Symptoms And Treatment Of Bipolar Disorder Essay

Bipolar disorder is a mood disorder known for severe persistent mood instabilities between mania and depression, . It causes unusual changes in mood, energy, and activity levels which makes ability to perform daily tasks very hard. (Concepts Advisory Panel [CAP], 2015). BPD affects more than 2.3 million adult Americans, or 1% of the population. (Guo, Patel, Li, & Keck 2010). There are four basic types of bipolar spectrum; All of them involve clear change in the mood energy, and activity levels (CAP,2015). These mood incidences’ ranges from periods of extremely high and energized behavior known as Manic episodes to very sad, or hopeless periods known as depressive episodes. Bipolar I disorder, the client has at least one episode of manic followed by major depression. Bipolar II disorder, the client has one or more hypomanic and major depressive episodes, the other not so severe and less diagnoses type of Bipolar is chronic mood disorder that lasts more two years with combination of hypomania and dysthymia. (CAP,2015). This paper will go into, Bipolar I, Manic episodes, the pathophysiology, Sign and symptoms, treatments, comorbidity, nursing intervention and nursing and patient therapeutic relationship.

During my psychiatric clinical rotation at Carney Hospital I had the opportunity to help run group therapy’s where I was able to understand some of the patients better. During this time I was also able to learn more about my patient F.S. The patient is a fifty-two-year-old divorced Chinese woman with a lengthy history of bipolar disorder and a persistent associative history of schizophrenia and attempts at suicide. The patient has one daughter that is 24 years old who noticed F.S. was throwing her pills down the toilet and hiding them in her pockets so she didn’t have to take them. . During her admission, the patient displayed increased levels of incredible energy and mood activities, an approach that was thought to have been instigated by the worsening of her health condition.

bipolar disorder at the age of 18. client has revised care as well as many different medications to

The client is a 35 year old African American female who presented as open and anxious during the assessment. In 2011, the client was diagnosed with Bipolar and Anxiety. In 2015, the client was hospitalized for 7 days at Richmond Behavioral Health Authority. The client was admitted due to symptoms of irritability, lost track of time and blacked out. The client was prescribed Seroquel and Topamax.

In the vignette provided Tommy, an 11 yr.-old male Hispanic male is suffering from numerous symptoms such as compulsive behavior, extreme mood swings, difficulty engaging in meaningful conversations and problems with concentration, to name a few. Tommy first started showing signs of disruptive and hyper behavior as early as 18 months. There are numerous factors both environmental and biological that have affected Tommy’s development and care. His mother and maternal grandmother both suffer from bipolar disorder. While pregnant with Tommy his mother had adequate prenatal care however, she may have exposed her son to various harmful substances. Also, prior to becoming pregnant Tommy’s mother had been on numerous medications for substance abuse, severe depression and suicidal ideation.

T.R. is a 69 year old, Caucasian female with a history of schizophrenia who presented to University Hospital Medical Center Emergency Room under Baker Act for recent suicidal attempt. According to the Baker Act report, she ran out of her retirement facility, trying to be hit by vehicles. She suffered a slight injury to her right ankle, as the slightly slightly hit her in an effort to abruptly stop the vehicle. She verbalized to police officers she wanted to die. She reported that peers in her retirement community learned about her history and had been gossiping about her. She reported increased paranoia due to this. She was hospitalized in the same psychiatric unit two months ago, after she was diagnosed with depression. Patient states the reason she was diagnosed with depression is because her two sons are not willing to talk to her. She states that she is separated and living without her family in an Assisted Living Facility. As per patient and chart review, the patient was born and raised in New Jersey and moved to South Florida. The patient currently lives in a retirement home and had to move several times to the different Assisted Living Facility, due to her paranoia and delusional behavior. She is currently retired and reports that she used to work from home as a home health aide. She has two sons and tries to maintain a good relationship with them, but denies any contact with them. She reports the biggest stressor is basically a relationship with her

Psaras reported no family history of psychiatric or substance issues in biologically related family members. She indicated that she meets with a mental health professional once a week. The stated that she began treatment because she felt overwhelmed living with her husband. Ms. Paras reported that she has never been placed on medication. The mother stated that she has never felt significantly depressed. She indicated that there have not been times when she has been anxious. The mother reported that she has never had a panic attack. She indicated that she does not have trouble sleeping. Ms. Psaras stated that her weight has always been consistent, she has never tried to hurt herself or others and has never thought of it. The mother reported that she has never had any unusual thoughts or experience, she has never done any dangerous things. The mother denies any symptoms of

History of Present Illness: The patient has been seen in this clinic since 2016. She is diagnosed to have ADHD, Bipolar II disorder, Generalized Anxiety disorder, Alcohol and Cannabis use dependence. The patient has struggled with separation from an abusive ex-husband, who is currently

She also mentioned she was diagnosed with Bipolar and Schizophrenia. On 8/12/2015, client met with the onsite psychiatrist and she was diagnosed with Axis 1: Bipolar II Disorder, mild, with mixed features in partial remission -296.89 (Primary) and PTSD (Post-traumatic Stress Disorder) – 309.81. Client was referred to participate in mental health counseling. CM contacted Batf Inc. (“Bridging Access to Care”) tel# 718-388-0028. Referral pending.

Regardless if her bipolar symptoms are thyroid/diabetes related, the DSM-5 no longer supports a diagnosis of Personality Disorder-Not Otherwise Specified. Although the DSM-5 has a specifier named “Unspecified Disorder;” it is used to enhance an existing disorder (not a personality disorder unto itself) (American Psychiatric Association, 2013). The only exception to this specifier is when a person is in an emergency situation (e.g. emergency room), and the doctor cannot give the patient a specific mental diagnosis. In this case, a doctor may give the patient the diagnosis of Unspecified Mental Disorder (APA, 2013). Therefore, PD NOS should be ruled out.

She was hospitalized multiple times in psychiatric facilities (2001-2002) for suicidal ideations and attempt, severe depression and anxiety, and hallucinations for self-harm. She was under “aggressive psychiatric and psychological treatment” (2004-2012) without improvement. She had a below average intellectual functioning and was unable of managing money.

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).

Bipolar Disorder is one of many depressive disorders which affect the way your brain functions. Depressive disorders are very common in fact, about 1 out of 7 people are diagnosed with a depressive disorder each year. So chances are that you know someone that has it whether it is a family member, friend, or coworker. Bipolar disorder goes by many different names, but they are all the same disorder. Some of these include: manic depressive-disorder, bipolar mood disorder, and bipolar affective disorder.

Bipolar Disorder also known as Manic Depressive Illness involves outstanding mood swings. The individual has periods of depression, and periods when they feel either unusually good or pressured and irritable. It affects 1-2% of the population. Genetics plays a significant role. About 15% of children with one bipolar parent develop the disorder.

At least 2 million Americans suffer from bipolar disorder, more commonly known as manic-depression. This illness usually begins in adolescence or early adulthood and continues throughout life. Although it may come into affect at any time, most individuals with the disorder experience their first mood episode in their 20’s. However, manic-depression quite often strike teenagers and has been diagnosed in children under 12.