dangerous behavior. On the other hand, there are depressive episodes, which are mark by similar symptoms as the common disorder of depression, such as extreme sadness, lack of motivation, constant fatigue and irritable. More prevalent in women, although it can occur in children and older adults, this disorder is seen to suddenly develop in ages ranging from 18 to 24. Although similar men and

Note: All names used in this presentation have been changed in order to protect the identity and confidentiality of the client.

Bipolar disorder, or manic depressive disorder, is a disorder characterized by extreme mood changes. People with this disorder undergo unusual shifts in his or her mood, activity levels, energy and the ability to carry out daily activities (National Institute of Mental Health, n.d.). A person can go from being very outgoing and energetic to feeling irritated and worthless over a period of a few days, months, or even years. People with bipolar disorder experience “mood episodes”, represented by a drastic change in a person’s unusual mood or behavior (National Institute of Mental Health, n.d.). A manic episode he or she may experience is overexcited and overly joyful; however, someone in a

After a few weeks of the hidden truth, Dr. Kurtis acted as though everything was normal. One day, whilst Karen and her colleague were discussing their patients issues during their break, Carrey explained how her patient had feelings of love and affection for a married man and that she may be pregnant with his baby. Karen asked Carrey for her name and it was of surprise that her name was Shay Brown. Karen then began having thoughts that it may be Shay who was the ‘other woman’ and so, she suggested exchanging each other’s patients as they both wanted a change. So, they bartered their patients and returned to their offices. After seeing Karen, Shay began acting apprehensively and within five minutes of her entrance, discomfiture had filled the room. Karen cut into the silence by asking Carrey about how she was feeling and how her health was. Carrey retorted declaring, ‘well, my health’s fine but it’s just that I throw up every time I eat’. She