2. What are specific signs and symptoms of concern and why? (15pts) Answer: The diagnosis of bipolar I disorder with acute manic phase is made for Ms. IC after rule out medical condition and substance abuse. 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. These signs …show more content…
In this essay, the author
- Explains that the diagnosis of bipolar i disorder with acute manic phase is made for ms. ic after rule out medical condition and substance abuse.
- Opines that medical interventions, such as medication regimens and/or admission, will help deescalate ms. ic’s activity to minimize potential physical injury through medication and provide a non-stimulating environment.
- Explains that patients with bipolar one and manic episodes usually require psychiatric hospitalization to provide them a safe environment for treatments.
- Explains that ic is currently taking trileptal, bid, and abilify daily for mood stabilization and trazodone 300mg at bedtime for sleep.
- Explains how ms. ic's diagnosis, lab exams, negative pregnancy test, and comprehensive medication education are confirmed. the medications are prescribed as follows: lithium, olanzapine, depo-provera, abilify, trazodone and tri-cyclen
- Opines that the np should consult ms. ic's primary doctor, gynecologist, and psychiatric nurse practitioner or psychiatrist, as well as her caregiver or family members, to provide better care and to prevent relapse.
- Opines that the medication adherence is poor due to side effects for the long-term pharmacotherapy, and there are 50 percentages of chance that bipolar episodes reoccur if patients are not incompliance with their treatment in one year.
- Explains that there are nonpharmacologic therapies for the treatment of bipolar disorders, such as educational groups, rehabilitation programs, attending group, peer and family support groups and behavioral family management.
- Opines that bipolar disorders are often misdiagnosed, and that early diagnosis and treatment can help people avoid attempting suicide, abusing alcohol and substance and developing medical comorbidity.
- Explains that the mood disorder questionnaire (mdq) is a validated tool to assess patients with bipolar disorders.
- Recommends that clinicians assess patient's intake and output, cardiac status, tissue integrity and sleep pattern, as well as self-control behaviors and medication adherence.
- Opines that education and counseling related to bipolar disorders should be provided to mr. ic and her family by the clinician in order to prevent injury and relapse.
- Explains that the clinician can provide information about the disease process of bipolar disorder during the treatment period.
Are there other healthcare providers that the NP should consider consulting about this patient and why? (15pts) Answer: In this case scenario, Ms. IC’s primary doctor, gynecologist and her psychiatric nurse practitioner or psychiatrist, as well as her caregiver or family members should be contacted by the nurse practitioner in order to gain Ms. IC’s previous medical history and medical managements. The purposes for consulting other healthcare providers are to provide better care and to prevent relapse. The medication adherence is poor due to side effects for the long-term pharmacotherapy. There are 50 percentages of chance that bipolar episodes will reoccur if patients are not incompliance with their treatment in one year (McCarron, Xiong, & Bourgeois, 2009). Therefore, the encouragements and supports from the healthcare providers and families are essential for patients keep on their pharmacotherapy and psychosocial treatments. All healthcare providers should aware patient’s medications to avoid drugs interactions. Referral to a psychiatric mental practitioner, and/or a psychiatrist for assessment and evaluation of CBT and/or other psychosocial therapies for Ms. IC is a flavor
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- Finding the Light in the Dark with Bipolar Disorderexplanatory essayOf all psychotic disorders, bipolar disorder is the most common, affecting between one and two million Americans (Spearing). While it affects males and females equally, there are a few distinctions that can be made about those who do have it. Amongst men, early onset bipolar disorder is more frequent while there is higher rate of rapid cycling, mixed states, and cyclothymia in women (Wurztel 28-31). Also, according to one survey, an estimated 59% of bipolar patients experienced their first symptoms when they were children or adolescents (Harakas G2). Studies show that bipolar disorder occurs in 1% of all age groups (Bipolar Survivor). Evanston Northwestern Hospital claims, “There is some indication that the incidence of bipolar disorder may be increasing.”
