Silver Lining Playbook is a romantic comedy drama that debuted in 2012 and was directed by David O.Russell. The movie follows the life of two main characters, Patrick Solitano Jr, a Caucasian male and Tiffany Maxwell, a Caucasian woman, who both struggle with psychological disorders. The film begins with the release of Patrick and his friend Danny McDaniel’s, an African American male who happens to be in a legal dispute with the clinic on whether or not he is eligible to leave, from a mental hospital. Danny only has a small part in the movie but he is seen time to time in some scenes. After the two are picked up by Patrick’s mother, she is later notified that Danny is not authorized to leave and ends up bringing him back before …show more content…
One example is when he wakes his parents up at four in the morning to express his thoughts on Ernest Hemingway. Another example is when he is waiting in the waiting room to meet with his therapist. His manic episode is triggered due to the playing of his wedding song on the speaker, which is a reminder of his wife’s cheating. In Patrick’s therapy session, which he hates to attend, his therapists try’s his best to inform him that he needs to take his medication in order for his mood swings and “weird” thinking, which is caused by stress, to stop. He warns Patrick that if he doesn’t take his medication to control his emotions, he will end up going right back to the mental hospital. People who have this disorder are usually giving medication such as antidepressant, mood stabilizers and atypical antipsychotics etc. Patrick is on three medications which are lithium, seroquel and abilify, but due to the side effects these medications tend to have such as weight gain, fatigue/drowsiness, and blurred visions, Patrick refuses to take the medications due to how they make him feel (National Institute of Mental Health). Instead he decides that he is going to look for a silver lining within every situation and have a more optimistic view on life. As the film continues, Patrick is invited to dinner by an old friend and his wife. Before dinner begins Patrick is notified that an unexpected guess, Tiffany Maxwell, will be
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
• 28. You must make a referral to another practitioner when it is in the best interests of someone in your care
Victor is a 52 year-old who has been residing with his niece, April for about a month. He was living with other family members and then he moved in with friends. While living with friends he lost 40 lbs and earned a charge on his criminal record. During a recent doctor visit his blood pressure and cholesterol were high therefore the doctor prescribed him medication and gave an appointment for blood work and follow up however he refuses to go.
He reports the patient’s roommate was subsequently evicted from his home after the landlord inquired about the ambulance visiting. He reports he contacted her father concerning the patient residing within the family home, but the father has said no. In addition, he reports he has attempted to contact her uncle but has been unable to make contact with him. He reports he has attempted to make contact with her said friend who is considering allowing her the opportunity to reside with her but she has not answered her phone and he has been unable to leave a voice message. He reports no one wants her in their home, and the patient has “burned her bridges” with family members. He reports her family would benefit from counseling. In addition, he reports her family has high expectations of CPS. He reports her current case was not going to close within 12 days of 06/30/2017. In addition, the case will not
D-Met with the patient to address a fax from DCF request of the patient records. The patient immediately said, " Don't send this shit. I cannot stand that worker.....I was in court the other day and I am tired of this and this worker always in my business." The writer explained to the patient that should he continue to refuse to sign an ROI, it may hurt his reunification with his son as the patient detailed to this writer about how DCF got involved in his life ( According to the patient, he was intoxicated when visiting his son and a case was called against him and the child's mother). The patient made it clear to the writer that he has no desires to signed an ROI for DCF and for the clinic to ignore DCF request.
story in a memoir titled Madness: A Bipolar Life, in an attempt to shed some light and insight on the
Frankie Tilmon continues to be out of treatment compliance. Frankie has missed his last four appointments, 7/2/15, 7/9/15, 7/16/15, and 7/30/15. Frankie contacted this provider on 7/6 to apologize for missing his appointment on 7/2 and was reminded of his next appointment on 7/9, which he agreed to attend. On 7/15 Frankie contacted this provider to apologize for missing his treatment appointment on 7/9 and agreed to make his appointment the following day, which he failed to appear for. On 7/16 Frankie contacted this provider to again apologize for missing his appointment and wanted to confirm his next scheduled appointment day/time. I told Frankie that his appointment day and time has not changed; it was on Thursdays at 4pm. Frankie told
Throughout the movie, Pat recurrently displayed an elevated and irritable mood as well as three of the above symptoms, namely a decreased need for sleep, speech that is rapid, pressured, loud and difficult to interrupt, and non-stop goal-directed activity. These symptoms are accompanied by delusions of a suspicious nature, as well as hallucinations. Pat’s mood disturbance led to his hospitalization, separation from his wife, and the loss of his job
Another man told of his horrible experience with Prozac in an anonymous letter to Ann Tracy, Ph.D., who was doing research on the adverse affects of Prozac. He was taking Prozac for Chronic Fatigue Syndrome and had been using it for a year; "I quite liked the unsought-for increase in confidence, sociability, etc." However, after he stopped taking it he began to experience what he called "a whole host of mental problems that I'd never experienced before." He described a lack of emotional response that soon became a full-blown depersonalization disorder, which was accompanied by episodes of derealization, extreme experiences of mental impairment, and loss of short-term memory. He went to seven of Los Angeles's top psychiatrists, each one telling him the same thing. They claimed that it wasn't the drug and would prescribe him higher doses of Prozac and other mind-altering drugs. He began to experience "nauseatingly violent dreams with a constant state of unremitting depersonalization . . .to the point where I could barely function." It got so bad that he began to consider suicide.
