Symptoms And Treatment Of Bipolar Disorder

1247 WordsMar 20, 20165 Pages
This is a 25 year old African American female still grieving the loss of her mother who presents with fatigue, lack of appetite, sleep disturbances, suicidal ideations, and anhedonia. Plan: 1. Suicidal Ideations: The patient revealed that she has thought about committing suicide once a week for the past 2-3 weeks. The patient has not created a plan to commit suicide, though. She states that what prevents her from committing suicide is that she does not want to put those around her through that. Possible causes for these thoughts are depression, bipolar disorder, substance abuse, depression secondary to hypothyroidism. With respect to assessment for depression or bipolar disorder, I would like to refer the patient to a psychiatrist immediately. The urine and hair would be taken to screen for illicit drugs and toxins. The blood would be taken for a thyroid function test to assess for hypothyroidism, in addition to a CBC with differential, CMP 14, and a blood toxicology screen to help avoid missing somatic causes. With respect to treatment, the psychiatrist will take the lead on determine if psychiatric medication is appropriate, along with the appropriate type of medication and dosage. The same goes for whether psychotherapy would be useful for this patient, which may help given her lack of a support system. American Psychiatric Association (APA). Practice guidelines for the psychiatric evaluation of adults, third edition. Arlington (VA): American Psychiatric Association
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