Week 4 BiPolar.docx - Running head BIPOLAR THERAPY Assessing and Treating Clients with Bipolar Disorder

Week 4 BiPolar.docx - Running head BIPOLAR THERAPY...

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Running head: BIPOLAR THERAPYAssessing and Treating Clients with Bipolar DisorderNURS-6630D-3/NURS-6630N-3/NURS-6630F-3-Approaches to Treatment of PsychopathologyWalden UniversityMarch 21, 2019Dr. Earl Reome1
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BIPOLAR THERAPYAssessing and Treating Clients with Bipolar DisorderBipolar/Bipolar Mood Disorder or Manic Depression, are mental disorders of the brain, inwhich there is an extreme shift in mood, activity, and inability to think clearly. Bipolar disorder isnot as common, like depression, and take considerable toll among other behavioral and mentaldisorders. Bipolar illness, usually manifest in late teens and early adulthood, 18-25, withapproximately 5.4 million diagnosed (NIMH). The incidence of bipolar mood disorder is highestamong ethnic groups, Native Americans, and lower among African Americans, Hispanics, andAsian/Pacific Islanders than whites (NIMH). The average age of 25 with the initial onset,women are three times more likely to be affected by bipolar than men. The feelings of elation,irritability, excitability or racing thoughts, are often part of the symptomology (Teotia, 2017).There may be episodes of psychosis if the client goes untreated, which can lead tohospitalization. This paper will discuss a 26YO Korean woman, discharged from in-patientpsychiatric therapy, tested positive for CYP2D6*10 allele (Nikulin et al. 2017), and her treatmentplan, post-hospitalization to prevent recurring episodes of mania.My ClientAlert Oriented x4 spheres, client 26yo female of Korean ancestry. Client states “they say I ambipolar” ‘quite busy,” “likes to cook,” “dance, talk and sing “distracted and “fidgety”manipulating items on the desk. Post two weeks follow up, after 21-day hospitalization for acutemania. The client is not sleeping “hate to sleep” “no fun,” and ‘fantastic mood” Client was2
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BIPOLAR THERAPYeventually diagnosis with bipolar disorder. The client is inappropriately dressed, wearing aformal evening gown. Client speech is pressured, rapid and erratic. Client reports moodeuthymic, affect is broad. Client judgment grossly intact; however, insight is impaired. All theclient’s lab tests were within normal limits, and reports “good health.” the client is 5’5”, 110lbs.The client received genetic testing, as none or the previously prescribed medication “was notworking.” Genetic testing revealed positive for CYP2D6*10 allele, an enzyme that metabolizes20% of the medications (Dean, 2017). The client reported, she “stopped taking the lithium,” twoweeks ago. Client denies auditory/visual/tactile hallucinations. Client denies suicidal/homicidalintent currently. The Young Mania Rating Scale (YMRS) score is 22 (Kim et al. 2018). Decision OneAtypical antipsychotics or second-generation antipsychotic (SGA) (i.e., risperidone,aripiprazole,quetiapine,olanzapine)) are usually prescribed for bipolar/mania (FDA.gov). Thesemedications differ from typical antipsychotics, due to a lessening of the extrapyramidal effects(decrease cognition, spasms, jerky movements, tremors, etc) (FDA.gov). Though, risperidone,
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  • Spring '19
  • Bipolar Disorder, Mania

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