Bipolar Disorder Discussion Paper

provide a brief description of bipolar disorder and include the purpose of the assignment

Describe the HPI and clinical impression for the client.

Recommend psychopharmacologic treatments and describe specific and therapeutic end Bipolar Disorder Discussion Paper.

points for your psychopharmacologic agent. (This should relate to HPI and clinical impression.).

Recommend psychotherapy choices (individual, family, and group) and specific therapeutic

endpoints for your choices.

Identify medical management needs, including primary care needs, specific to this client.

Identify community support resources (housing, socioeconomic needs, etc.) and community

agencies that are available to assist the client.

Recommend a plan for follow-up intensity and frequency and collaboration with other providers

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Conclusion

References: Most recent 2014-2018

Psychological ailments are common amongst many individuals all over the world. Normally, these diseases affect one’s emotive and cognitive functioning. The predicaments arise from psychological disturbances caused by an array of factors. Specifically, bipolar disorder is one of the commonest mental instability that affects individuals. Albeit pharmacological interventions are most preferred by many physicians, it is imperative to incorporate relevant therapeutic interpositions, which include medical management, psychotherapy, and precise follow-up plans.

Description of Bipolar and Purpose of Assignment

Bipolar disorder (BD) is a disease characterized by exacerbations of opposite mood polarity. Notably, the predicament ranges from manic to major depressive episodes. According to Muneer (2016), bipolar disorder is defined as a spectrum ailment with bipolar disorder 1, bipolar disorder 2, and also cyclothymic disorder. Majorly, the forms of bipolar entail mood instabilities. BD is a prevalent neuropsychiatric condition that affects about 4% of the general population. It is a chronic disease characterized by lengthy disturbances in mood of opposite polarity. Usually, the illness affects people in adolescents and early adulthood. Particularly, BD is highly comorbid with various infirmities like substance abuse disorders, anxiety spectrum disorders and certain personality instabilities. The psychological ailment can be complicated by severe mixed episodes, sub threshold symptoms and rapid cycling. Correll, Detraux, De Lepeleire and De Hert (2015) elaborate that BD is associated with one of the highest suicide rates amongst all the ailments related with psychiatric instability.

Normally, BD symptoms are treated by the use of relevant psychotics, depending on the levels of severity. However, researchers posit that even after adequate medication and application of relevant therapeutic approaches, affective episodes fail to remit in most cases. The aspect arises due to the accompaniment of myriad complications in the bio-psychosocial domain Bipolar Disorder Discussion Paper.

Describe the HPI and clinical impression for the client

Aloha is a 36 year-old woman of Black-American descent, who speaks English. She is married with one child. She is a patient with maniac disorder and presently psychotic. Specifically, she struggles with tangential speech, impulsive behavior and flight of ideas. She mainly complains of a rapid pressured speech. She suffers from sleep deprivation, and displays queer characters like putting her head in the oven. Most recently, she was treated and prescribed of lithium and Abilify. She stopped taking her medication after discharge from Brumble Hospital. Her relatives took her to Mater Hospital where she was medically cleared and prescribed of Ativan 2mg p.o. She was transferred involuntarily to Ndwigah Healthcare Institution, where she displayed a friendly gesture to fellow patients. However, she would often yell at the staff, and refuse to sign important documents. She has a history of a herniated disc, detected in 2013. Aloha is allergic to Zyprexa, Penicillin and Lamictal. She has a history of abusing opiates, Vicodin and benzodiazepine.

Psychopharmacologic Treatment

From the history of illness of Aloha, (HPI), it is evident that she suffers from bipolar affective disorder, in a maniac state. However, clinicians ought to rule out cases of depression, based on the observed symptoms. The first step ought to be the establishment of a safety ward for Aloha. The aspect would help diminish her psychosis, paranoia and mania ideation. Besides, her case seems to be approaching the severe level and therefore, multi-therapy medication would be effective. According to Muneer (2016), physicians can administer 15.6g of lithium and 15g of Aripiprazole each day. Researchers posit that aripiprazole is effective in stabilizing acute mania amongst bipolar patients. In fact, recent studies elaborate the self-efficacy of the medication, where improvement was noted on Japanese patients who used 24mg/day of aripiprazole.

Psychotherapy Choice

Albeit pharmacological interventions act as a reprieve, psychotherapeutic approaches are most effective in ensuring full recovery of bipolar disorders. For the case of Aloha, it is important to admit her to a therapy group that educates on cognitive behavior (Vancampfort et al., 2015). She would share her experiences with fellow patients, and get precise guidelines which would influence change of her behavior. Valuable psycho-education frameworks would ensure Aloha quit her aggressive behavior, and maintain a culture of finishing her medicine doses as prescribed.

Support Resources

The Depression and Bipolar Support Alliance (DBSA) institution would be of great help to Aloha. It offers a substantial wealth of personal wellness tools and educational material which help individuals to accelerate their recovery processes. Besides, Aloha ought to be relocated to a comfortable room, free from unnecessary interruptions. Additionally, family members ought to support her through financial support and ensuring her medicine does not run out.

Follow-up Plan

The aspect of ensuring full recovery of a bipolar patient entails making prompt follow-ups (Whitton, Treadway, & Pizzagalli, 2015). For Aloha, a clinician can make a plan of visiting and assessing her after every two weeks for 6 months. During this period, Aloha will be advised on various methods of ensuring stabilization of her condition. The visits can be minimized if she displays impressive signs of recovery Bipolar Disorder Discussion Paper.

Conclusion

Bipolar disorder is an ailment that is accompanied with mood polarity. Patients display high levels of aggressiveness, and may experience sleep deprivation. However, application of pharmacological interventions with psychotherapeutic approaches warrants recovery in the long run.

References

Correll, C. U., Detraux, J., De Lepeleire, J., & De Hert, M. (2015). Effects of antipsychotics, antidepressants and mood stabilizers on risk for physical diseases in people with schizophrenia, depression and bipolar disorder. World Psychiatry, 14(2), 119-136. https://doi.org/10.1002/wps.20204

Grunze, H. (2015). Bipolar disorder. In Neurobiology of Brain Disorders (pp. 655-673). https://www.sciencedirect.com/science/article/pii/B9780123982704000409

Hayes, J. F., Miles, J., Walters, K., King, M., & Osborn, D. P. J. (2015). A systematic review and meta‐analysis of premature mortality in bipolar affective disorder. Acta Psychiatrica Scandinavica, 131(6), 417-425. https://doi.org/10.1111/acps.12408

Muneer, A. (2016). The treatment of adult bipolar disorder with aripiprazole: a systematic review. Cureus, 8(4). doi: 10.7759/cureus.562

Vancampfort, D., Stubbs, B., Mitchell, A. J., De Hert, M., Wampers, M., Ward, P. B., … & Correll, C. U. (2015). Risk of metabolic syndrome and its components in people with schizophrenia and related psychotic disorders, bipolar disorder and major depressive disorder: a systematic review and meta‐analysis. World Psychiatry, 14(3), 339-347. https://doi.org/10.1002/wps.20252

Whitton, A. E., Treadway, M. T., & Pizzagalli, D. A. (2015). Reward processing dysfunction in major depression, bipolar disorder and schizophrenia. Current opinion in psychiatry, 28(1), 7.doi: 10.1097/YCO.0000000000000122 Bipolar Disorder Discussion Paper.

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