Bipolar I Case Study

The client is a 35 year old African American female who presented as open and anxious during the assessment. In 2011, the client was diagnosed with Bipolar and Anxiety. In 2015, the client was hospitalized for 7 days at Richmond Behavioral Health Authority. The client was admitted due to symptoms of irritability, lost track of time and blacked out. The client was prescribed Seroquel and Topamax.

Bipolar disorder, also commonly referred to as manic-depressive illness, is a brain disorder that causes unusual and heightened swings in a person’s mood, energy level, and ability to function. The symptoms of bipolar disorder can be severe and therefore, they are quite different from the normal shifts in mood that everyone goes through on a daily basis. The effects of bipolar disorder can result in broken relationships, poor performance at work or school, self-mutilation, and even suicide. However, in most instances, bipolar disorder can be treated and people with this illness can lead normal and productive lives with the help of medication and therapy.

Thankfully, there are various treatments and therapies, which can help manage bipolar disorder in an individual. Since all patents are different, experimenting with multiple treatments is always a good idea, to help figure out what will work best for them. Medication is a main and most popular route, including mood stabilizers, antipsychotics, and antidepressants (“National Institute of Mental Health”). Unfortunately, medications can have their downsides and often getting the patient to regularly take their medication is one of the biggest challenges. Another option for the patient to consider is psychotherapy. This includes different kinds of verbal therapy such as cognitive and behavioral therapy (“Bipolar Disorder”). Therapy is not only helpful for the affected person but also can help the family cope. Lifestyle changes such as healthier lifestyle, organized schedule, and the limitation of alcohol and drug consumption, can contribute to managing this disorder. Overall though, this disorder affects everyone differently, and the patent needs to consult a doctor and psychiatrist to figure out what will help them handle their symptoms the most

Bipolar disorder is a mental illness which causes extreme mood swings in which the person would have times of emotional highs (manic or hypomania) and lows (depression), with periods of normal mood in between. Bipolar can affect relationships and the ability to carry out day to day tasks.

Bipolar I is identified by the length and severity of the manic and depressive episodes. The manic episodes must last for at least seven days or they must be so severe that a person requires immediate hospitalization. The depressive episodes last around two weeks. These episodes, both manic and depressive, must be an extreme, major alteration from the person’s normal behavior. An effective treatment plan for bipolar I includes medication and psychotherapy. The medication helps with stabilizing a person’s mood and the psychotherapy is for the prevention of relapse and the reduction of symptom severity. Many people with bipolar I take combination medicine treatment. The treatment includes a mood stabilizer; sometimes an anticonvulsant other times a non anticonvulsant, and an antidepressant, to help reduce depression episodes. Doctors prescribe both an anticonvulsant and an

Bipolar I, also know as manic depression to some, is a mood disorder that affects emotion. The disorder is categorized by a persons erratic mood shift. Bipolar I disorder was given its name because of the emotional episodic mood shifts that a person with the disorder goes through. The mood shifts are categorized by having a depressive low to a manic high. To be diagnosed with Bipolar I disorder the person needs to have at least one manic episode and at least one depressive episode in their life time. Even if the person only has one manic episode and then was in a continuous depressive episode the rest of their life, they will still classify as having Bipolar I disorder since the manic episode is a big decider on the classification of the disorder.

In the three papers I have submitted this semester on Bipolar I Disorder (BD), I have discussed etiology, subpopulations and comorbidity, and current gaps in care. In this paper, I will continue to discuss these topics by outlining what kinds of epidemiological evidence are still needed to improve care for children and adolescents with mental health disorders, identifying anxiety disorders as subpopulation that needs further research, and giving three recommendations for how we should address gaps in care for those with Bipolar I Disorder.

The person served is a 65 year old, white female who was referred to Supportive Housing from Runnels Hospital on 11/14/2015. Prior to Runnels hospital, the person served had lived in Old Bridge, NJ for nine years where she was evicted from her apartment due to issues with her neighbors. She has a diagnosis of Bipolar Disorder and has had multiple hospitalizations due to not following up with her medications. The individual was discharged on 4/7/2015 from Runnels Hospital to supportive housing once housing was found and she was ready for living in the community. Her initial goals were for medication management, skill building for community living, organizing apartment and support for her anxiety. She was re-hospitalized at Overlook Medical

