Chantel is a 19-year-old female who presents for care because she thinks she is bipolar
Chantel is a 19-year-old female who presents for care because she?s afraid that she might be bipolar. She reports that both of her parents have recognized that she has been ?way too moody,? and that they are committed to getting her treatment…
Bipolar disorder involves severe mood swings from extreme highs (mania) to extreme lows (depression). This can be confusing and problematic for the person experiencing it: often, they cannot control their thoughts and behaviors. Chantel has been irritable and quick to anger recently, has difficulty controlling spending sprees, wakes up at two in the morning and cannot get back to sleep, and feels like she must do everything herself. Furthermore, she is tired all of the time. When asked about her childhood, she describes her mother as being critical of her when she was growing up.
I’m thinking that we are going to talk about a diagnosis of bipolar disorder.
Consider bipolar disorder if this client describes depression and/or mania, which may have been present most of her life. Consider bipolar II if she reports that the hypomanic episodes are less severe than the major depressive episodes. Explain that what she is experiencing right now with depressive symptoms may be due to situational problems in her life and that there are concrete steps she can take to feel better, so it would be best if we could focus on getting rid of those feelings.
1. Evidence of a behavior that is due to an underlying disease or not adequately explained by a non-biological cause
Depression; Schizophrenia; Anxiety
Chantel is a 19-year-old female who presents for care because she thinks she is bipolar. During her initial interview, she admits that she has a long history of feeling like she was the person in the family of whom there were always high expectations, and she was never able to express concerns or feelings of inadequacy. When asked why she thinks she is bipolar, she says she gets very moody. She was at the grocery store last week and slipped and fell. While waiting for help, she could not control her anger and reached up to swipe all the food off of the shelves. She has been fired from jobs because of her uncontrollable temper; she sometimes ?just can’t be around certain people.? Chantel also reports that at times she will go two full days and nights being unable to sleep, and that her mind keeps racing and she can’t ?shut it down.? When this happens, she just gets up and does things around the house. Finally, Chantel reports that she cannot hold onto money at all. Whenever she gets a paycheck, she immediately spends it on things that she acknowledges she doesn’t even need. When considering a diagnosis of bipolar disorder, the PMHNP specifically assesses for: