The patient Thabo in the case study may be diagnosed with having bipolar I with a comorbidity of obsessive compulsive disorder (OCD). The following essay aims to discuss how the patient was diagnosed and the reasons for this diagnosis. This will be done by discussing how Thabo’s behaviours may be classified as abnormal and by listing the symptoms of abnormality. This would then lead to the differential diagnosis of schizoaffective disorder and substance abuse disorder, which will then facilitate the discussion of why Thabo is diagnosed with bipolar I with comorbidity OCD.
A mental disorder and abnormal behaviour are defined as a psychological dysfunction of an individual that is associated with distress or impairment in functioning, along with a response that is not typical (Barlow & Durand, 2012). Thabo may be classified as having abnormal behaviour and mental illness due to the fact that personal distress is seen in his obsessive compulsive tendencies, suicidal thoughts, depression and psychosis. Due to these factors Thabo has impairment in his occupation and social life. These behaviours of Thabo are atypical and therefore Thabo meets the criteria for a psychological disorder as he shows signs of psychological dysfunction, distress or impairment, and atypical responses.
Mental disorders are described by not just one, but a set of syndromes as seen in the theory of multidimensional models (Barlow & Durand, 2012), and this is seen in Thabo as he suffers numerous abnormal symptoms. Initially he seeks help for his constant worrying and lack of concentration, which may potentially be a cause of his obsessions and compulsions, and this will be discussed further in the essay. He has episodes of depression, which at some point eve...
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What do bipolar disorder and obsessive disorder have in common? They are both diseases that three authors have given to their characters in order to develop a great story. Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in a person's mood, energy, and ability to function. Different from the normal ups and downs that everyone goes through, the symptoms of bipolar disorder are severe. They can result in damaged relationships, poor job or school performance, and even suicide (Stoppler). Obsessive-compulsive disorder (OCD) is classified in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) as an anxiety disorder. It is characterized by distressing intrusive thoughts and/or repetitive actions that interfere with the individual's daily functioning. The DSM-IV criteria for OCD are as follows: The individual expresses wither obsessions or compulsions. Obsessions are defined by the following four criteria: recurrent and persistent thoughts, impulses, or images are experienced at some time during the disturbance as intrusive and inappropriate and caused marked anxiety and distress. The thoughts, impulses, or images are not simply worries about real-life problems. The person attempts to suppress or ignore such thoughts, impulses, or images or to neutralize them with some other thought or action. The person recognizes that the obsessional thoughts, impulses, or images are a product of his/her own mind (not imposed from without as in thought insertion). Compulsions are defined by the following two criteria: the person feels driven to perform repetitive behaviors (e.g. hand washing, ordering, checking) or mental acts (e.g. praying, counting, repeating words silently) in response to an obsession or according to rules that must be applied rigidly. The behaviors or mental acts are aimed at preventing or reducing distress or preventing some dreaded event or situation; however, these behaviors or mental acts are either not connected in a realistic way with what they are meant to neutralize or prevent or they are clearly excessive (PsychologyToday). Tennessee Williams' character Blanche DuBois, from Streetcar Named Desire, Hamlet from William Shakespeare's Hamlet, and May from Sue Monk Kidd's The Secret Life of Bees all suffer from these two illnesses in their own ways like by lying and believing their lies to escape reality, lying and acting crazy to seek revenge on another character, and getting really upset by the world's problems and then start singing.
Obsessive-Compulsive Disorder is a disease that afflicts up to six million Americans, however all its characteristics are yet to be fully understood. Its causes, triggers, attributes, and variations are still unknown although effective medicines exist to treat the symptoms. OCD is a very peculiar disease as Rapoport discusses it comes in many different forms and have different symptoms yet have many similarities. One sure aspect is that it appears, or at least its symptoms do, out of the blue and is triggered either by stressful experiences or, most of the time, just appears out of nowhere. One example is a boy who's father was hard on him for being affected by the worlds "modern ways", the boy at a high school party tries LSD ( a hallucinatory drug), after that thoughts of whether his mind was dangerously affected by the drug. What seemed like completely appropriate worrying and anxiety turned into attacks of anxiety, he couldn't shake the thoughts that something was wrong with his mind. Essentially he had "his mind on his mind" constantly and that haunted his days his thought were as follows: " did the lsd do anything to my mind? The thought never went away ; instead it got more and more complicated. There must be something wrong with my mind if i am spending so much time worrying about it. Is there something wrong with my mind? Was this from the lsd? Will it ever get better?" (The boy who, J. L. Rapoport 125,126) Dr. Rapoport promptly put him on Anafranil (an anti-depressant, used for OCD, not marketed in the U.