In this essay, the author
- Explains that bipolar disorder has become one of the leading forms of mental illness in the united states. the negative effects occur due to a lack of proper diagnosis.
- Explains that bipolar disorder is a mood disorder that causes extreme emotional changes and shifts in mood. it causes alternate periods of mania and depression.
- Explains that of all psychotic disorders, bipolar disorder is the most common, affecting between one and two million americans.
- Explains that bipolar disorder is a disease separate from many other types of mental illnesses. bipolar i sufferers experience extreme periods of mania coupled with depression.
- Explains the second type of bipolar disorder, known as bipolar ii, where people experience recurrent bouts of depression without the psychotic episodes of mania.
- Explains that medicated mania, or bipolar iii, is the third type of bipolar disorder. it's the direct result of drug treatment or electroconvulsive therapy for depression. misdiagnosis results in the prescription of anti-depressants.
- Explains that cyclothemia, or rapid cycling, is characterized by intense changes in mood occurring more frequently than what is typically expected in bipolar disorder.
- Explains the criteria that must be met to properly diagnose bipolar disorder, such as depressed mood, loss of interest in daily activities, insomnia, hypersomnia, fatigue, feelings of worthlessness, and recurrent thoughts of death.
- Explains that a significant amount of children diagnosed with attention deficit hyperactivity disorder in fact are bipolar.
- Explains that bipolar disorder is primarily biological rather than psychological, and that it runs in families.
- Explains that medical research is trying to find a connection between the illness and chemical deficits with the brain cells.
- Explains that magnetic resonance imaging (mri) and positron emission tomographic (pet) scans show structural abnormalities called unidentified bright objects (ubos) in the brains of many manic-depressives.
- Explains that bipolar disorder can cause developmental delays, marital and family problems, disturbances in occupational settings including job loss, and financial difficulties.
- Explains that while most of the effects of bipolar disorder are negative, there is one positive effect that deserves mention.
- Explains that bipolar disorder does not necessarily indicate an inability to maintain a high-standing job position. manic depressive executives are represented among the ranks of the united states’ most brilliant entrepreneurs.
- Opines that an inspiration to those who suffer from this debilitating disease may be the mentioning of some well-known writers and artists in the past that suffered from what we know today as bipolar disorder.
- Explains that with advances in medical research and technology, there are several options available to help treat bipolar disorder. one of the most widely used prescription drugs is lithium.
- Explains that depression is treated with anti-depressants that are usually used with a mood stabilizer. prozac, paxil, wellbutrin, and effexor are the most common.
- Explains that mood stabilizers are used to treat manic depression, but their exact functions within the brain are unknown. the use of these drugs in treating bipolar disorder was discovered accidentally.
- Explains that antipsychotics work by binding to dopamine receptors in the brain and thus preventing over stimulation from the neurotransmitter. because of the wide variety of prescription medications available today, it is easy for patients to find those medicines that are best suited for them with minimal side effects.
- Explains that psychotherapy is a second approach to treating bipolar disorder.
- Explains that psychotherapy may also involve the use of behavior modification. cbt emphasizes the acquisition of emotional problem-solving skills and requires insight, motivation, and the capacity to concentrate.
- Describes electro-convulsive shock therapy as a treatment for bipolar disorder. the patient's brain is stimulated using electrodes placed at precise locations on their head.
- Explains that bipolar disorder is a mental illness that affects not only patients but also their family, friends, and co-workers. patience and willingness to participate in treatment and therapy are keys in helping to overcome the problem.
- Explains the american academy of child and adolescent psychiatry. bipolar disorder.
- Reviews bipolar survivor.com: it takes both sunshine and rain... to make a rainbow.
- Describes fireman, bruce, and divalproex's study on suicide risk in bipolar disorder.
- Opines that bipolar disorder affects about 1 million children, according to the sun sentinel.
- Explains keith, gwendolyn puryear, ellen mcgrath, nancy felipe russo, and bonnie r. strickland's women and depression: risk factors and treatment issues.