(2000) explained that the prevalence of bipolar spectrum disorder is between 2.6% and 6.5%, which can be compared to the prevalence of drug abuse which is 4.4%. Bipolar can be classified as a spectrum disorder because it forms an umbrella for bipolar I disorder, bipolar II disorder, cyclothymia, and bipolar disorder not otherwise specified. Unfortunately, bipolar spectrum disorders often go undiagnosed and therefore untreated. With that, Hirschfelt et all (2000), emphasizes the importance of recognizing this disorder. With recognition, these individuals can seek intervention for this disorder and decrease its symptoms and its progression. One way to diagnose this disorder is to screen for it by performing a mood disorder questionnaire. The researchers created a one-page, self-report, paper-and-pencil inventory that can be easily evaluated and administered. The questions were derived from the DSM-IV criteria at the time, but have been updated to the newest version’s clinical

Introduction Bipolar disorder can occur in any gender, any race, or even at any age; there are no regulations on how or when an individual is diagnosed with bipolar disorder. Bipolar disorder has been around for many centuries, and some say that the earliest dealings with bipolar disorder in individuals occurred during the first century in Greece. During this time in Greece, Aretaeus of Cappadocia began the quest into the disorder by beginning the process of detailing symptoms in the medical field for bipolar disorder. There were even times in the early existence of bipolar disorder when individuals who were dealing with this disorder were executed because they were thought to be possessed by demons (Krans, 2012). Since then, the outlook

Bipolar disorder, or manic depressive disorder, is a disorder characterized by extreme mood changes. People with this disorder undergo unusual shifts in his or her mood, activity levels, energy and the ability to carry out daily activities (National Institute of Mental Health, n.d.). A person can go from being very outgoing and energetic to feeling irritated and worthless over a period of a few days, months, or even years. People with bipolar disorder experience “mood episodes”, represented by a drastic change in a person’s unusual mood or behavior (National Institute of Mental Health, n.d.). A manic episode he or she may experience is overexcited and overly joyful; however, someone in a

“Bipolar disorder, also commonly known as manic depression, is defined as a serious mental illness in which common emotions become intensely and often unpredictably magnified. Individuals with bipolar disorder can quickly alternate from extremes of happiness, energy and clarity to sadness, fatigue and confusion. All people with bipolar disorder have manic episodes abnormally elevated or irritable moods that last at least a week and impair functioning. But not all become depressed ” (American Psychological Association, 2015). Bipolar disorder can vary in each individual. The symptoms fluctuate in pattern, severity and rate of recurrence. Some people are more susceptible to either mania or depression, while others change proportionately between the two types of episodes. Some have frequent mood disruptions, while others live through a few throughout their lifetime.

Bipolar disorder is an emotional instability checked by great movements in disposition going from a hyper to a depressive state. Bipolar disorder is additionally called bipolar disease or manic depression. Bipolar disorder oppresses 3 to 5% of the populace with inconvenient impact on life possibilities. People with Bipolar Disorder will face life span danger for mood shifts, including fatal consequences. “It is sixth most common cause of disability in the United States (Altman et al., 2006).” As demonstrated by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition the two most basic sorts of Bipolar Disorder are bipolar I disorder (BDI) and bipolar II disorder. There are a wide range of symptoms and a few distinct

According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) bipolar disorder is divided into several more specific categories. Bipolar I Disorder, is categorized by mixed episodes of mania that can last anywhere between seven days to two weeks. Bipolar II Disorder is defined by depressive and hypomanic episodes, although they are not mixed or exaggerated. Bipolar Disorder NOS, is when the symptoms of bipolarity are clearly present in a patient and they alter his/her normal behavior, yet it does not quite fit in the criteria of either Bipolar II or I. Cyclothymic Disorder, another form of bipolarity, is a very mild form of the disorder yet the patient’s manic or depressive episodes do

The following essay will look at the health related issue bipolar disease first previously described as ‘manic depression insanity’ was seen as different from other mental illnesses by psychiatrist Emil Krapelin in 1899 (Goodwin, Guy, Sachs, Gary, 2010).However the illness ‘bipolar’ was named in the 1960’s by psychiatrist Angsy and Perris who both understood the illness happened in mania and mood altitude (Goodwin, Guy, Sachs, Gary, 2010). According to the National Institute of Mental health in many cases diagnoses for the condition isn’t diagnosed until the late adolescent to the early adult years of a person’s life. The reason being that the condition is not easy to identity therefore, the life long illness can unfortunately go unrecognised for years until a proper diagnosis is done (National Institute of Mental health 2012).