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Bipolar Disorder: Case Study

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by

Dawn Rollins Ross

on 3 December 2013

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Transcript of Bipolar Disorder: Case Study

Case Study:
Gina
32 year old Caucasian female
The Extremes
Treatment
Bipolar Disorder: Case Study
Environment
80-90% of people diagnosed with bipolar disorder have a family history of either bipolar or major depression.
brain abnormalities
neurotransmitters
norepinephrine & seratonin
What is
Bipolar Disorder?
Manic Episode
A period of abnormal mood
persistently increased goal-directed activity or energy
last at least 1 week
by: Dawn Ross
Major Depressive Episode
Difficulty sleeping
lack of energy
Feelings of worthlessness
Agitation,irritability
Withdrawal from typical activities
Feelings of hopelessness and helplessness
Thoughts of death or suicide
brain structure
ion activity
symptoms
elevated mood with inflated self esteem
grandiosity
decreased sleep
talkativeness
excessive involvement in activities
sexual impulses
paranoia and depression
Onset
17 year old high school senior
First
Manic Episode
absorbed with astronomy
A Walk Through Mania
psychotherapy
cognitive behavioral therapy
Interpersonal social rhythm therapy
medication
stabilizes mood
drawbacks
extreme changes in mood, energy and sleep
mood swings happen with more frequency and intensity
extremes cause problems at school, home, work, with friends, and family
Causes
significant stress can trigger an episode
pharmaceutical sales rep.
minor acting part in a school play
became increasingly theatrical
behavior became bizarre
became paranoid and then depressed
parents sought help
treated with antidepressants
started college
stopped attending classes
Resident Advisor contacted Parents
was up all hours of the night
Gina had become obsessed with interplanetary travel
hospitalization followed
parents found Gina depressed
no indication of a problem
happiness turns to euphoria
Gina typically held herself in low regard
reckless behavior
reality slips away
mother interviened
depression sets in
intellegent, responsible, & serious about her work
Mellaril (antipsycotic)
Elavil (antidepressant
Thorazine (sleep)
dulls emotions
"straighjacketed"
family-focused therapy
key to success
proper medications
psychotherapy
strong support network
APA (2000)
Full transcript