Pat was diagnosed with Bipolar one disorder shortly after arriving at the mental institution. I agree with this diagnosis for many reasons. I believe that it would have to be Bipolar one because Pat displays manic episodes. With Bipolar two disorder, there has never been a manic episode. Bipolar two disorder also must display at least one major depressive episode. From the information from the movie, Pat didn’t really display a depressive episode. Pat demonstrates several symptoms of Bipolar one disorder, many falling into the mania category. His manic episodes cause a great deal of distress in his life. Before the incident with his wife’s lover even occurred, Pat was having severe delusions. He told the school board that his wife and the history teacher were plotting against him. The delusions did not stop once he was out of the mental institution. When pat caught, his wife cheating on him their wedding song was playing. Now every time Pat hears the song he goes into some kind of psychotic episode and puts everyone around him in danger of becoming his next victim. As I mentioned earlier Pat does not take his medication as it is prescribed. He said it makes him too foggy. This could be due to the fact that he enjoys how his mania makes him feel. Throughout the movie, Pat refers to his ex-wife as his wife. He is obsessed with this delusion and honestly believes that he will win her back over. Even though she has made it perfectly clear
Pat has bipolar I disorder, which is characterized by at least one manic episode per week. It is very common for people with bipolar disorder, especially bipolar I, to stop taking their medications (Proudfoot, 124). This is something that is evident in Pat’s behaviors as he refuses to take his medication when his parents urge him to and he even discusses this with Tiffany. He tells her about how much he dislikes all the medications he’s taken in the past. He tells her, “I used to be on Lithium and Seroquel and Abilify but I don't take them anymore, no. They make me foggy and they also make me bloated” (Silver Linings Playbook, 2012). This is typical of people with bipolar disorder for two reasons. The first is that many of the medications prescribed have negative side effects and the second is that the medications suppress the manic episodes, or highs, that people with bipolar
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
Pat the main character of the movie has bipolar disorder. Bipolar Disorder is also known as Manic Depressive Disorder. Bipolar Disorder consists of mood swings from the lows of depression to the highs of mania. These mood swings may happen as often as a few times a day to a few times a year. The exact cause of Bipolar Disorder is still unknown. Since the exact cause of Bipolar Disorder is unknown it is unknown what parts of the brain is exactly affected by Bipolar Disorder. Current research indicates that structural abnormalities of the amygdala, basal ganglia, and the prefrontal cortex are the parts of the brain that are affected by Bipolar Disorder.
In the movie, Silver Linings Playbook, Pat, the main character, is released from the Psychiatric hospital after learning to control his anger toward his wife’s lover. In the film, Pat is labeled as having bipolar disorder. Although the movie portrayed bipolar disorder, treatment and attitude change well, it lacked the seriousness which a psychological disorder usually accompanies. Pat the main character is shown to have a bipolar disorder for these reasons, decreased need for sleep- keeps his parents up by ranting about Hemingway.
It would seem that Pat, unaware of his bi-polar status, has spent most of his life “white knuckling” himself into “normalcy.” His irritability, mood swings, manic episodes, wild thinking, grandiosity, distractibility, and sleep disturbances have been prevalent for years, but he has not known why and has always just forced himself to deal with things. This sense of personal agency is commendable, but futile in the face of a chemical imbalance. That said, this desire for control/personal agency is still prevalent after Pat is released from the hospital. He does not like taking his meds and initially chooses not to take them, feeling that somehow he can control his own behavior without the help of medication. He does not like the side effects of the medication (citing that they make him feel groggy and bloated) and he feels as though his mantra