Branda is a 20-year-old Caucasian female. While looking at history I notice that Branda’s family was middle class however, Branda’s family was forced to down grade when Branda was nine. At nine years, old Branda and her family moved into a trailer park. Branda began trying to make friends but found it difficult, the only friends she was able to make were those involved in gangs. When Branda was ten one of her best, friends committed suicide because he felt as though no one cared. Again, at age fifteen another of her friends committed suicide after being bullied at school. Branda had a difficult time dealing with the pain that she felt from the loss and she was hospitalized for eight days. At nineteen, her family was forced to move in with her grandmother whom she does not get along with. When Branda began using drugs at nineteen her family attempted to help her. At age twenty, her grandmother for bringing drugs into the house kicked her out. Branda began blaming everyone for her trouble. Finally, three months after being kicked out, she asked her parents for help and they had her go to drug rehab. Branda’s family on both sides shows mental illness. Branda has been referred to therapy after severely cutting herself, which caused her to be hospitalized. Branda appears to be withdrawn and unwilling to communicate. After waiting several minutes, Branda begins to speak rapidly. Branda states how she hates having to be here, she feels angry and irritable. Branda is complaining of having a headache. Branda is ranting about how her parents had put her in the hospital twice before for becoming uncontrollable and cutting herself. The second time she went to Oakland she was six and she was there for two weeks to get her stabilized. The thi... ... middle of paper ... ...ls. I recommend that Branda receive medication and I have recommended her to a psychiatrist who I have worked with. In addition, I recommend family therapy to help the family be supportive of each other. Through, family therapy they will learn how to tell the signs of an imminent episode or relapse. The family will be taught how to use communication skills to help Branda cope and to stop negative feelings. The family will be shown problem-solving skills designed to help Branda cope with her bipolar disorder. The family will be taught steps to take when Branda is having a hard time dealing with her bipolar disorder. Branda will be able to make a full recovery if she follows through with the recommendations of individual and family therapy. In addition, I recommend that she be seen by a psychiatrist and be placed on medication to help her with her bipolar disorder.
She has been informed this is likely genetically inherited from her father and cannot be controlled with just diet and/or exercise. She goes to her primary physician yearly to manage this condition. She has one sibling with bipolar disorder and the other two do not have any medical problems. Her oldest brother and his family provided most of the hands-on care for their father a few years before he died and this has helped LG, her siblings, and all of the family members be more vigilant about staying healthy, eating well, exercising, and getting regular medical checkups.
IDENTIFYING INFORMATION: Raven Wright is a 13-year-old eighth-grader who was initially scheduled to be seen at the Psychiatric Consultation clinic at the outpatient pediatrics. The clinic staff was contacted by patient 's the therapist, who brought up a number of concerns. Per review of the chart, Dr. Sandra Shocket was concerned that the child is having thoughts of harming self and others without a plan and that child hears a voice telling her to do things. Raven was described as, anxious and depressed. At the time of appointment
She, as most people, does not want to be labeled as “crazy” and have her mind not fully in her control. And like most people, she is not well educated about her newly diagnosed disorder. As stated in the DSM-IV-TR, “bipolar disorder is characterized by more than one bipolar episode” and specifically bipolar I disorder is “primary symptom presentation is manic, or rapid (daily) cycling episodes of mania and depression”(Treatment). Mania is a “distinct period of abnormally and persistently elevated, expansive, or irritable mood, lasting at least 1 week” (Treatment). But between these symptoms and rapid mood swings, there are periods or normality. And these normal periods are often not talked about. People tend to focus on mainly the negative states of bipolar disorder when the person is experiencing an episode. This is why the general population looks down upon mood disorders.
Through assessment, I have come to the understanding that these symptoms come from an underlying issue of abandonment. She is experiencing a negative cognitive shift where she has trouble seeing anything positive about herself leading to a lack of appetite. She is showing significant symptomology of an eating disorder, this coinciding with her high levels of irrational thoughts and faulty cognition (Lask, 2000). Her eating disorder has led to the problematic behaviors of panic disorder and it has to be dealt
When horrific crimes occur in large cities, many of them can be chalked up to gang violence or to the larger population of that specific city. But when horrific crimes happen in small cities like Lincoln, Nebraska, people begin to ask questions like who did this and why. In 1958, a nineteen year old man named Charles Starkweather put the entire state of Nebraska and possibly the entire nation in a state of terror. With his murder spree taking only three days, Starkweather had collected a body count of ten bodies, including two teenagers and a young child. Understanding Starkweather’s past and state of mind begins to answer the second question of why.
It is concerning that Ms. IC presents with little sleep for days, also might not consume food or fluids for days, poor judgment and behavior, plus her medical history of mania. Due to dehydration, faulty judgment and unable to meet her own physiologic need as well as to set limits on her own behavior, she is at risk for injury. In addition, her communication patterns (speaking readily and overly talkative), inappropriate dress and amusing behaviors show that she is decreasing defensive coping skills, therefore, she is not in a stable physical and mental status.
mental illness in which she is addicted to committed suicide and wont rest in peace until
Uebelacker, L. A., Miller, I. W., Keitner, G. I., Ryan, C., & Solomon, D. A. (2006). The impact of family treatment on family functioning in Bipolar I disorder. Journal of Family Psychology. 20, 701-704.
