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Ms. Nelson has demonstrates a clinical necessity arising from a condition due to mental behavioral, or emotional illness. This results in significant functional impairments in major life activities and areas. Ms. Nelson is diagnosed with 296.52 Bipolar 1 Disorder. However, Ms. Nelson was able to state her diagnosis during reassessment including depression and schizophrenia, which was not been diagnosed the original assessment. Ms. Nelson displays symptoms such as aggression, agitation, anxiety, elevated moods, depression, hallucinations, anger, memory loss, and elevated moods. Ms. Nelson lacks motivation to complete daily task and sleep majority of the day due to all the medication she's taking. Ms. Nelson reported that she needs motivation to complete here tasks around the home as well as taking her medication. …show more content…
There is a major concern with Ms. Nelson taking all these medications, which may contribute to the increase hallucinations as well as the memory loss. Ms. Nelson currently having some family issues, which caused some of her medications to be increased. The assessor observed Ms. Nelson appeared to be very open during the assessment answering all questions to be best of her ability. However, she appeared to been experiencing some anxiety during the reassessment due to her constantly moving her hands, feet and picking up her
T. Paulette Sutton is one of the world’s leading experts in bloodstains and is the former Assistant Director of Forensic Services and Director of Investigations at the University of Tennessee, Memphis. She has been involved in nationally known murder cases and has worked hard during her long career to make a position contribution to the legal system. Sutton says, “Its best for my fellow man that we get the killers off the street.” Since 2006 Sutton has been officially retired but continues to teach, consult, and testify about her area of expertise.
Rosa Lee Cunningham is a 52-year old African American female. She is 5-foot-1-inch, 145 pounds. Rosa Lee is married however, is living separately from her husband. She has eight adult children, Bobby, Richard, Ronnie, Donna (Patty), Alvin, Eric, Donald (Ducky) and one child who name she did not disclose. She bore her eldest child at age fourteen and six different men fathered her children. At Rosa Lee’s recent hospital admission to Howard University Hospital emergency room blood test revealed she is still using heroin. Though Rosa Lee recently enrolled in a drug-treatment program it does not appear that she has any intention on ending her drug usage. When asked why she no longer uses heroin she stated she doesn’t always have the resources to support her addiction. Rosa Lee is unemployed and receiving very little in government assistance. She appears to
My patient Gerald –according to the video- is diagnosed with a textbook case schizophrenia. He exhibits paranoid thinking and his speech is disorganized, his thoughts are loosely connected, and he has formed delusions, he exhibits mood disturbances, and exhibits disordered behaviors (Schizophrenia: Gerald, Part 1). The goal for Gerald is multi-factorial; first, it is important to place into context that Gerald’s schizophrenia is refractory to pharmacological management. Due to Gerald’s complex presentation of multiple symptoms, the goal for the interaction is improved m...
The primary diagnosis for Amanda Anderson is separation anxiety disorder (SAD) with a co-morbidity of school phobia. Separation anxiety disorder is commonly the precursor to school phobia, which is “one of the two most common anxiety disorders to occur during childhood, and is found in about 4% to 10% of all children” (Mash & Wolfe, 2010, p. 198). Amanda is a seven-year-old girl and her anxiety significantly affects her social life. Based on the case study, Amanda’s father informs the therapist that Amanda is extremely dependent on her mother and she is unenthusiastic when separated from her mother. Amanda was sitting on her mother’s lap when the therapist walked in the room to take Amanda in her office for an interview (Morgan, 1999, p. 1).
Mrs. A is a 71-year-old widow with CCF and osteoarthritis who has recently been exhibiting quite unusual behavior. Her daughter is concerned about her mother 's ability to remain independent and wishes to pursue nursing home admission arrangements. She fears the development of a dementing illness. Over the last two to three months Mrs. A has become confused, easily fatigued and very irritable. She has developed disturbing obsessive/compulsive behavior constantly complaining that her lace curtains were dirty and required frequent washing. Detailed questioning revealed that she thought they were yellow-green and possibly moldy. Her prescribed medications are:
I will be evaluating the case of Angela and Adam. Angela is a white 17 year old female and Adam is her son who is 11 months old (Broderick, P., & Blewitt, P., 2015). According to Broderick, P., & Blewitt, P., (2015) Angela and her baby live with her mother, Sarah, in a small rental house in a semirural community in the Midwest. Adam’s father, Wayne, is estranged from the family due to Sarah refusing to allow him in the house however, Angela continues to see him without her mother’s permission which is very upsetting for Sarah. Angela dropped out of high school and struggles raising her son (Broderick, P., & Blewitt, P., 2015). With all that is going on in Angela and Sarah’s life right now their relationship has become strained and hostile which
Other background information that must be cleared up concerns history of traumas, domestic violence, housing status, primary usage of drugs, mental health problem in family, cases of hospitalization, treatment, previous usage of medication. All these items can influence current client's condition. Despite, as Meredith’s sister Sarah also has some personal problems, it is necessary to find out the origin of it; Sarah might have personal disorder that is inherited, so Meredith is under the risk to have it.