- Analyzes dr. thomas stuttaford's "mania that inspired a genius." the times, 29 may 2003.
- Describes the strengths and limits of a bipolar/unipolar self-help group.
- Explains wurztel, elizabeth, prozac nation: young and depressed in america, new york: houghton mifflin company, 1994.
3510 wordsRead More - The Case Of Mr. Jock, And When The Dsm 5 Criteriaopinion essayAs mentioned in the DSM-5, to receive the Bipolar I diagnosis, and individual must meet criteria for at least one manic episode, which may (but not required) have been preceded by or may be followed by hypomanic or major depressive episodes (Criterion A for Bipolar I), and should not be better explained by the presence of schizophrenia, schizoaffective, schizophreniform, or delusional disorder, or other specified or unspecified schizophrenia spectrum and other psychotic disorder (Criterion B of Bipolar I).
In this essay, the author
- Opines that the patient should receive the diagnosis of bipolar i, current episode manic, severe severity, mood congruent psychotic features, with catatonia.
- Explains that mr. jock's symptoms have met criteria for an episode of mania, which is characterized by a period of abnormally and persistently elevated, expansive, or irritable mood.
- Analyzes how mr. jock meets both criterion a and b of a manic episode as he experienced more than three of those symptoms.
- Explains that the man developed an obsessive interest for religion, sexually demanding of his girlfriend, and psychomotor agitation during hospitalization.
- Explains that mr. jock was brought to the emergency room after psychotic (delusions and hallucinations) and psychomotor features began to affect his social and personal functioning.
- Explains that the dsm-5, criterion d for manic episode, states that a manic episode should not be attributable to the psychological effects of drugs, medication, treatment, or other medical conditions.
- Opines that even though the diagnosis for bipolar i does not require the presence of a major depressive episode, it is very common to see patients experiencing major depression, before or after manic episodes.
- Explains that mr. jock exhibits mood-congruent psychotic features and psychomotor features characteristic of catatonia. delusions and hallucinations should be consistent with typical manic episodes.
- Explains that mr. jock exhibited more than three of the 12 psychomotor features characteristics of catatonia.
- Explains that mr. jock's disturbance should be classified as severe due to the number of symptoms, severity, and degree of functional disability.
- Explains that bipolar i and ii are differentiated by the presence of a manic episode, which lasts only for 4 days and is not severe enough to cause marked impairment in social or occupational functioning.
- Explains that mr. jock met the criteria for a manic episode, excluding bipolar ii from the possible diagnosis.
- Explains that 90% of individuals who have a single manic episode go on to have future episodes. if untreated, patients could have between 8 to 10 episodes of mania in their lifetime.
- Opines that mr. jock should be treated with a combination of medical and psychosocial treatments, as stated by the internet mental health encyclopedia.
- Opines that it would be beneficial to educate mr. jock and his family regarding medication therapy in order to increase compliance to treatment.
- Opines that mr. jock should consider psychoeducation and care management to increase the effectiveness of the intervention. this will involve the patient and family members during the treatment as they learn about the course of illness, signs of relapse, and the benefits and risks involved in each treatment option.
1452 wordsRead More - The Three Parts of Susannah's Bookcomparative essayIn part one, crazy, Susannah described the beginning of her illness and how she got crazy from ambiguous symptoms, insignificant investigation results, and symptomatic treatment. First, the symptoms ranged from moderate to severe but the most severe symptoms were in her brain. To illustrate, she grew dizzy and queasy when she moved into crowded area. Moreover she had insomnia with sharp pain in her mind, like a migraine. Irrational jealousy compelled Susannah snoop through her boyfriend's stuff looking for signs of betrayal. In addition, hallucinations and paranoia were the most significant symptoms till she had the first seizure episode. Second, there were no significant findings of all the investigations and examinations. Specifically, CT scan, MRI, basic neurological exam, blood test, and EEG came back normal. Third, as there was no clear diagnosis, the treatment based on lifestyle change and relieving the symptoms. In particular, the gynecologist asked Susannah to stay off birth control while the neurologist instructed her to stop drinking alcohol and to take a rest from the work. Furtherm...
