Cyclothymic Disorder Essay Assignment

Cyclothymic Disorder Essay Assignment

You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical, as well as mental factors that might impact the client’s diagnosis and treatment.

At each Decision Point stop to complete the following:
Brief introduction and the purpose of the paper
Decision #1: Differential Diagnosis is Cyclothymic Disorder
Which Decision did you select?Cyclothymic Disorder Essay Assignment
Why did you select this Decision? Support your response with evidence and
references to the Learning Resources.
What were you hoping to achieve by making this Decision? Support your response
with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #1 and
the results of the Decision. Why were they different?

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Decision #2: Treatment Plan for Psychotherapy-Begin Abilify 10 mg orally daily
Why did you select this Decision? Cyclothymic Disorder Essay Assignment.Support your response with evidence and
references to the Learning Resources.
What were you hoping to achieve by making this Decision? Support your response
with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #2 and
the results of the Decision. Why were they different?
Decision #3: Treatment Plan for Psychopharmacology-Maintain current dose of Abilify 10 mg Orally daily
Why did you select this Decision? Support your response with evidence and
references to the Learning Resources.
What were you hoping to achieve by making this Decision? Cyclothymic Disorder Essay Assignment. Support your response
with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #3 and
the results of the decision. Why were they different?
Also include how ethical considerations might impact your treatment plan and
communication with clients and their family
Conclusion
References (most recent)Cyclothymic Disorder Essay Assignment

RESULTS OF DECISION POINT TWO Client returns to clinic in four weeks Stefanie reports that her mood seems a bit more “stable.” She states that she notices that she has not been as “sad” since she started taking the medication. She does report that for the first 2 weeks, she noticed that whenever she went from a lying or sitting to a standing position, she felt “lightheaded.” She does report that the side effect was quite concerning at times. However, she reports that this is no longer happening. Cyclothymic Disorder Essay Assignment

 

SUBJECTIVE Stefanie is a 32-year-old female from Puerto Rico who presents to your office today with complaints of difficulty sleeping. You learn that Stefanie can go for a few days with minimal sleep (about 3 hours/night), but does not seem to be fatigued the next day. Stefanie explains that after 3 days with minimal sleep, she “crashes” and has a good night’s sleep. She states that sleep will be “alright” for a few days, even a few weeks, and then she will have a similar issue with sleep. Cyclothymic Disorder Essay Assignment.You learn throughout the assessment process that Stefanie has had this problem for years. She noticed that it began in college and thought it was just because of the workload and academic demands. However, she found that it persisted after college. She also notices that she has periods where she will engage in increased amounts of goaldirected activity. She states that things will just “pile up” at work and she gets this burst of energy to “make everything right.” She states that these bursts will last most of the day. She states that these periods show up probably every 2 to 3 weeks. Stefanie also confesses to problems with being “down in the dumps.” She states that when she has her episodes in which she endeavors to “make everything right,” she feels fantastic and on top of the world. However, when these periods of energy end, she reports that she feels “depressed”—but then states: “well, maybe not depressed, but I definitely feel sad and empty.” She also endorses feelings of fatigue and a decreased ability to concentrate when she is feeling sad. She finally tells you: “I have lived with this for so long, I have to admit that it is finally a relief to tell someone how I feel!” OBJECTIVE Stefanie is dressed appropriately to the weather. She has no gait abnormalities.Cyclothymic Disorder Essay Assignment. Physical assessment is unremarkable. Gross neurological assessment is within normal limits. MENTAL STATUS EXAM Stefanie is alert and oriented × 4 spheres. Her speech is clear, coherent, goal directed, and spontaneous. Self reported mood is “sad.” Affect does appear consistent with dysphoria. Eye contact is normal. Speech is clear, coherent, and goal directed. She denies visual or auditory hallucinations. No overt evidence of paranoid or delusional thought processes noted. She denies suicidal or homicidal ideation and is future oriented. At this point, please discuss any additional diagnostic tests you would perform on Stefanie. Cyclothymic Disorder Essay Assignment