Posted: February 15th, 2023
Mood Stabilizing Agents
Instructions: Case Discussion on Bipolar Disorder:
Wendy is a 30-year-old, unemployed white female. She is no stranger to therapy, having seen counselors for most of her teen and adult years. Her friends would describe her as a “wild woman” who takes no crap from anyone. She has held various part-time jobs for the last few years because she usually gets angry at her boss or coworkers and quits. While she has had a string of boyfriends over the years, she has been seeing one man for the last year or so. He too is unemployed and has both an alcohol and methamphetamine problem. She describes the relationship as “addictive and dysfunctional, yet exciting and hot.” Wendy is back in treatment at the urging of her parents, who describe her behavior as erratic and unpredictable. They also claim that she has periods where she “sleeps little and parties lots.” There were also several occasions in the last five years when she was so depressed she didn’t eat or want to leave the house. Her father also admits to periods of depression, and Trisha’s grandfather was diagnosed with manic depression, resulting in numerous hospitalizations in the 1950s and 1960s. Wendy’s only brother died in a car accident several years ago. He was drunk at the time, but she claims he had a long history of depression. Recently Trisha was arrested for disorderly conduct at a friend’s party. She had not slept for nearly 24 hours and was drunk and combative. When she was first approached by police, she solicited them for sex. They report that she was rather hyperverbal and hyperactive. They later had to investigate a complaint from local storeowners for bad checks she wrote in excess of $7,000.
Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.
SOLUTION
It appears that Wendy is displaying symptoms consistent with bipolar disorder, including periods of depression and manic behavior. Her family history, with her father also experiencing depression and her grandfather being diagnosed with manic depression, is also a significant risk factor for the disorder. Additionally, Wendy’s impulsive behavior, including quitting jobs and engaging in a dysfunctional and addictive relationship with a man who has substance abuse problems, is consistent with manic behavior.
Wendy’s recent arrest for disorderly conduct and writing bad checks also suggests that she is experiencing significant impairment in her daily life, which is often a hallmark of bipolar disorder. It is crucial for her to receive an accurate diagnosis and appropriate treatment, including medication and therapy, to manage her symptoms and reduce the risk of further episodes of depression or mania. Family support and education will also be important in helping Wendy understand and manage her condition.
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