1) Martha is potentially in her 60s, has a considerable lack of range of motion, substance abuse, is obese, and has type II diabetes; she had previously opted for a gastric bypass surgery. She presents with one who displays symptoms of depression, experiences manic episodes, suffers from mood swings, and experiences both auditory and visual hallucinations. At times, she quickly cycles between depressive and manic episodes. She is currently financially destitute, lacks employment, and is in an unstable housing situation. Although Martha’s ethnicity is unknown, she was brought up in a working class family in D.C. and claims that her race is a factor in her issues. Since her parents have died, she does not have any family who will…show more content…
This is suspect; she has had weight issues all of her life.
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.
Side note: On https://en.wikipedia.org/wiki/Personality_disorder_not_otherwise_specified the author of this paper altered this webpage to reflect the current DSM-5.
Histrionic Personality Disorder (HPD) might be a diagnosis to consider; however, it is the opinion of the author of this paper that this diagnosis is generally given to women who like sex, a lot. Men who generally act in this manner are not usually seen as having this issue. Furthermore, when the