summer week 4 journal

This case involves a 36-year-old male who presented to the hospital with elevated anxiety over several weeks ago, accompanied by his son and wife. On examination, the patient is alert, place, oriented to person, and situation, forgetful concerning time but who articulates clearly. He has no challenges ambulating and is in no acute distress. General appearance same as stated age, no body odor, healthy body weight, stated having challenges falling asleep, rare sleep, midnight awakening. The son reported that his father was constantly reorganizing and cleaning drawers and closets. Due to decreased need for sleep he would stay all night cleaning. The patient was referred for the mental health evaluation by the neurologist and if necessary prescription.

CT scan showed a diminishing frontal lobe and some various dark spots. Recommendation for the patient to get an MRI of the frontal lobe in order to established whether his behaviors are as a result of his diminishing frontal lobe; while the CT-scan does not show any information regarding what happened to the frontal lobe. It is crucial to obtain the patient medical and social history in order to make proper diagnosis and offer the right prescription. The patient reported that his son has recently been diagnosed with bipolar disorder.

Additionally, the patient stated that his mother was hospitalized after giving birth to him where his father took care of him, his late aunt was diagnosed with Bipolar before dying. The patient and his family appeared uncomfortable while responding to the queries. Nevertheless, as I continued asking him regarding his childhood with his father, he reported that his initial diagnosis of frontal lobe dementia was incorrect he had mild and recurrent Bipolar.

The criteria for diagnosing this condition is the presence of a hypomanic episodes, manic episodes, or a major depressive mood (American Psychiatric Association, 2013). A review of the client confirms that he had mania or hypomanic experiences episodes. According to the National institute of Mental Health (n.d.), Bipolar disorder has no single cause. Nevertheless, scientific evidence suggest that Bipolar disorder is hereditary. Boland and Verdum, (2022), a crucial objective of the first psychiatric interview is to collect information that will be utilized in establishing a diagnosis based on criteria of diagnostic. This procedure is crucial for predicting the cause of the illness, and the prognosis will inform the choice of treatment. Pharmacological intervention administered with Lithium 5ml twice daily. Non pharmacological intervention get CBT sessions once a week until the symptoms resolved. Follow up the patient to return to the clinic after two weeks to assess the impact of the medication.

 

 

 

 

References:

American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders, 5th Edition: DSM-5 (5th ed.).

American Psychiatric Publishing.National Institute of Mental Health. (n.d.). Bipolar Disorder. Retrieved June 15, 2022, from https://www.nimh.nih.gov/health/publications/bipolar-disorder

Robert Boland, Marcia Verduin, (2022). Kaplan & Saddock’s Synopsis of Psychiatry. (Twelfth Edition) Wolters K

 

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