The client is a 27 year-old Caucasian female, who describes of been very creative always working on works of art. Her family and friends have highly encourage her to seek treatment after describing been on a “roller-coaster ride of emotions over the last five years.” During the times when her mood was very elevated, Jillian describes of not sleeping because she was working on her art, exposing herself to promiscuous sex, financial problems, has lost many jobs, and has loss many relationships due to her behavior. Jillian describes her life of spiraling out of control and needs to talk to someone before she experiences another depressive episode. Based o
Diagnostic Code and Labels
Based on the information provided by the client and symptoms experienced by her the client is diagnosed with Bipolar I Disorder, Moderate. The severity of the diagnosis is moderate based on the description on the DSM-V describing moderate as the number of symptoms and/or functional impairment are between “mild” and “severe.” Symptoms result in a minor impairment regarding socially and occupational. Her symptoms have led her to loss many jobs and the termination of personal relationships including her boyfriend. On the severe side, Jillian describes of involving herself on unsafe sex resulting...
... middle of paper ...
...7. Excessive involvement in activities that have a high potential for painful consequences (e.g. engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments).
a. Jillian reports of having promiscuous sex all in the name of art.
b. Jillian reports having a history of financial problems due to shopping sprees.
C. The mood disturbance is sufficiently severe to cause marked impairment in social or occupational functioning or to necessitate hospitalization to prevent harm to self or others, or there are psychotic features.
a. Jillian reports of losing many jobs
b. Jillian reports losing personal relationships.
D. The episode is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication, other treatment) or to another medical condition.
a. Jillian denies having any type of alcohol or drug abuse.
Need Writing Help?
Get feedback on grammar, clarity, concision and logic instantly.Check your paper »
- ... They are also useful as adjuncts to other mood stabilizers or anticonvulsants. 2. See schizophrenia for more information (ii) Anticonvulsants 1. Lamotrigine a. Used for maintenance of Bipolar I. Can also be used for preventing relapse with depression and with bipolar depression. b. Not useful in any acute disorder c. Metabolized via glucuronidation i. OTCs may increase the metabolism of this ii. VPA decreases the metabolism of this d. Side effects: headache, nausea, dizziness, drowsiness, ataxia, diplopia, tremor, and rash (may lead to SJS).... [tags: Bipolar disorder, Mania]
908 words (2.6 pages)
- Prior to an initial diagnosis being formulated, an extensive psychiatric evaluation and formulation would need to be completed, which would include a mini mental status exam, an extensive family history, previous psychiatric history, developmental and social history, substance abuse history, possible differential diagnosis and rule outs for other medical or neurological concerns. According to the Pocket Guide to the DSM -5 Diagnostic Exam (pg.11) “a good diagnostic interview produces a diagnosis, it also generates questions you will need to ask as you seek further understanding.... [tags: Differential Diagnosis]
1226 words (3.5 pages)
- Diagnosis: Schizoaffective Disorder-depressive type without catatonia Impression: Mr. Jeffery meets the criteria for Schizoaffective Disorder, the depressive type and without catatonia. Criteria A for schizoaffective disorder consist of criteria A of schizophrenia and the criteria for major depressive episode. Mr. Jeffery reported being able to “see past the static” which is evidence of hallucinations (criteria A1 of schizophrenia). He reported believing that the government, along with others, plot against him, which is evidence of delusions (criteria A2 of schizophrenia).... [tags: Schizophrenia, Bipolar disorder]
1287 words (3.7 pages)
- To meet the diagnostic criteria for an adjustment disorder, an individual must show emotional or behavioural symptoms in response to an identifiable stressor that occur within three months after the onset of the stressor. These symptoms must be out of proportion to the severity or intensity of the stressor and must significantly impair the individual’s social or occupational functioning (American Psychiatric Association, 2013). Alex Forrest’s behaviour following the breakup with Mr. Gallagher are certain out of proportion considering it was an affair that only lasted over the course of a weekend.... [tags: Borderline personality disorder, Bipolar disorder]
1077 words (3.1 pages)
- ... Delusions are the other major symptom of psychosis. Delusions are described as strong beliefs that are irrational and most times false. Believing that outside sources are controlling your thoughts, feelings and behaviors is an example of a delusion (“Early Psychosis and Psychosis”, n.d.). When symptoms of schizoaffective disorder occur, it is necessary for a physician to conduct an interview. “To diagnose schizoaffective disorder, DSM-V criteria require a continuous period of illness during which there is a Major Mood Episode concurrent with Criterion A of Schizophrenia: hallucinations, delusions, disorganized verbal communication, grossly disorganized or catatonic behavior, or negative... [tags: Schizophrenia, Bipolar disorder, Psychosis]
851 words (2.4 pages)
- ... Concerning his functioning, T. F. has reported experiencing impairment in two domains—that is, academic and occupational—as a result of his symptoms. As can be recalled, T. F. reported that he is experiencing an inability to concentrate at work, perhaps resulting in decreased work efficiency. Moreover, T. F. reported that, in a past depressive episode, he was unable to attend classes while in college, thus leading him to almost fail the semester. It should be noted that it is likely that T. F.... [tags: Major depressive disorder, Bipolar disorder]
2154 words (6.2 pages)
- ... Her reporting of not bathing for a week can also be perceived as (CriterionA4) markedly diminished interest in activities. Sarah also reported having sleep disturbance in where she is agitated and night and mostly sleepy during the day. This can also be categorized as (Criterion5) hypersomnia, further supporting this diagnosis MDD with a recurrent episode. Other symptoms include her reporting (Criterion A6) her feeling of guilt, for not being there or doing more for her aging parents. Borderline Personality Disorder Sarah’s constant pervasive behavior also present a co-occurring diagnoses of Borderline Personality Disorder.... [tags: Bipolar disorder, Suicide]
879 words (2.5 pages)
- ... About 5–6 percent of individuals with schizophrenia die by suicide, about 20% attempt suicide on one or more occasions, and many more have significant suicidal ideation( ). Suicidal behavior is sometimes due to hallucinations command individuals to harm oneself or others. Suicide risk maintains at a high percentage over the lifespan of individuals. There are many differential diagnoses associated with schizophrenia. Few of the diagnoses include schizoaffective disorder, schizophreniform disorder and brief psychotic disorder, delusional disorder, obsessive-compulsive disorder, and schizotypal personality disorder.... [tags: Schizophrenia, Psychosis, Bipolar disorder]
1205 words (3.4 pages)
- ... There are only two choices with bipolar disorder - lose the battle to the disorder or fight tooth and nail to beat this disorder with the various tools available. If you decide to fight or help a loved one to fight the bipolar disorder, it will not be easy as mentioned previously. However, to help you win the battle of the mind, there are various resources available that include bipolar medications to deal with the various symptoms of bipolar symptoms. There is psychiatric help available as well as bipolar support groups to help the sufferer and family and friends cope with the bipolar disorder.... [tags: Bipolar disorder, Suicide, Mania, Medicine]
728 words (2.1 pages)
- Synopsis: A 38-year-old single woman, Gracie, was referred for treatment of depressed mood. She spoke of being stressed out due to conflicts at work, and took a bunch of unknown pills. She reported feeling a little depressed prior to this event following having ovarian surgery and other glandular medical problems. She appeared mildly anxious and agitated. She is frequently tearful, but says she does not have any significant sleep or appetite disturbance. She does, however, endorse occasional suicidal ideation, but no perceptual disturbances and her thoughts are logical and goal-directed.... [tags: Major depressive disorder, Bipolar disorder]
1004 words (2.9 pages)