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Mental illness introduction
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PATIENT BACKGROUND INFORMATION: Pat Solitano Jr. is a male in his late 30s, and he is the main character of the Academy Award nominated film, Silver Linings Playbook. The patient comes from a family where the father has superstitions and rituals for football games and often acts out in moments of rage, and the mother displays a very nervous and passive demeanor. The patient has demonstrated uncontrollable violence in the past. Specifically, Pat beat a man almost to death after finding him in the shower with Pat’s wife. This violent act caused Pat to be treated in a mental health facility for 8 months. After being released, Pat was convinced that he would be reunited with his wife, despite the restraining order she obtained against him. Multiple …show more content…
violent outbursts and breakdowns have occurred since the patient’s release from the institution. SYMPTOMS/PRESENTING CONCERNS: The patient experiences multiple manic episodes when exposed to anything involving his wife.
After the first manic episode in which the patient encountered his wife performing sexual acts with another man causing him to impulsively assault the wife’s lover, Pat develops a manic episode when faced with a trigger that reminds him of his wife. This can be seen when he has violent outbursts, increased talkativeness, and impulsive behavior after hearing his wedding song while sitting in the waiting room of the hospital. Another example occurred when Pat could not find his wedding video causing him to yell, destroy property, lack the need to sleep for days, uncontrollable talkativeness, and violent actions of punching his mother and father. When asked about his manic episodes, the patient responds, “that was a delusion, this isn’t right.” The patient is able to identify that he was not in the right state of mind, which shows that he has some insight on his condition. However, the patient does not understand the relationship between him and his wife, and he does not understand the severity of his actions performed during a manic episode. During a manic episode, the patient is convinced that medication in not necessary for his condition, and he refuses to take the pills. Also, small trivial things have been found to cause extreme irritation in the patient. This is seen when the patient finishes reading an Ernest Hemingway novel and throws the book out the window while furiously …show more content…
yelling about the ending. PRELIMINARY DIAGNOSIS: The therapist has diagnosed the patient with bipolar disorder because the aspects of the manic episodes meet the criteria of the Diagnostic and Statistical Manual of Mental Disorders.
In order to be diagnosed with bipolar disorder, the patient must have experienced at least one manic episode. The patient’s manic episodes meet the criteria in multiple ways. The patient’s elevated self-esteem, or grandiosity, can be seen when he views himself as more intellectual than parts of his family because of the literature he reads. This can also be seen when the patient views himself as superior to his love interest, Tiffany, because his sex life has not been as promiscuous as hers. The patient has demonstrated a decreased need for sleep as he stays awake until 3:00AM consistently and wakes up early with plenty of energy to exercise. Increased talkativeness is also present in the patient’s behavior causing many conversations to be very rushed and one-sided. The patient’s stream of thoughts and conversations are often racing. Increased distractibility also affects the patient causing him to interrupt others only to change the subject to whatever topic has gained his interest. Finally, the patient demonstrates increased goal-directed activity. These activities include the following: creating an extensive reading list and accomplishing it in a very limited amount of time, establishing a demanding workout routine, attempting to find the “silver lining” in all experiences, and learning a
dance routine to compete in a prestigious competition. CONCLUSION: Because the patient experiences six of the symptoms of a manic episode, grandiosity, decreased need for sleep, increased talkativeness, racing thoughts, distractibility, and increased goal-directed activity, the therapist has diagnosed Pat Solitano Jr. with bipolar disorder. Medication will be required to lessen the effects of the manic episodes that the patient experiences.
Mr. Jock meets both criterion A and B of a manic episode as he experi...
Bipolar Disorder (Formerly known as Manic Depression) is a mental illness linked to alterations in moods such as mood swings, mania, and depression. There is more than one type, Bipolar I and Bipolar II, and the subcategories are divided by the severity of the symptoms seen, such as cyclothymic disorder, seasonal mood changes, rapid cycling disorder and psychosis. Age of onset usually occurs between 15-30 years old with an average onset of 25 years old but it can affect all ages. (Harvard Medical School; Massachusetts General Hospital , 2013) Bipolar disorder affects more than two million people in the United States every year. (Gardner, 2011)
The husband and brother of the narrator are physicians, and neither believe that she is sick, they say “there is really nothing the matter with one but temporary nervous depression—a slight hysterical tendency.” (The Yellow Wallpaper, Charlotte Perkins Gilman) and so she is confined mentally, with what they tell her to do, although she thinks there are other things that would fare her better. As the story continues she begins to have more delusions and the wallpaper in her room begins to come alive. But the most alarming effects were the hallucinations.”
Silver Linings Playbooks tells the story of Pat Solitano Jr. (played by Bradley Cooper), a high school teacher diagnosed with bipolar disorder who is trying to get his life back together. The movie opens as Pat is released from a psychiatric hospital after eight months of treatment and moves back in with his parents. He is determined to get back together with his wife, Nikki, despite all the signs that say she does not want to be with him - such as the restraining order she filed against him. Pat meets recently widowed Tiffany Maxwell (played by Jennifer Lawrence), who is suffering from depression and overcoming a sex addiction that ensued from the death of her husband. Tiffany offers to help deliver Pat’s letters to Nikki if he enters a dance competition with her. As the movie goes on, Pat and Tiffany’s relationship progresses and they learn to cope with their issues.