Bipolar disorder is a lifelong mood disorder characterized by periods of mania, depression, or a mixed manic-depressive state. The condition can seriously affect a person’s reasoning, understanding, awareness, and behavior. Acco...
Adrian Monk told me he came to treatment because his personal assistant, Natalie, forced him to. His wife died two years ago, which left him devastated him. He was forced to take a leave of absence from his job as a detective until his captain thought he could cope with the stresses of working on the police force again. The captain also highly recommend Adrian seek treatment to deal with his depression and numerous anxieties and phobias. He told me he was only in therapy so that he could get his badge back.
Bipolar Disorder can be classified by the occurrence of manic episodes followed by hypomanic or major depressive episodes. A manic episode is a distinct period of abnormally and persistently elevated, extensive, or irritable mood and abnormally and persistently increased goal-directed activity or energy, lasting at least 1 week and present most of the day, nearly every day. During the specific period of mood disturbance and increased energy or activity, many symptoms are present. Some examples of these symptoms can include: -Inflated self-esteem or grandiosity, decreased need for sleep, and are more talkative than usual (“Bipolar and Related Disorders, “n.d.). There is a 10- 15% risk of completed suicide associated with Bipolar Disorder (“Bipolar Depression”, 2)
Bipolar disorder may cause patients to become depressed, lose sleep and or their appetite. It may also cause them to feel worthless, guilt and, hopeless which may even lead to suicide if not treated correctly. “Over 121 million people worldwide are affected by BD. By the year 2020, depression is projected to reach second place ranking of the g...
Within his lifetime, George has experienced multiple manic and depressive episodes consistent with bipolar I disorder. This diagnosis is possible because George has suffered from at least one manic episode; George has also experienced depressive episodes, which are common, but not required, occurrences in the disorder. The case study describes three different bipolar episodes and indicates that more have occurred. First, George experienced a depressive episode
Diagnostic criteria for other mood or depressive disorders were unmet and/or her symptoms were better explained by another disorder. For example, while she met five of the ten diagnostic criteria for full mania in Bipolar I Disorder, the full range of symptoms were better explained by this diagnosis. Additionally, the description of her acute panic attacks was insufficient to qualify for a panic disorder, so a specifier was added for a more complete diagnosis.
The involvement of a psychoactive substance along with symptoms related to other psychotic disorders narrows the diagnosis to “amphetamine-induced psychotic disorder” (APA, 2013). According to the fifth edition of the Diagnostic and Statistics Manual of Mental Disorders, to be diagnosed with a substance/medication-induced psychotic disorder the patient needs to meet several criteria, the first of which is having hallucinations and/or delusions, both of which Sara is experiencing. Secondly, the patient’s history needs to show that symptoms manifested during or following intoxication or withdrawal with a substance that is capable of producing such symptoms; Amphetamines, and stimulants in general, are capable of causing psychosis or symptoms of it due to their ability to increase synaptic levels of dopamine (Calipari, E. S., & Ferris, M. J. 2013). Furthermore, Sara displayed no signs of psychotic symptoms until after her amphetamine use started. Sara’s symptoms did not occur exclusively during a course of delirium, and her symptoms are causing severe impairments in her overall ability to function. The final criteria states that Sara’s symptoms cannot be better explained by a similar, but not substance-induced, psychotic disorder; since she only
According to the National Institute of Mental Health, “Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks”. Furthermore, in this paper I will be discussing bipolar disorder and a case involving a woman named Mary. Mary is a middle-aged Caucasian woman that is married and I’m assuming is living in mental institution because in her interview she explains that her husband came to visit and she fought him so he would leave. Aside from her living situation, Mary tells the interviewer that her mother had cancer of the spinal cord when Mary was 11 years old and was later paralyzed and died 61 years later. While watching