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 and goal-directed activities?
Do you ever feel more distracted than usual? If so, how long do those periods usually last?...
st? What's the longest they have lasted? (4-7 days hypo manic meaning Bipolar 2, 7 + days manic meaning bipolar).
When you become sad you have trouble enjoying yourself? Does your appetite change? Do you experience a prolonged loss of appetite? Do you feel like you are moving in slow motion? Are you fatigued or do you have a loss of energy? Do you have trouble concentrating or making decisions?
Do you feel that there is a difference between being sad and being depressed? If so, could you explain this difference?
When you tried to hurt yourself were you trying to die? Have you ever tried to kill yourself? Do you find yourself thinking about death or suicide when you are sad? Do you find that your social life, education, or occupation is ever affected by the feelings you experience?
I do believe Danny when he says that he just wanted to take the car for a spin and not steal it, though his inability to equate taking it for a spin and theft could be something that may be beneficially addressed in cognitive behavior therapy.
If I had to speculate, I would diagnose Danny as having…
Bipolar psychiatric disorder (BD) -- which is characterized by "…cycles of depression and mania" -- is a "euphoric, high-energy state" that can produce remarkable bursts of creativity or, on the other hand, can produce erratic behavioral events that are risky and provocative (Gardner, 2011). About 2.4% of the world's population has been diagnosed with bipolar disorder (at one time or another in their lifetime) but the rate in the United
[Frank et.al, 2006)] Baethge et.al (2005) examined substance use disorders in patients with first episode BP 1 disorder using 'Structured Clinical Interview for DSM-IV Axis I Disorders' (SCID). The study included a total of 172 patients who were admitted in the McLean hospitals between 1989 and 1996 for clinically diagnosed first lifetime manic/mixed BP 1 episodes. All the 172 subjects underwent follow-up assessment at 6,12 and 24 months respectively. Results
Nursing -- Group Therapy Peer-reviewed literature regarding effective treatments of bipolar I disorder reveals that patients are significantly helped by family-focused or "family skills" therapy, particularly when dealing with depressive symptoms. However, studies also reveal that family therapy is less effective when dealing with manic episodes than are some other adjunctive treatments. Furthermore, quite a bit is as yet unknown about the relationship between family therapy and effective treatment of bipolar
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
Hughes would be diagnosed with bi-polar disorder, with differential diagnoses consisting of obsessive-compulsive disorder (OCD) and agoraphobia. As DSM-V (2013) states, the diagnostic criteria for Bipolar 1 Disorder are as stated, "For a diagnosis of bipolar 1 disorder, it is necessary to meet the following criteria for a manic episode. The manic episode may have been preceded by and may be followed by hypomanic or major depressive episodes" (p. 123).
Bipolar Disorder on the Routine Life of the Individual Statement of Thesis: Bipolar disorder is an intricate physiological and psychological disorder that can control, tamper, and falsify a person's thoughts and actions in their daily life. The work of Merikangas, et al. entitled "Lifetime and 12-month prevalence of bipolar spectrum disorder in the National Comorbidity Survey Replication" reports a growing acknowledgement that bipolar disorder has a "spectrum of expression that is