Hypomania Case Studies

Mr. Blais is a 73-year-old male here today for a routine followup regarding his hypertension, hyperlipidemia, and cardiomyopathy.

Mr. Lewis is seen for Dr. Craane at Oak Park Heights. Mr. Lewis is a 74-year-old gentleman with multiple medical problems, including rheumatoid arthritis, hepatitis C, diabetes mellitus, hypertension, and severe respiratory insufficiency. His recent history is well known to us as he was originally at Faribault when he became ill with the current episode of leg ulcerations. He was being treated for rheumatoid arthritis and severe COPD at that time and had significant edema in his legs. He was being treated with methotrexate for his rheumatoid arthritis and was also on low dose prednisone at that time. He developed very, very painful leg lesions that quickly developed from darkened skin lesions to undermined ulcerations that had a gangrenous

Both patients that consistently presented to Bakirkoy State and Training Hospital for Psychiatric and Neurological Diseases in Istanbu and normal healthy controls.

Chief Complaint: N.G., a 33 year old Hispanic female who appears reliable presents today with complaints of “something is in my left eye”.

The patient is a 74-year-old female who tells me she did see Dr.[____] and she did get a shot into her hip. She states symptoms are "1000 times better". She does tell me he was done ultrasound and thought she might have a [____] tear, which at this point, if this does not work, she will need likely to have a hip replacement, as he did not think this is fixable at her age.

DOI: 06/23/2011. This is a case of 41-year-old male maintenance worker who sustained injury to the low back while taking off a sliding door of a patio. As per OMNI notes, patient is diagnosed with lumbar disc disorder with myelopathy. MRI of the lumbar spine dated 6/28/15 revealed recurrent left paramedian L4-5 disc herniation with caudal extrusion of a 10 mm fragment into the left L5 lateral recess. As per office notes dated 7/25/16, the patient is status post redo left L5-S1 discectomy performed on 4/20/16. It was also noted that the patient had a prior L5 laminotomy several years ago. He subsequently did well. However, he had recurrence of his pain. Pain is radiating into his left leg worse on the right leg. This was unresponsive to conservative

Infection is a major concern for the child receiving treatment for cancer is the risk for the development of difficulties secondary to treatment. Major complications include fever, bleeding, and anemia. The nurse caring for the child with a fever must be aware of the signs and symptoms of septic shock. If a child with a fever also has an absolute neutrophil count lower than 500/mm3 they are at risk for overwhelming infection, general illness, dehydration, seizures in young infants and children, and the invasion of organisms producing secondary infections. The healthcare team will use blood, stool, urine, and nasopharyngeal cultures and chest x-rays to identify the source of infection. Once an infection is suspected the child will be given a

296.32 (F33.1) Major Depressive Disorder, recurrent episode, moderate severity, with anxious distress. Ms. Client meets eight of the nine diagnostic criteria for Major Depressive Disorder (MDD). Specifically, during several periods of time she experienced depressed mood, diminished interest in things she enjoyed to do, hypersomnia, psychomotor agitation, fatigue, feelings of worthlessness, decreased concentration, and suicidal thoughts without intent. Additionally, as Ms. Client expressed, these symptoms are source of continuing distress and interfere with her academics and social functioning. Also, her symptoms started four years prior to the psychological assessment and persisted intermittently since then, lasting for several weeks to several months, with the most recent period of extended length (enduring two weeks) approximately one year ago. Since the last episode she has experienced these symptoms for two to three days at a time. Although the last episode that met the criterion of two weeks duration occurred approximately a year ago, the symptoms have not disappeared, but they occur periodically since then and when they do, they cause considerable distress and impairment in functioning. Thus, the disorder cannot be coded as ‘in partial or full remission’. The specifier ‘with anxious distress’ was given, because Ms. Client reports feelings of difficulty in concentration because of worry and restlessness.

Rationale: Jennifer has been presenting with symptoms for unspecified amount of time. Jennifer meets six of the criteria for symptoms being present during the same 2-week period and represents a change from previous functioning. Jennifer is depressed most of the day, nearly every day, has diminished interest in all or almost all activities most of the days, nearly every day, has fatigue or loss of energy nearly every day, feelings of worthlessness, and diminished ability to think or concentrate, is having recurrent thoughts of death, recurrent suicidal ideation without a specific plan. The symptoms have cause clinically significant distress or impairment in social, occupational, and other functioning areas. There is no know substance or medical condition and occurrence is not better explained by Schizophrenia Spectrum or Psychotic Disorders. Jennifer has never had a manic episode or a hypomanic episode. Possible family history of depression - mother.

There hope is to diagnosis and treat the illness at hand. This article questions the validity of diagnosing each patient. If the doctors or the nurses’ diagnosis is wrong then, the treatment will also be wrong. This can create complications for all parties at hand. Most often there is protocol that most doctors have to follow when diagnosing a patient “However, it should not be forgotten that they are all using same diagnostic manual, and probability of diagnosing a person is in depression with same instructions.”(). Now this makes a person question whether the validity is of the doctor or the protocol. If it is the protocol than that is something that needs to be evaluated. At the time the DSM system was in use for diagnosing a patient. At the time of this experiment Rosenhan used the DSM-II statistical evaluation. Years later this statistical data was look over, “According to Mattison, Cantwell, Russell, Will (1979) general inter-rater reliability of DSM-II was about %57 and %54 for axis I in DSM-III. In DSM III, which is published twelve years later after first version of DSM II, reliability scores of psychosis, conduct disorder, hyperactivity, and mental retardation was slightly higher than general reliability scores; however, as it is accepted today with the circumstance of logical base, reliability under 0.7-0.8 is found questionable and possibility of error is

Therapy for psychosis often works best when combined with medication, although this is not always

Mrs. Tobon’s depression symptoms where considered as they are common for Bipolar Disorders. Moreover, the client did not present a history of manic

31 y/o AA male patient seen today for psychiatric-mental health assessment. He is awake, alert and oriented x4. He is calm, cooperative and follows commands during assessment. The patient reports he is depressed, difficulty sleeping and nightmares at night. The patient explained his depression is as a result of deep thinking from a news he received two days ago from his elder brother that his mother is ill. Stressors identified by the patient include losing his job a week ago before the news about his mother; his wife is 6-months pregnant with their first child, who currently works part-time at her present job; patient relates difficulty paying monthly bills and inability to provide adequately for his family as a man. The patient denies mood swings, suicidal/homicidal thoughts and ideation. Patient reports his spouse is at work at the moment and he does not want to put stress on his wife due to her current condition. Patient denies been hospitalized for depression or psychiatric illness; and denies family history of mental illness. Patient reports he is seeking help because he does not like feeling this way using terms of “helpless and loss of worth from his spouse”. Patient reports he needs help with his depression and nightmares before his current condition get out of hands and ruined his marriage.

Two of the possible diagnoses for Ruth are generalised anxiety disorder and major depressive disorder which is also known as dysthymia.

This paper introduces a 35-year-old female who is exhibiting signs of sadness, lack of interest in daily activities and suicidal tendencies. She has no interest in hobbies, which have been very important to her in the past. Her lack of ambition and her suicidal tendencies are causing great concern for her family members. She is also exhibiting signs of hypersomnia, which will put her in dangerous situations if left untreated. The family has great concern about her leaving the hospital at this time, fearing that she may be a danger to herself. A treatment plan and ethical considerations will be discussed.