Due to the fact that the case study explains how Tonya was retained in kindergarten, I would be comfortable saying Tonya is somewhere in the age grouping of seven or eight years old, making her fit into the middle childhood stage. I feel in some way that Tonya is more mature for her age. She has to get up to take care of her brother, which obviously means she is getting herself ready in the morning for school. Tonya’s social-emotional development fits more for a child in their early adolescent stage. Since the teacher explains, “Tonya challenged my patience, professionalism, and decision making” (McDevitt & Ormrod, 2010, pp. 3). This type of development is primarily shown in the grouping of ten to fourteen years of age. Tonya’s aggression may be because some children show poor behaviors towards peers that are unacceptable (McDevitt & Ormrod, 2010). This is typical for children in her age group even if it is only a small percentage.
considered a mental illness, however her being a married woman forced to stay at home and
My client is a 16 year old Caucasian female, was admitted into Children Medical Services on July 28, 2015. She lives with her mother in a mobile home. Mother and father are divorced because her father was abusive. Since mother is now a single parent finances are a struggle. Mother also has depression and is receiving counseling. My client has Dysthmia, a chronic type of depression in which a person's moods are regularly low (cite). She was diagnosed with Obsessive Compulsive disorder is an anxiety disorder in which people have unwanted and repeated thoughts, feelings, ideas, sensations, or behaviors that make them feel driven to do something (cite). My client has a problem with inattentiveness, over-activity, impulsivity, which was diagnosed as Attention Deficit Hyperactivity Disorder. She also suffers from Posttraumatic Stress from observing father abuse towards mother when she was a child. Her previous medical history includes ADHD, Asthma, Vaginitis, Urinary Tract Infection, Sinusitis, and Otitis Media. My client is physically in normal range for her age. Based on the growth chart in the ped’s book for her weight she falls in the 75th percentile and her height she is in the 25thpercentile. She had a slim physique and no appearance of nutritional deficiencies. Skin appeared smooth, hair looks lustrous and strong, and mucous membranes appeared pick and moist. She was casually groomed in school clothing.
Her eyes were heavy, her body weak. As she crawled into the bathroom two feet away, Abby felt her body slowly succumbing to the numbness. All of her pain would be gone in less than 10 minutes, so why would she want to turn back? What about the senior trip Abby had planned with her best friend? What about the chair at the dinner table that would now be vacant? A couple of hours later Abby’s family came home from her little sister’s soccer game. Little did they know what they would find as they approached the top of the stairs. Her little sister, Ali, stood still as she looked down at her feet. There on the cold floor lay her big sister, her role model, and her super hero. Ali was crushed when she saw the pill bottle in her hand and the pale color of her skin. Her mom fell to her knees screaming and crying, wondering where she
Modimore, Francis Mark. Bipolar Disorder: A Guide for Patients and Families. John Hopkins U. P., 1999
Bipolar disorder is a lifelong and recurrent illness. This illness will give negative effect if not give treatment. Bipolar disorder patients will experience a life in disarray and failed to carry out their daily activities. Patients become hyperactive and irresponsible when they are at manic phase. For example, the patient more denied when they are have problem and be aggressive when what they are want, they are not get it. In depressive phase, the patient will not able to continue their daily routine of life, such as they not able to work, get enough sleep and so on . Early diagnosis and treatment is able to avoid these problem. Some combination of factors are needed to treatment the patient of bipolar disorder. In this cases, medication only is not enough to help in treatment for bipolar disorder’s patient. The best treatment for this patient case, are communication with doctor and their therapist, such as sharing what their feeling and thinking in their session, another best treatment is have a strong support for people around them. For example, parents, wife, friends and neighbor. They also should choose the health of lifestyle such as jogging, dance and the last is discipline and follow all the pelan treatment . Bipolar disorder’s patient not able to get well in short time treatment, because they need a long time treatment to help them.
According to Jann (2014), bipolar disorder can be treated and people with this illness may perform full and productive in their lives. However the treatment of bipolar disorder is most effective when medication is combined with psychotherapy, and ECT as a last source Jann (2014). Pharmacologic treatments for this disorder include Lithium, as a first source which is a mood stabilizer; other mood stabilizers such as lamotrigine and valproate are effective as well (Jann, 2014). According to Jann (2014), the use of antidepressants and anticonvulsants for treating bipolar disorder are controversial due to the increased risk of the patient switching to mania. The prognosis of this illness will be severe and long term, or may be mild with infrequent episodes Jann (2014). The highest risk factor for developing bipolar disorder is hereditary. The statistic is that high-income families have a higher rate 1.4% than low-income families with only 0.7% (DSM-...