Cyclothymic Personality Disorder Sample

Post a description of the personality disorder you selected. Explain a therapeutic approach (including psychotropic medications if appropriate) you might use to treat a client presenting with this disorder, including how you would share your diagnosis of this disorder to the client in order to avoid damaging the therapeutic relationship. Support your approach with evidence-based literature. Cyclothymic Personality Disorder Sample
Cyclothymic disorder, otherwise known as Cyclothymia, has been shown to be a comparatively mild mood condition. In this order, a patient experience mood swings between brief periods of hypomania, which is an elevated mood, and depression. However, the high and low mood swings have never been classified as depression as they never reach the severity or duration of the same. On the same wavelength, the symptoms of the condition do not reach the full elevated mania symptoms. In other words, patients suffering from the condition display milder symptoms, compared to those that can afflict victims of major depression or mania. According to statistics, around 1% of the United States population has shown symptoms that can qualify as cyclothymic. The condition affects an equal number of men and women, which implies that its gender predisposing factor is not biased towards any gender. Further, the symptoms of the condition begin between adolescence and young adulthood. For this reason, it becomes difficult to decipher the symptoms of the condition, which makes it a potent personality disorder.

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Given that the condition is often mistaken for other personality disorders and that it presents comorbid symptoms, the identification of its symptoms become an important facet of any discussion concerning it. Thus, as already mentioned, its moods fluctuate between hypomania to mild depression and back to hypomania again (Perugi et al., 2015). The existence of either of the two symptoms may last for weeks or days in some cases. In between showing the two moods, a patient may display normal moods for longer than a month. However, other patients may also present continuous fluctuation between hypomania and major depression sans normality being sandwiched between the two moods. In comparison to major depression, the mood symptoms of a cyclothymic patient are mild in nature. When placed in a major depression criterion such as the DSM-5, the mood and mania scales never reach the level of major depression and neither does it reach the level of typical mania. Cyclothymic Personality Disorder Sample

Therapeutic Approach

The treatment of the condition is one that has been explored researchers in numerous studies across the globe. According to evidence-based practice, the treatment of cyclothymic can encompass both psychopharmacologic intervention and therapy-based intervention. In a patient with the condition, the first line of treatment is normally the atypical antipsychotic known as Abilify. The treatment will entail beginning Abilify 10 mg daily. The mechanism of action of Ability involves restoring some of the neurotransmitters in the brain to their right balance. According to Findling et al., (2017), Ability possesses favorable tolerability and is generally safe to patients, a phenomenon that has been proven by research studies. After the administration of the drug, it has a half-life of 75 hours and it reaches peak plasma concentration after 3-5 hours. All these factors are indicative of the suitability of the drug as the first line treatment of the condition (Rhoads & Murphy, 2015). After administration of the drug, a patient will undergo periodic examinations to determine the effectiveness of the dosage and the drug as a whole. During each reevaluation, a nurse will decide whether to change the drug or the dosage depending on patient reception and the presence of side-effects.

In addition to the psychopharmacologic treatment, a patient suffering from the condition may also be subjected to cognitive behavioral therapy. According to studies, psychotherapy is a fundamental part of cyclothymic therapy. Importantly, psychotherapy can occur within individual, group or family settings. In the present case, the author will utilize the cognitive behavior therapy in addition to the prescribed Abilify 10 mg. The usage of CBT is common for this condition and essentially involves the identification of negative, unhealthy beliefs and behaviors, and consequently replacing them with positive, healthy ones (Joyce-Beaulieu & Sulkowski, 2015). Fundamentally, the therapy will help identify the triggers of the symptoms that the patient displays. During the CBT therapy, the patient will be educated on how to manage their stress and also gain knowledge of the manner in which they can cope with their stress. The usage of both psychopharmacologic intervention and psychotherapy important as they allow for a multipronged approach to managing the condition. Further, the patient will require the CBT as the condition necessitates lifelong management and CBT has proven just as effective. Cyclothymic Personality Disorder Sample

The success of any therapeutic intervention regarding mental or personality disorders largely depends on the existing relationship between the therapist or nurse practitioner and the patient. Therefore, it is paramount that a therapist takes precautions concerning how they interact with the patient specifically when they share the diagnosis results. To this ends, the present author will undertake precautions not to give the impression that the condition is ungovernable (Fava, 2016). According to the Food and Drug Administration, there is no specific drug that has been created for managing the condition. That notwithstanding, it is the delivery of the diagnostic results that matter. Alluding to the aforementioned confidence, the present author will start by telling the client that their condition is nothing close to major depressive disorder and neither is it close to mania. Afterwards, the author will inform them of the treatment options and show the patient studies to the effect that cylothymia has been successfully managed before. Combing the diagnostic results and the good news about treatment will help raise the mood of the patient hence sustaining the relationship.

References

Fava, G. A. (2016). Well-being therapy: Treatment manual and clinical applications. Karger : Basel, Freiburg.

Findling, R. L., Youngstrom, E. A., Rowles, B. M., Deyling, E., Lingler, J., Stansbrey, R. J., & … McNamara, N. K. (2017). A Double-Blind and Placebo-Controlled Trial of Aripiprazole in Symptomatic Youths at Genetic High Risk for Bipolar Disorder. Journal Of Child & Adolescent Psychopharmacology, 27(10), 864-874. doi:10.1089/cap.2016.0160

Joyce-Beaulieu, D., & Sulkowski, M. L. (2015). Cognitive behavioral therapy in K-12 school settings: A practitioner’s toolkit. New York, NY : Springer Publishing Company.

Perugi, G., Hantouche, E., Vannucchi, G., & Pinto, O. (2015). Cyclothymia reloaded: A reappraisal of the most misconceived affective disorder. Journal Of Affective Disorders, 183119-133. doi:10.1016/j.jad.2015.05.004 Cyclothymic Personality Disorder Sample

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