Some symptoms of bipolar would be inflated self-esteem, inability to sit still or sleep restfully, pressure to keep talking or switch topics, racing thoughts, and difficulty concentrating. Bipolar can be caused by genetics and one’s environment. Some examples in the movie “Mommie Dearest” Joan Crawford showed was the scene where Joan and her current boyfriend were walking on the beach and she was talking about wanting kids and was perfectly fine for the most part until she started talking about she wanted her kids to have a father unlike her and she suddenly became mad and began ranting about how her father was never around. Another way Joan Crawford displayed bipolar disorder was when she just received the news over the phone that she received a part that she auditioned for until she went to tell her daughter Christine and saw her pretending to receive an award and she became outraged and cut Christine’s
The main character Pat who was diagnosed with bipolar disorder, displayed signs of manic episodes such as: fast talking, rambling with words, and no sleep. There were about 3 scenes of Pat waking his parents up early in the morning because he was looking for something, or could not wait to tell them something in the morning. Throughout most of the film, Pat exhibits a lot of delusions. Before hospitalization, it is briefly mentioned that Pat was accusing his wife and another teacher (who ironically was the man who this wife cheated on) embezzling money from him. After hospitalization, there were delusions that him and his wife were perfect for each other and they were going to be work through their marriage when that clearly was not the
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...
For example, his wife cheating on him was by far one of the biggest impacts. Pat was always living a bipolar lifestyle, but he just self managed his condition, keeping his symptoms to a minimum. This incident escalated his condition, which pushed him to his breaking point. Another thing that could have affected the development of his mental illness was by him not taking his medication. Yes, there are some pretty bad side effects of most medications, but this was physician subscribed and he refused to take it. The medication could have subsided or in terms lessened the severity of his condition. Towards the end of the movie, we see Pat finally giving in to take his medication after many violent outbursts. One last thing that I feel could have escalated his condition was his father. In Pat’s family, he was always seen as the outcast and was not treated the same as others. His father says in the movie that he regrets not spending as much time with him as a kid and that he was trying to make up for it now. His father did not know how to handle Pat’s violent mood swings as a child and that itself lead to them having an unhealthy father-son relationship. One thing that I have learned throughout this chapter is how important family is in helping a person with a mental illness with guiding them through their process of recovery. There are many factors that can drive and worsen a mental disorder, but there
The character of the husband, John, in “The Yellow Wallpaper” by Charlotte Perkins Gilman is introduced as a respected physician and a caring husband who strives to improve the mental health of his wife, the narrator, who is diagnosed with temporary nervous condition. John tries throughout the story to apply professional treatment methods and medications in his approach to helping his wife gain strength. However, his patient, his wife, seems to disregard John’s professional opinions and act as if she is following his advices only during his awakening presence with her. The narrator seems to be in need of John’s positive opinion about the status of her mental condition in order to avoid the criticism even though she disagrees with his treatment methodology. John, without doubt, cares for his wife and her wellbeing, but he does not realize how his treatment method negatively impacts their relationship his wife’s progress towards gaining strength. Although John was portrayed as a caring and a loving physician and husband to the narrator through out most of the story, he was also suggested as being intrusive and directive to a provoking level in the mind of the narrator.
There is no one to listen to her or care for her ‘personal’ opinions. Her husband cares for her, in a doctor’s fashion, but her doesn’t listen to her (Rao, 39). Dealing with a mentally ill patient can be difficult, however, it’s extremely inappropriate for her husband to be her doctor when he has a much larger job to fulfill. He solely treats his wife as a patient telling her only what could benefit her mental sickness rather than providing her with the companionship and support she desperately needs. If her husband would have communicated with her on a personal level, her insanity episode could have been prevented. Instead of telling her everything she needed he should’ve been there to listen and hear her out. Instead she had to seek an alternate audience, being her journal in which he then forbids her to do. All of this leads to the woman having nobody to speak or express emotion to. All of her deep and insane thoughts now fluttered through her head like bats in the Crystal Cave.
In this paper the reader will be able to find a variety of different areas covered. A detailed summary of the movie 28 days directed by Betty Thomas in 2000 will start the paper. The diagnostic criteria of a psychiatric disease will be included along with rationales why the main character fits the diagnosis of disease. Included is the effectiveness or non-effectiveness of coping mechanisms. Pharmacological with classification and non-pharmacological treatments will be included in addition to discussion of ethical and legal issues. This paper will include whether it would be an acceptable fit for patients or families with the same diagnosis. Lastly, will be an overall conclusion of the information provided in the paper.
Pat Solitano is the main character of the movie the Silver Linings Playbook. Pat had been sent to a psychiatric residential facility as a plea bargain not to have to serve time for committing a violent crime. Pat walked in on his wife having sex with another teacher he worked with while their wedding song was playing on the radio. Pat reacted violently and beat the teacher with tenure as Pat refers to him. Pat’s world has been turned upside down and when his mother picks him up from the facility eight months later Pat is going home to live with his parents.
The characteristics of bipolar disorder are significant shifts in mood that go from manic episodes to deep depressive episodes in a up and down trip that seemingly never ends. There are actually three types of bipolar disorder. In bipolar III disorder there is a family history of mania or hypomania in addition to the client experiencing depressive episodes. This category is not highly used but is worth noting. Bipolar II disorder is marked by hypomanic episodes that have not required hospitalization. Bipolar I disorder is the full-blown illness and is defined by the presence of manic episodes which require treatment, and usually hospitalization (Wilner 44).
Bipolar Disorder is the tendency of manic episodes to alternate with major depressive episodes, like a roller coaster. Barlow, D., Durand, M., Stewart, S., & Lalumière, M., 2014, p. 222. Their moods and relationships are unstable and they usually have a very poor self image, recurrent feelings of emptiness and fear of abandonment. Barlow, D., Durand, M., Stewart, S., & Lalumière, M., 2014, p. 444.
Signs of the depth of the narrator's mental illness are presented early in the story. The woman starts innocently enough with studying the patterns of the paper but soon starts to see grotesque images in it, "There is a recurrent spot where the pattern lolls like a...