In this essay, the author
- Explains that susannah's book, brain on fire, is classified into three parts according to the progression of her mysterious illness, each part described certain moments of the illness in conjunction with her life.
- Describes how susannah got crazy from ambiguous symptoms, insignificant investigation results, and symptomatic treatment.
- Explains how dr. najjar asked susannah to draw a clock, which led to her diagnosis of autoimmune encephalitis.
- Explains that susannah's symptoms were related to the side effects of steroid and antipsychotics. she attended two evaluation sessions of rehabilitation medicine to evaluate her ability of recovery.
- Concludes that susannah classified her book into crazy, the clock, and in search of lost time. she used her skills as a reporter to write interesting book about her illness.
656 wordsRead More - College Student with Bipolar Disorderanalytical essayAccording to the Center for Clinical Interventions (n.d.), “There are a number of factors that interact with each other that may contribute to the development of this disorder in some people”. The factors can be both environmental and genetic. Although genetic factors are considered the most important for the bipolar disorder development, “episodes that develop after the first one appear to be more heavily influenced by environmental stress, sleep disruption, alcohol and substance abuse, inconsistent drug treatments, and other genetic, biological, or environmental factors” (Milkowitz, 2010, p. 74). Patient M had already suffered two similar episodes of strange behavior and her family history includes mood disorders concerning states of depression...
In this essay, the author
- Explains that bipolar disorder, also called manic-depressive illness, causes mood swings, lasting periods of depression, and episodes of mania. patient m shows all these symptoms while talking to her friends and professors in college.
- Explains that environmental and genetic factors can contribute to the development of bipolar disorder in some people. environmental stress, sleep disruption, alcohol and substance abuse, inconsistent drug treatments, and other genetic, biological, or environmental factors are considered important.
- Explains that she grew up with overprotective and over-demanding parents and chose to obey her parents because she was not a rebel like her siblings.
- Analyzes how the 20-year-old's childhood environment had influenced her current state. her parents had high demands, so she decided to become a politician. she wants to save the world from nuclear destruction.
- Explains that although everyone reacts emotionally to environmental factors, people with bipolar disorder can develop extreme moodiness in response to events in their environment.
- Explains that environmental and psychological risk factors can be considered more important than genetic risks. the twin of a person with bipolar illness does not always develop the disorder.
- Explains that the interaction between genetic and environmental factors is still unclear, but inheritance is obviously not as important as the person's psychological reactions towards the environment.
- Analyzes how patient m's obedient behavior suppressed many emotions and thoughts during her childhood. her natural process of growing up and becoming independent was impaired.
- Argues that the common pattern of brain development may be linked to general risk for unstable moods.
- Explains that research shows that mood disorders affect similar neurological circuits like depressions that arise from neurodegenerative illness.
- Explains that the amygdala, medial thalamus, and orbital and mediale pfc are the most affected areas in the brain when a person is suffering from mood disorders like bipolar disorder.
- Explains that biological factors influence the choice of medications in the treatment. mood stabilizing medication is usually the first choice for mood disorder treatments.
- Opines that antidepressants are a popular medication in mood disorder treatment, but some people are against them.
- Explains that there are no specific antidepressant drugs, and that long-term drug treatment with anti depressants or any other drugs has not been shown to lead to prolonged elevation of mood.
- Explains that psychotherapy is the most effective treatment because it does not leave any side-effects and it is constantly improving. cognitive behavioral therapy, family-focused therapy and interpersonal and social rhythm therapy are common approaches used with people who suffer from bipolar disorder.
- Explains that there are divided opinions on the course of treatments. some people believe that medical treatment and psychotherapy should be used together, while others think that medicine does not offer long-term solutions.
- Opines that in patient m's case, it is more important to work on her restlessness and her relationship with her parents. family-focused therapy will be necessary to solve the environmental influences that shaped her while she was a child.
