What type of disorder/s does she have? **Article: Nancy Ingram's Mental Health Journey**Nancy Ingram, a 33-year-old stock analyst and married mother of two children, experienced a severe mental health episode. Her husband described it as "another cycle of depression," marked by a short temper, tearfulness, and insomnia. These “dark periods” were not new, having occurred multiple times in the previous year, usually managed with fluoxetine. However, he noted an increase in severity and frequency. He also suspected alcohol and clonazepam might worsen her symptoms.Recently, Nancy began an uncharacteristic activity: creating a blog titled "Nancy Ingram's Best Stock Picks." This was against company policy and consumed her time, ignoring personal responsibilities. Her husband decided to seek emergency help when this behavior surfaced.Nancy’s mental health history includes depression since college, worsened by hereditary factors such as her father’s suicide and her grandmother’s breakdowns. Her past involved sporadic psychotherapy and antidepressant use, but her depressive baseline persisted.According to her psychiatrist, Nancy showed signs of dysthymia and recurrent major depression, never seeking help during severe episodes. In the exam room, Nancy was agitated, untidy, with glazed eyes, and exhibited pressured speech. She admitted to poor sleep and displayed impaired judgment, claiming unique abilities like predicting the stock market. Her insight was poor, leading to concerns over her mental health stability and treatment adherence.

Serotonin, also known as 5-hydroxytryptamine or simply Serotonin, is a neurotransmitter found in the blood of people. It is crucial in the regulation of biological activities including as digestion, sleep, well-being, mood, and bone health. The serotonin hormone regulates people's emotions and anxiety levels through affecting their psychological and physiological functioning. People experience a variety of mental and psychological symptoms as a result of a serotonin shortage or decline in their bodies.Mrs. Nancy Ingram, a mother of two, has bipolar disorder (BPD), according to the information provided in the question. Her most recent episodes show a mixture of traits and a quick cycle of manic moods. Serotonin deficiency elevates people's emotions, causing extreme mood swings, irritation, melancholy, anxiety, serious depression, bipolar illness, and suicide thoughts. BPD is a mental illness that is characterized by alternating bouts of joy and despair. Bipolar people have experiences of severe sadness as well as moments of mania, which include feelings of extreme joy, excitement, or happiness, a lot of energy, a lack of need for sleep, and a lack of inhibitions. Bipolar disorder is unique and personal and everyone hold distinct symptoms and episodes. Mrs. Ingram does show tearfulness and irritation, but her speech patterns are quick and hurried, which are typical of manic episodes. Her sleeplessness is a symptom of sadness, and her anger is a symptom of both mania and depression. Her sarcastic demeanor in the interview demonstrates her lack of awareness and judgement, and her history of at least (six) episodes verifies her status as a bipolar lunatic (as per DSM-5 criteria). Her crazy episodes are accompanied by persistent depressed symptoms, maybe dysthymia, and hypomania. Her mixed qualities include both mania and despair. Her previous prescription was fluoxetine (which may have been prescribed due to her diagnosis of true depressive symptoms and episodes), but while the effect of this SSRI could clear depression issues, she may have been suffering from continuous hypomanic symptoms, making fluoxetine less effective in treating her episodes. Her diagnosis of these events lacks precision due to her family background, alcohol usage, and grandmother's breakdown. Her self-medication of her dysphoria with clonazepam and alcohol may have exacerbated her episodes and symptoms.

Social Science

Psychology

Nancy Ingram, a 33-year-old stock analyst and maried mother of two children, was brought to the emergency room (ER) after 10 days of what her hus- band described as "another cycle of de- pression," marked by a hair-trigger tem- per, tearfulness, and almost no sleep. He noted that these "dark periods" had gone on as long as he had known her but that she had experienced at least a half dozen of these episodes in the prior year. He said they typically improved within a few weeks of restarting her fluoxetine. He added that he wondered whether alcohol and clonazepam worsened her symp- toms, because she routinely ramped up their use when the dark periods began. Ms. Ingram's husband said he had de- cided to bring her to the ER after he dis- and treatment history were unknown. Since college, her mood had generally been "down," interspersed with recurrent bouts of enhanced dysphoria, insomnia, and uncharacteristically rapid speech and hyperalertness. She had tried psychother- apy sporadically and taken a series of an- tidepressant medications, but her hus- band noted that the baseline depression persisted and that the dark periods were increasing in frequency. Her outpatient psychiatrist noted that Ms. Ingram appeared to have dysthymia and a recurrent major depression. He also said that he had never seen her dur- ing her periods of edginess and insom- nia-she always refused to see him until the "really down" periods improved- and that she had refused him access to her husband or to any other source of collateral information. On examination, the patient was pac- ing angrily in the exam room. She was dressed in jeans and a shirt that was carelessly unbuttoned. Her eyes ap- peared glazed and unfocused. She re- sponded to the examiner's entrance by sitting down and explaining that this was all a miscommunication, that she was fine and needed to get home imme- diately to tend to her business. Her speech was rapid, pressured, and very difficult to interrupt She admitted to not sleeping but denied that it was a prob- lem. She denied hallucinations but ad- mitted, with a smile, to a unique ability to predict the stock market. She refused cognitive testing, saying she would de- cline the opportunity to be a "trained seal, a guinea pig, Mr. Ed, and a barking dog, thank you very much, and leave now?" Her insight into her situa- tion appeared poor, and her judgment was deemed to be impaired. 3.2. vered that she had recently created a g entitled Nancy Ingram's Best Stock ks. Such an activity not only was out character but, given her job as a stock alyst for a large investment bank, was ctly against company policy. He said t she had been working on these stock ks around the clock, forgoing her own als as well as her responsibilities at rk and with her children. She coun- ed that she was fine and that her blog uld "make them as rich as Croesus." The patient had first been diagnosed h depression in college, after the death er father from suicide. He had been a ily erratic, alcohol-abusing business- whom the patient loved very much. paternal grandrmother had several vous breakdowns," but her diagnosts may