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Hamlet & Bipolar Disorder

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on 5 December 2013

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Transcript of Hamlet & Bipolar Disorder

Hamlet & Bipolar Disorder
By Maddie Freed and Amanda Falcone period 8

Definition of the Illness
-Bipolar I, Bipolar II, Rapid Cycling, Mixed Bipolar and Cyclothymia
-Bipolar Disorder has five classifications
-It causes mood swings, severe depression, extreme feelings and/or confusion
Character Analysis

-About twenty years old
-College student who was not allowed to return back to school
-Father was recently murdered
-Mother remarried shortly after
-shows serious signs of depression (possibly from grieving)
- He is off and on with a girl by the name of Ophelia
-Suicidal thoughts
-Crying spells
-Excessive anger
- Setting unreachable goals
- Excessive happiness (Manic stage)
-Increased sexual interest
Symptoms (cont.)
- There are many types of Bipolar Disorder which means depending on the type of Bipolar the patient may be experiencing, the symptoms could vary
-Many symptoms of Bipolar Disorder are shared throughout all the types
-Extreme and unpredictable mood swings occur
-A manic mood would include extreme happiness, excitement, and a high energy level
-Manic, happy outbursts can occur as little as once a year to several times throughout the year
-Depression symptoms can include sadness, irritability, crying fits, anxiety, fatigue and suicidal thoughts
-In numerous cases, the state of happiness is not as excessive as the manic outbursts and in others, the mood swings of manic and depression occur more frequently
-When a patient has Mixed Bipolar, they will experience manic and depressive moods simultaneously
-Many patients set unreachable goals
-Patients tend to be confused and unclear when thinking and speaking
Treatment options
-Since Bipolar Disorder is so complicated, treatment can be different with each patient
-Medication is the most common form of treatment
-The challenge is finding the right dosage and combination of medicine for each patient
-Some of the medications that could be prescribed include: Lithium, Antidepressants, Symbyax and Antipsychotics
Treatment Options
-Many types of therapy can be used to help patients who are suffering
-psychotherapy, Cognitive behavioral therapy, psychoeducation, family therapy and group therapy can all be used to decrease symptoms
-Some therapy groups are more like support groups for the individual or as a family
-they assist the individual and their family to welcome the disorder and help make their lives as normal as possible

Treatment Options
-If medications and therapy aren't successful, hospitalization can occur
-If patients do not take their medication as directed, their symptoms will not be controlled

Hamlet's Symptoms
-After the late king's death, Hamlet was severely depressed this is displayed through the following quote: "...Tis not alone my inky cloak, (good) mother, nor customary suits of solemn black, nor windy suspiration of forced breath, no nor the fruitful river in the eye, nor the dejected 'havior of the disage , together with all forms, [shapes] of grief, that can denote me truly..."(Shakespeare, 1992, p. 25).
-During this time, Hamlet shows signs of being suicidal when he says "oh that this too, too sullied flesh would melt, thaw, and resolve itself into a dew, or that the everlasting had not fixed his cannon 'gainst (self-slaughter!) O God, God, How (weary,) stale, flat and unprofitable..." (Shakespeare, 1992, p.29).
-Hamlet wants revenge on his uncle because his uncle killed Hamlet's father. He sees his uncle praying and knows it would be the perfect opportunity to kill him. But, he decides to wait for another time. This is an unreachable goal.
-Hamlet is excessively happy because he is about to reveal his uncle's secret to the kingdom with the players. " O God, your only a jig-maker. What should a man do but be merry? For look how cheerfully my mother looks, and my father died within's two hours" (Shakespeare, 1992, p. 143).
When Hamlet is having a conversation with his mother he quickly looses his temper and acts like a crazed animal. This can be portrayed by the following quote: "...Have you eyes? Could you on this fair mountain leave to feed and batten on this more? Ha, have you eyes? You cannot call it love, for at your age they hayday in the blood is tame, it's humble, and waits upon the judgement. And what judgment would step from this to this? sense sure you have, else could you not have, else could not have motion. But sure that sense is apoplexed, for madness would not err, nor sense to ecstasy was ne'er sothralled, but it reserved some quantity of choice to serve in such a difference. What devil wasn't that thusthath cozened you at hoodman-blind..." (Shakeapeare, 1992, pp.166-167)

Other Potential Diagnoses
Hamlet also shows signs of suicidal thoughts which could potentially be an additional diagnosis for him. This is illustrated through one of his famous lines “To be or not to be, that is the question…” (Shakespeare, 1992, p.57). Hamlet is pondering whether he should continue to live or not end his life after his mother, the queen, Gertrude and his uncle, now King, Claudius get married shortly after his father’s death. He is so distraught from losing his father he feels as if there are no reasons left to live. He also believes being in heaven with his father would be much more enjoyable than being in Denmark with the newlyweds.
Other Potential Diagnoses
Hamlet has experienced many big changes in his life during the past couple of months. He lost a parent, gained a stepfather, was not allowed back to school, and is left at home while his friends returned to school. Hamlet doesn't feel like he belongs and is still grieving over the loss of his father. He feels abandoned by his mother because she is always off with her new husband. Another potential diagnoses for this patient could be depression.
The severity chart and graph show how strong each symptom outburst was throughout every scene and Act of the novel. In terms of minimal being zero, mild being one, moderate being a two/three, serious being a four, and severe being a five, we rated each outburst and formed a graph and chart to better visualize the data.
The frequency chart and graph show how many times each outburst occured throughout every scene and Act of the novel. In terms of minimal being zero, mild being one, moderate being a two/three, serious being a four, and severe being a five, we rated each outburst and formed a graph and chart to better visualize the data.
Prognosis of the Patient
Bipolar Disorder is an illness that can never go away. It can be mild and controlled or sporadic. A typical patient with Bipolar Disorder has about 8-10 manic or depressive episodes throughout their life. Because of patient's suicidal thoughts and depressive moods, people who have Bipolar usually have a higher death rate. Approximately 15% of patients go through a phase called rapid cycling. This is usually a depressive phase that will be over in a matter of time. Even though theses episodes can be hard to handle, most who suffer from Bipolar Disorder can function in everyday society. The level on which they function depends on how severe their case is.
After concluding our research, we have diagnosed Hamlet with Bipolar Disorder. He has showed all the common symptoms and has given us plenty of background information that helps us confirm the diagnosis. His outbursts of severe anger and happiness have occurred multiple times throughout the year which is a sign of Rapid Cycling Bipolar Disorder. He has been suicidal, depressed, confused and setting out of reach goals. All of these pieces were brought up during the decision making which is why we believe Hamlet is Bipolar.
Additional Questions
1. We believe we made the correct diagnosis of our patient. After researching all the symptoms of Bipolar Disorder, Hamlet exhibits almost everyone one of them if not all of them at some point in the novel.
2. In the PowerPoint we stated Hamlet could also be diagnosed with suicidal thoughts and depression. This is true but, along with those two illnesses, he portrayed other symptoms of Bipolar Disorder. Bipolar Disorder, depression and suicidal thoughts are already grouped together so, it doesn't make a whole lot of sense to add them to his illnesses.
Additional Questions (cont.)
3. We feel the best treatment option for Hamlet would be hospitalization and therapy. The help of various doctors regulating medications, a place to heal, and the support of his family and friends in the therapy sessions that are available would help nurture Hamlet to health.
Additional Questions (cont.)
4. Hamlet's future holds an excessive amount of great opportunities, if he receives the correct treatment. He will become a high functioning individual if he listens to what the doctors have to say and if he takes his medicine. If he refuses to listen, he will not be able to function in society as well as everyone would hope.
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