1454 wordsRead More - Joan Stanley's Persuasion Research Paperanalytical essayCrawford’s symptoms include domestic violence, alcoholism and drug addition , obsessions, frequent nightmares, night raids, loneliness, frustration, sexual promiscuous, control issues, highly competitive, strict, deep hidden anger, fits of rage, strict rigid in her beliefs and a spending addiction.
In this essay, the author
- Analyzes how crawford's unresolved childhood issues have led to her maladaptive behaviors that are not only affecting her relationships and family.
- Explains that crawford's symptoms include domestic violence, alcoholism and drug addition, obsessions, frequent nightmares and night raids.
- Narrates how crawford was offered help through family and friends but denied that there was a problem.
- Explains that the official cause of death was an "acute coronary occlusion", she had no apparent history of heart problems, and no autopsy was performed.
- Explains that crawford was an alcoholic who favored sleeping pills. her addiction grew worse as her acting career declined, her drinking became a daily and nightly ritual.
- Explains that joan crawford, born lucille fay le sueur, was a white bisexual female actress whose age is unknown but her children are now grown and she died on may 10, 1977, new york townhouse, single and alone.
- Explains that ms. crawford grew up in san antonio, tx. her mother was poor, had 3 kids, 2 daughters, and a younger son. she suffered 7 miscarriages, but desperately wanted children.
- Analyzes how crawford was born lucille le sueur in 1905, with her father never marrying anna and leaving before her birth.
717 wordsRead More - Causes of Bipolar Disorder and Prevalenceexplanatory essayThis paper will discuss bipolar disease and is also called manic-depressive illness. It will discuss the causes and prevalence of bipolar disease. It will also discuss the signs of symptoms of the disease. The diagnosis and treatment of bipolar will be discussed. Several studies are included in this paper.
In this essay, the author
- Explains that the paper will discuss bipolar disease, which is also called manic-depressive illness, and the causes and prevalence of the disease.
- Explains that bipolar patients experience extreme emotional states that manifest in discrete periods known as mood episodes.
- Describes the symptoms of manic bipolar, including irritability, rapid talking, attempting to take on challenges, and being restless.
- Explains that patients with bipolar depression exhibit sustained periods of hopelessness, sadness, and loss of interests in activities, including sexual urges.
- Explains that diagnosis can only happen if a person experiences changes in moods or emotions. bipolar 1, bipolar ii, bp-nos, and cyclothymic conditions can be severe or mild depending on treatment and response to medication.
- Explains that bipolar disorder is a special case that requires specialized attention and treatment. understanding the disease is necessary to diagnose and treat it.
- Reviews neuroimaging studies of individuals at high genetic risk for bipolar disorder. australian and new zealand journal of psychiatry, 47, 1124-1135.
- Explains that bipolar disease manifests in the candidate and chromosomal regions, indicating a strong connection to hereditary components.
- Explains that bipolar can go unnoticed for a long time, but there is no cure for it. treatment helps to alleviate the severity of the disease by alleviating suffering.
- Summarizes the systematic review of the literature on bipolar disorder in primary care patients with depression or other psychiatric complaints.
1228 wordsRead More - Case Study: Suffering From Bipolar I, Or Bipolarexplanatory essayThe case study talks not only about Alia experiencing elevated mood levels, but it also discusses how she was suffering from depression months earlier. We know that mania is rarely seen on its own, and this case is no different. At this point we just need to determine whether or not Alia is suffering from full blown mania or just hypomania, because this tends to be the deciding factor when determining whether a patient is suffering from Bipolar I or Bipolar II.
In this essay, the author
- Explains that pierrepierre is a corporate lawyer who went from having fun-loving, outgoing lifestyle to suffering from months of sadness and helplessness.
- Explains that alia's case study discusses her elevated mood levels, depression, and mania, which is a deciding factor when determining if she is bipolar i or bipolar ii.
- Explains that alia is suffering from bipolar i and is cycling between the poles of mania and depression.
