Danny's case, we do not have enough information thus far to make an accurate diagnosis. The information that he has provided is helpful as a starting point, but Danny has indicated that he is somewhat uncooperative at this point (he says he is not here for you to diagnose him with depression and that his arrival at your office is mandated by the school as part of his probation -- otherwise he would not be there). So, in order to properly diagnose Danny, more time will be needed and more information. Nonetheless, there are signs, just from the little that we have to go on, that could point us in the right direction. The history provided by the parents and the comments made my by Danny himself do suggest that Danny may be showing symptoms of bi-polar disorder…but more work must be done before this diagnosis can be made.
In order to better assess the situation, we might ask Danny a host of other questions, such as:
Have there ever been times when you feel like you are a kid on Christmas morning? Do these instances ever last for days on end?
Do you experience times of high energy? Do you ever have racing thoughts or feel pressure to keep talking? Do you ever feel overwhelmed by your thoughts, confused by them, or do they generally lead to clarity and illumination?
Do you start lots of projects...
In other words, the nurse needs to become the patient's mentor and confidant all at the same time. This requires excellent communication skills and listening skills on the part of the nurse. Applicable Psychological Theory: Cognitive Behavioral Therapy (CBT) The Cognitive Behavioral model is an amalgamation of three major psychology disciplines: behavior therapy, cognitive therapy and social psychology (Cooper & Lesser, 2008). There are a series of steps that need to be
Assessing and Treating Patients with Bipolar Disorder Bipolar disorder, also referred to as manic depression, is an episodic or chronic mental disorder characterized by fluctuating and often extreme changes in energy, mood, and activity levels, thus affecting a person’s focus and concentration. Whereas it is normal for humans to experience shifts in energy level and mood from time to time, the shifts for bipolar patients are extreme and can be rather
Treatment of Psychological Disorders The patient is a 46-year-old man who is experiencing difficulties at work to which he attributes the symptoms he is experiencing. Presenting symptoms include feelings of depression, difficulty sleeping, loss of appetite, difficulty concentrating, anxiety, and three episodes of panic-attack. The patient's wife is very worried about her husband and reports that their communication is practically non-existent over the past three weeks. Schema for Diagnosis, Treatment, and
Seasonal Affective Disorder (SAD) is a mood disorder associated with specific periods of the calendar year. SAD is more commonly found in geographic locations with long winter seasons with shorter daylight hours, less sunlight, and longer nights. This lack of sunlight has been directly connected to mood changes in a variety of populations and is most common at latitudes that experience less light during the winter seasons. In addition, some
32) The overall diagnostic and symptomatic patterns described by these points indicate that BPD is a serious disorder and is "...classified as a major personality disorder involving dramatic, emotional, or erratic behavior; intense, unstable moods and relationships; chronic anger; and substance abuse." (Boucher, 1999, p. 33) There are a number of criteria which, in line with DSM-IV, are used to identify and characterize this disorder. The first of these criteria refers
NURSING Nursing: Therapy for Patients with Bipolar DisordersBipolar disorder is one chronic illness that has gained emphasis over the past few decades. Depressive symptoms are included in this condition, which could be observed during adolescence or young adulthood and carried on in the late years of the patients’ lives (McCormick et al., 2015). Recurrent episodes of mood pathology could be witnessed for bipolar patients as there is a relative minimum
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