Manic Disorders Case Study

I was placed with a community mental health team for my first placement. Throughout my placement I visited those under the CMHT along with qualified professionals. Towards the end of my placement a gentleman who had been receiving support from the CHMT requested a hearing will the hope of being removed from the CTO. Suffering from type 1 Bipolar disorder, the gentleman experienced stages of ‘mania and manic’ episodes. A study in this area reported that ‘people with bipolar I disorder experienced syndromal or subsyndromal manic or hypomanic symptoms approximately 9% of the time over 12 years (Judd et al.,2002a)’. The NICE* Guidelines recognise these presentations of mania through several features, a sense of inflated self-esteem and disinhibition, an example of this is a difference in the person’s presentation, this may cause them to talk excessively fast, pressured speech, or louder than usual. Each of the MDT describes occasions were the adult presented signs of ‘mania’.

Although it is talked about frequently in today's society with really no expertise which brings a misunderstanding to the whole illness. When finishing this novel it became clear that in addition to my definition, Bipolar makes an individual suffer extreme highs and lows within their daily lifestyle unable to control when the episodes switch. In addition, I learned how the episodes affect individuals differently and there are ranges usually including a type of rage or aggression when manic and depressed. Unquiet Mind did not change my understanding for Bipolar Disorder, but it did enhance details I was not completely aware of. Furthermore with this disorder, Bipolar affects the person and the people in their lives dramatically. For example, Kay’s education and lifestyle of striving to be the best got put to a halt several times within the start of her career due to her episodes not allowing her to concentrate. On the other hand, her high manic episodes ended significant relations with men that could not deal with her pains. She stated when discussing her difficult times that, “no amount of love can cure madness or unblacken one's dark moods. Love can help, it can make the pain more tolerable, but, always, one is beholden to medication that may or may not always work and may or may not be bearable” (Jamison 155). It is a hidden battle to walk through

She feels herself a survivor. In the end, Kay poses the hypothetical question whether or not she would choose to have manic-depressive illness, if given the choice. If lithium was not readily available to her she would say no, but if it was available she said yes. In Part 4, the explanation of her feelings towards the term “bipolar disorder” changed my outlook on the illness.. I understand her qualms about the term implying that there is a distinction between depression and manic-depressive illness.

Fires of the Mind: Depression & Manic (Bipolar) was a rather interesting documentary that shed some light on the pain and suffering experienced by individuals affected by these conditions. Major depression causes a person to have distorted self image and experience unrelenting grief for no apparent reason. They may be indecisive and having reoccurring thoughts of death. Manic depression causes individuals to experience periods of extreme highs and lows. They may have manic periods, experiencing a state of euphoria, feel invincible, and lose their sense of judgement. Alternatively, they may then fall into a severe depression and barely be able to get out of bed. There are cases where a person will be irritable, paranoid, or hear voices, this is called psychotic mania.

In her book, An Unquiet Mind, Kay Jamison instills an understanding of bipolar disorder from two opposing perspectives. Initially, Jameson tells a tale of herself as a long-term victim of bipolar. It is from her description that a reader is highlighted about the various avenues through which the condition attacks. Besides exploring the disorder as the victim, the book as well depicts Jamison as the healed. That is, she gives an account of her life as an individual who survived the grips of bipolar disorder and became a healer (psychotherapist and a lecturer) instead. Reflecting on Jamison’s work An Unquiet Mind automatically triggers the desire of the reader to unearth more about the author, her context, and diagnosis of the bipolar disorder.

1.4 Mental ill health may be indicated through an individual’s emotions, thinking and behaviour, this can present itself in many ways. For example; a person suffering from Bipolar may exhibit extremes of high and low mood coupled with frenetic and despondent behaviour respectively. They would likely have erratic thoughts and speak very fast in a disjointed manner. In periods of mania the

I also didn’t know that these individuals have mood problems that can last months and or years. I didn’t think it could last that long, but I was wrong. I also didn’t know there were so many types of depressive disorders. I think the most interesting fact I read in these chapters was learning all the different types of mood disorders and treatment plans. I feel by learning all of these disorders and treatment plans it will come in handy when I get my Recreational therapy or social work degree because if I work with individuals with these disorders. I can maybe understand why their feeling that way and maybe suggest better treatment plan they can try. Also I know the different signs. So, I could tell if they are experiencing depression or bipolar disorders and recommend they find out if they have that problem.