- Explains that rahim's symptoms would fall in line with a unipolar depressive disorder, since he doesn't experience happiness, irritability or agitation, so bipolar disorder can be completely ruled out.
703 wordsRead More - ICS Case Studyopinion essayB. Strategies to Defend ICS: Apart from penetration tests there are several strategies that ICS can implement to reduce the vulnerability and make the system. (“Seven steps to effectively defend ICS,” n.d.) Below are the strategies: 1. Implementation of Application Whitelisting (AWL): Detecting ICS cyber-attack is difficult; hence we need Application Whitelisting (AWL).
In this essay, the author
- Describes the strategies that ics can implement to reduce the vulnerability and make the system.
- Describes the types of awl methodologies that are most appropriate.
- Describes the key elements recommended for patch management program.
- Opines that it is essential to isolate the ics network from untrusted network specifically public internet.
- Advises to avoid restricted network paths and use a single open port, if tasks can be accomplished only by bidirectional communication.
- Explains that hsms are most commonly used in encryption applications, for secure key generation, trust-ed encryption/decryption and secure certificate operations in certificate authorities used to generate and manage public-key certificates.
- Explains that an authentication protocol (kerberos or terminal access controller access-control system (tacacas)) is essential for communication between the ics and authentication server.
- Explains that all passwords must be changed every 90 days for system a non-interactive account.
- Argues that corporate and control network zones should have separate credentials and these should be stored in separate trust stores.
- Opines that sharing active directory, rsa ace servers, or other trust stores between corpo-rate and control network should be strictly prohibited.
- Explains how to implement secure remote access, such as eliminating loopholes, using the same access path for employees and vendors, and not relying on "read only" access.
- Explains that attacks on critical infrastructure are likely to rise even more in the upcoming years and intensity will be much higher than the current situation.
- Explains that detection of ics cyber-attacks is difficult, hence we need application whitelisting (awl). awl detects and prevents malware executions.
- Explains that attackers have created malicious software-based exploits that can compromise the os to capture passwords, steal sensitive data or cause denial-of-service attacks. advanced threats succeeding against server security have led to the development and deployment of hardware security modules for running mission-critical security applications.
- Explains distributed access management in small ics organizations, and centralized account management, in large organizations where managing each system is not possible.
- Explains that monitoring systems for adversarial penetration and being prepared for quick responses is essential. monitoring programs can be: ip traffic monitoring for abnormalities, use of host based products to detect attack attempts, using login analysis for improper access.
881 wordsRead More - Mental Health Case Study Essayexplanatory essayThe mental state examination showed a poor hygiene lady who appeared irritable in the presence of community team. She was guarded with her symptomatology and had a poor insight into her mental illness. The physical examination was
In this essay, the author
- Describes madam m as an obese middle-aged lady dressed in casual t-shirt and long pants. the clothes emitted foul smells.
- Analyzes how she spoke in normal rate, but raised her volume when the medication issue was mentioned.
- Explains that she was preoccupied with the plans of returning to her previous workplace to work as a magistrate again.
- Explains that it was difficult to elicit the thought disturbances, since she was guarded with her symptoms.
- Explains that she was able to expound the meaning of a proverb, “don’t judge books by their cover.”
- Analyzes how the woman's judgment was impaired as she felt it was not abnormal to plant cotton sticks in the vase.
- Opines that madam m had no insight. she did not attribute the symptoms to psychiatric illness. there was no need for her to receive any treatment or follow-up.
- Explains that she requested the community team not to come to her house in the future as she felt that they were violating her privacy.
- Describes madam m as a medium-built lady with central obesity. she was conscious, alert, and orientated.
- Explains that the air entry was good and equal on both sides. there was no additional sound like crepitation or rhonchi being heard.
- Explains that there was central obesity on inspection. the abdomen was soft and non-tender. no organomegaly was reported.
- Explains that madam m walked with normal gait, no abnormal movement, pupils were reactive and equal to light, cranial nerves were grossly normal, power, tone, and reflexes of all four limbs.
