Mood Stabilizing Agents Instructions: Case Discussion on Bipolar Disorder|Quick homework help

Posted: February 15th, 2023

Mood Stabilizing Agents

Instructions: Case Discussion on Bipolar Disorder:

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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.

  • Summarize the clinical case.
  • Create a list of the patient’s problems and prioritize them.
  • Which diagnosis should be considered
  • What is your rationale for the diagnosis
  • What differential diagnosis should be considered
  • What test or screening tools should be considered to help identify the correct diagnosis
  • What treatment would you prescribe and what is the rationale (consider psychopharmacology, diagnostics tests, referrals, psychotherapy, psychoeducation)
  • What standard guidelines would you use to assess or treat this patient

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.

Submission Instructions

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 evidence-based sources.

SOLUTION

Clinical Case Summary: Wendy is a 30-year-old unemployed white female with a history of being in and out of therapy. She has a pattern of quitting jobs due to anger and has had multiple boyfriends, including one with a substance abuse problem. Her parents have noticed erratic and unpredictable behavior, including periods of excessive partying and little sleep, as well as episodes of severe depression. Wendy’s brother had a history of depression and died in a car accident while intoxicated. Recently, Wendy was arrested for disorderly conduct and had written bad checks in excess of $7,000.

List of patient’s problems and prioritization:

  1. Disruptive behavior, including quitting jobs, unstable relationships, and legal trouble
  2. Mood instability with periods of depression and hyperactivity
  3. Substance abuse
  4. Family history of mental illness and substance abuse

Diagnosis to be considered: Bipolar disorder

Rationale for diagnosis: Wendy’s symptoms of mood instability, including episodes of depression and hyperactivity, along with her family history of bipolar disorder, suggest that this could be the primary diagnosis. Her risky behavior, including substance abuse and legal trouble, can also be consistent with bipolar disorder.

Differential diagnosis to be considered:

  1. Borderline personality disorder
  2. Substance use disorder with co-occurring mood disorder
  3. Attention-deficit/hyperactivity disorder (ADHD)

Test or screening tools to be considered:

  1. Mood Disorder Questionnaire (MDQ)
  2. Structured Clinical Interview for DSM-5 (SCID-5)
  3. Substance Abuse Subtle Screening Inventory (SASSI-3)
  4. ADHD Rating Scale-V (ADHD RS-V)

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