QP examined with Shonquasia, when she should seek help for her depression. QP asked Shonquasia to list the things she can do to keep mentally physical. QP examined with Shonquasia, how she respond and relate to depression. QP discussed with Shonquasia, how depression affects a person. QP provided Shonquasia with observational skills to avoid depression. QP discussed with Shonquasia identify and find healing from worries that cause depression. QP explained to Shonquasia, how negative thinking can increase depression mood. QP asked Shonquasia to list some negative thinking that keeps her in a depress mood. QP provided Shonquasia and her mom information on summer camp and summer activities. QP discussed with mom and Shonquasia the approaching of the end of IIH services. QP discussed with mom and Shonquasia the transition process of IIH services. QP ended the session by reminding Shonquasia and mom of the next scheduled

QP provided Maunica with a skill building activity geared towards medication management. QP explained to Maunica that the activity will provide her with information to take control of her medications and educate her on the side effect and important of take her medications as prescribed. QP asked Maunica, when was the last time she has seen her doctor. QP asked Maunica if she is taking any new medications. QP asked Maunica if she is taking her medications as prescribed. QP asked Maunica to list some of the side effect of her medications. QP discussed with Maunica the health goals of her medications. QP asked Maunica, what her personal health goals is. QP educated Maunica on medication management. QP explained to Maunica that she can talk to

QP provided Quadir with a CBT activity geared towards ending IIH services. QP Reminded Quadir and his mom that there a few more session left before he is discharged. QP explained to Quadir that the purpose of today’s session is to review goals and techniques learned to far in services. QP reviewed with Quadir anger management skills. QP asked Quadir, how he thinks his anger management skills has change since starting service over 6monthas ago. QP encouraged Quadir to discuss some of his low point of when he reacted poorly to anger situation in the home and at school. QP brainstormed with Quadir some of the consequences he had to experiences due to poorly responding to anger and conflict situations in the home and school setting. QP asked Quadir

QP provided Maunica with a CBT activity geared towards choices and consequences. QP explained to Maunica that the activity will help enhance her awareness on how to make choices, and look at the consequences for making bad choices or decisions. QP asked Maunica to list some decisions she has to make that was difficult for her. QP brainstormed with Maunica some difficult decision teens have to make. QP asked Maunica to list relationship decisions. QP explained to Maunica the steps to ideal decision making. QP provided Maunica with a scenario in which she had to apply the ideal decision making model to the scenario. QP discussed with Maunica the characteristic of choices. QP discusses with Maunica choices and value. QP asked Maunica to describe

QP engaged Maunica in participating in a CBT activity geared towards effective coping skills to deal with panic attract. QP explained to Maunica that the activity will teach her effective coping strategies to rid of having panic attract. QP brainstormed with manic symptoms of panic attack. QP asked Maunica, when was the last time she experienced a panic attack. QP asked Maunica to list some symptom of her panic attack. QP asked Maunica how long do a panic attack last for her. QP asked Maunica to explain, what held her panic attack to go away. QP demonstrated to Maunica an example of a panic attack. QP asked Maunica to list some triggers of panic attack. QP discussed with Maunica trends and patterns of panic attacks. QP explained, to Maunica,

QP engaged My-Kayla in participating in a CBT activity geared towards depression management. QP explained to My-Kayla that the activity will help her to understand the concept and dynamics of coping and depression, provide information that will allow her to identify and recognize sources of manifestation of depression in her daily life and teach her coping and self-management strategies for dealing with depression. QP explained to My-Kayla, what depression is. QP asked My-Kayla, if she is experiencing depression. QP brainstormed with My-Kayla, sources of depression. QP asked My-Kayla to list somethings that can cause her to feel depress. QP asked My-Kayla to identify some emotions associated with being depress. QP assisted My-Kayla in identifying

As expressed in the documentary, bipolar disorder is a very misunderstood mental illness, and I was surely one of those who truly didn’t understand it. One fact that I learned was how the change from manic states to depressive ones are not easy gentle

Jessica is a twenty-eight-year-old married female who works at a large hospital. She has high expectations for herself because she has graduated with honors at both college and medical school. For the past few weeks, she has been feeling tired and unhappy. She has had a demanding and high stressful job at a large hospital for two years. She feels that she is unable to perform well at her job and has trouble concentrating at work and at home. She is uninterested in her usual activities and has many negative thoughts that keep her awake at night. Two diagnoses that best fit this case study are Major Depressive Disorder and Generalized Anxiety Disorder.