- Explains that the patient's paternal uncle was socially withdrawn with a deterioration of his function in his twenties, but his family did not bring him to seek medical attention due to his negative perception of the mental illness.
- Explains that madam m's father practiced an authoritarian parenting style, setting strict rules and expected his children to follow the rules unconditionally. being the eldest girl in the family, she had to be the role model of her younger siblings.
- Explains that madam m was raised in a socioeconomic deprived environment. her painful childhood memories predisposed her to mental illness in the adulthood.
- Explains that the main reason of the latest relapse was treatment non-adherence. since november 2015, she defaulted her treatment due to a poor insight into her illness and her stigma to be label
- Explains that treatment non-adherence contributed to all the relapses of the patient.
- Explains that due to his busy work, her husband rarely took part in the treatment plan of madam m.
- Explains that madam m presented with three out of five symptoms in criterion a for months, namely hallucinations, delusion, and disorganized behaviors.
- Explains that madam m neglected her personal hygiene during the relapse and was forced into an early retirement as she was unable to carry out her job as a magistrate.
- Explains that although madam m had a low mood due to the frequent absence of her husband, there was no major mood episode that had occurred concurrently with the active-phase symptoms.
- Explains that the disturbance was not attributed to the physiological effect of a substance or any medical condition.
- Opines that there were no histories suggesting autism spectrum disorder or a communication disorder of childhood onset.
- Explains that madam m had multiple delusions, namely delusion of persecution, control, and reference.
- Explains that the woman had auditory hallucinations, tactile hallucinos, and scribbling delusions.
- Explains that the patient had a depressive mood and felt lonely due to her husband's frequent absence from home. the low mood was not pervasive and she did not have any depressed episode that fulfilled the criterion a of major depress disorder.
- Opines that although madam m denied the use of substance, substance-induced psychotic disorder is possible. she was very guarded with her symptoms and her history, hence covert drug history should always be sought thoroughly.
- Explains that the patient had a good premorbid function and high socioeconomic status, and the main goals of the treatment were:
- Describes madam m as a confident and charming lady who was concerned about her physical appearance and dedication to her work. she was self-centered and controlling.
- Describes madam m, a retired bidayuh lady, who defaulted her medications and had relapsed. she presented with auditory and tactile hallucinations, delusion of persecution and disorganized behaviors.
- Explains that madam m's supportive husband never gives up on her, despite multiple relapses and deterioration of her function. his willingness to cooperate with the psychiatric team enabled the treatment regime to be a success.
1928 wordsRead More - Summary Of Virginia Woolf's 'The Hours'analytical essayPatients are given a prescription of medications that reduce psychotic symptoms and antidepressants (2011). Schizoaffective disorder is a amalgamation of mood and cognitive disturbances. This was evident in the manner that interacted with her household help and sister. She was anxious whenever she had to give orders to her cook therefore, she had difficulty establishing a sense of control in her household. Treating schizoaffective disorder pharmacologically may be complicated because the individual may be too depressed or suffering from paranoia about the medication. Virginia may have benefited from medication because she had a support system that could assistance in compliance. When the patient takes the medications as prescribed the symptoms of paranoia , hopelessness and lack of concentration can be
In this essay, the author
- Analyzes how virginia woolf's "the hours" is based on the pulitzer winning novel by michael cunningham.
- Explains that virginia woolf's primary diagnosis is schizoaffective disorder, a blend of schizophrenia and depression where symptoms of both diseases are concurrent.
- Opines that a combination of psychological, pharmacological, and physiological approaches will make for effective treatment of schizoaffective disorder.
- Recommends individual psychological therapy that focuses on goal development, self-improvement, and relationship building. inviting virginia's family into the therapeutic process can decrease feelings of social isolation and fortify their support system.
- Recommends a physical exam to check for underlying symptoms. a thorough medical exam can rule out interactions of prescribed drugs as well as illicit drugs.
- Analyzes how virginia woolf's determination to commit suicide was evident in her suicide note to her husband when she stated she had gone mad again and that she is incurable.
890 wordsRead More