For the future, a yearlong study of at least 10 bipolar drugs are being conducted and compared to figure out the best combinations (Kluger and Song, 2002). Brain scans are also being completed to determine which lobes and regions are involved in Bipolar Disorder (Kluger and Song, 2002). A blood test that allows bipolar disorder to be spotted just as simply as high cholesterol is a process in the making (Kluger and Song, 2002). A blood test will finally eliminate years of incorrect diagnoses, along with misguided treatments (Kluger and Song, 2002).
Obsessive-Compulsive Disorder (OCD) is a disorder which causes people to develop an anxiety when certain obsessions or compulsions are not fulfilled. OCD can affect both children and adults with more than half of all adults with OCD stating that they experienced signs as a child. People living with OCD display many obvious signs such as opening and closing a door fifty times because they have to do it “just right”. Others exhibit extreme cleanliness and will wash their hands or take showers as often as they can because they constantly feel dirty. OCD devastates people’s social lives as they are fixated and obsessed with perfection that can take forever to achieve. However people living with OCD are often found to have an above average intelligence and typically excel at school due to their detail oriented mindset, cautious planning and patience. OCD can be caused by many different factors such as genetics or the ever changing world a...
Obsessive compulsive disorder is a psychological disorder with symptoms of obsessive thoughts and compulsive actions, such as cleaning, checking, and counting. OCD is linked to other disorders such as attention deficit hyperactive disorder (ADHD) and experiential avoidance disorder (EA). OCD and ADHD have similar effects in children being that they both lead to procrastination when trying to complete simple tasks. People with OCD and EA both have consistent negative thoughts but the same treatments can be used for both. The neurobiological link between OCD and ADHD says “Obsessive compulsive disorder and attention deficit hyperactivity disorder are two of the most common neuropsychiatric diseases in pediatric populations. Neuropsychological and neuroimaging studies suggest that partly similar executive functions are affected in both disorders” (Brem et al. 175). OCD and ADHD are very common especially in children and they both have similar effects. People with obsessive compulsive disorder put themselves through a lot more ...
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The human brain is a very complex system, much like a city it strives for order and efficiency. However a patient with Bipolar Disorder has a very chaotic type of brain function; causing changes in mood and sometimes suicidal thoughts
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Obsessive Compulsive Disorder is a disease that a lot of people suffer with in society especially young adults. While it is not a disease that is deadly, it does affect the victim in every day aspects of their life and can ultimately control their lives. Obsessive Compulsive Disorder (OCD) is defined by the National Institute of Mental Health as, “… a common, chronic and long-lasting disorder in which a person has uncontrollable, reoccurring thoughts (obsessions) and behaviors (compulsions) that he or she feels the urge to repeat over and over”. The thoughts that individuals have when suffering through Obsessive Compulsive Disorder cannot be restrained and really can disturb the individual. Thoughts or actions that people may have can range from worrying about daily occurrences, such as washing their hands, to having thoughts of harming people that are close to them. People tend to have these reoccurring compulsions because they believe by doing them or thinking them, they will either prevent something bad from happening or because it eliminates stress that they have. This disease can last a lifetime and can be very detrimental and disabling to how one lives their lives. Individuals can start to see signs of OCD in either late adolescence or even early adulthood and everyone is susceptible. When it comes to classifying this incurable disease, there is much debate on whether or not it a type of anxiety (Abramowitz, Taylor, & McKay, 2009). It is important to be able to understand this mental disorder since so many people are diagnosed with it. While there are treatments for OCD, there are no cures yet. Treatments could range anywhere from taking prescribed medication to just going to therapy and counseling fo...
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