Jean is a year-old woman who has experienced dysthymia, that is, persistent low mood, for most of her adult life. She was affectively labile, alternately laughing and crying. This report describes 2 clinical cases of DSM-IV bipolar disorder where valproate provided robust, sustained relief of mood symptoms.
Her judgment was not seriously impaired, and beyond arguments with her husband and his ex-wife, she was not involved in any self-damaging activities.
Her diagnosis was changed to bipolar II disorder. She noticed a normalization of her sleep pattern and cessation of her headaches after only 7 days. It was difficult for Hartley to speak publicly about her condition, but she decided to take the chance to educate others.
Both episodes of depression were followed by sustained periods of increasingly high energy and enthusiasm, first as an evangelist and then as an artist.
Her depression was characterized by sadness lasting most of the day, crying spells, severe irritability, hypersomnia with some periods of insomnia, anergia, severe inappropriate guilt feelings, and absent libido.
There is no simple physiological test to confirm the disorder. InStapp made headlines for his alcohol and drug addiction and erratic behavior.
All the commotion around me, all the water around me, moving left and right around me, became like a lake.
Her father was an alcoholic. However, after the birth of her first child Jean became extremely depressed and after the midwife and health visitor became concerned about her low mood and lack of self-care, although she continued to care for her child, they arranged for her to see her general practitioner who prescribed an SSRI.
At times, her sadness would be accompanied by a restless energy and irritability that precipitated arguments with her husband and his ex-wife, among others. Bipolar II disorder is not a milder form of bipolar I disorder, but a related diagnosis.
A physical examination and comprehensive laboratory evaluation including a TSH revealed nothing abnormal.
We hire top-rated Ph. People with bipolar I disorder may also experience psychotic symptoms including hallucinations, paranoia, or grandiose delusions. In discussion with her psychiatrist it was agreed that Jean will attend for cognitive behavioural therapy and that she will be withdrawn slowly from her SSRIs while her mood is closely monitored.
Hypomanic episodes last at least four days and are not severe enough to result in hospitalization or significant functional impairment, and do not have associated psychotic features. Many people with bipolar disorder also experience periods of depressed mood, but this is not universal.
Her mood contained elements of depression and hypomania. While the meaning of these brain changes is not known, this discovery may help identify bipolar causes in the future.
The Food and Drug Administration has recently approved valproate for the treatment of acute mania.Bipolar Disorder Case Study Examples Case study: Jean – a year-old with dysthymia and depressive episodes.
Jean is a year-old woman who has experienced dysthymia, that is, persistent low mood, for most of her adult life.
Bipolar II Disorder Case Study. Renee Bynum. Capella University. Abstract. This paper addresses the case study of Jim Shoo, a young Asian American who has the diagnosis of Bipolar II Disorder.
CASE REPORT OF A PATIENT WITH BIPOLAR DISORDER - MIGRAINES AND EPILEPSY Catherine Zhang1, Epidemiological studies have shown that these condi-tions often exist as co-morbidities (OrtizEttinger disorders, with no other medical history. This case illustrates that bipolar disorder; migraines and epilepsy may fall on.
Ms. D, age 69, has a year history of bipolar II disorder, for which she is taking citalopram, 30 mg/d. She has a chief complaint of depressed mood and the therapist refers her for psychiatric hospitalization and electroconvulsive therapy consultation.
Among famous people with bipolar disorder is the Emmy-winning actress Mariette Hartley, who has appeared in numerous television shows and starred in a popular series of commercials in the s.
Patient Profiles Help your patients with bipolar depression experience more of life's everyday moments. Diagnosed with bipolar l disorder, most recent episode depressed, following recent clinical evaluation (1 month ago) Bipolar depression is different.
So are the treatment challenges. Expert Insights Case Studies. View .Download