CASE ANALYSIS ASSIGNMENT

As a guide for the case analysis, include the following:

- What do you think is the diagnosis of a particular cases (or if s/he do not fit the criteria
of any diagnosis)?
The 53 year old woman is suffering from Bipolar 1. The symptoms are very
apparent both on the account of her daughter and her history of going to a psychiatric
clinic. Manic symptoms were reported, according to her daughter she has become
excessively talkative, impulsive, verbally aggressive , and she showed an increase in
symptoms of hostility like throwing objects and having a sense of grandiosity. It was
also reported that she had a history of going to a psychiatric clinic to receive
medications for depressed mood and insomnia. Although she and her family denied that
she had experienced a depressive episode we can't ignore the fact that she was
stressed out by her husband and the psychiatrist of that local clinic prescribed her
antidepressants and sleeping pills. Due to this account I think that the psychiatrist
assessed her correctly otherwise it would be unethical for the psychiatrist to give
prescription without correctly assessing the condition of the patient.

The differential diagnosis that I considered is the difference between Bipolar 1

and Bipolar 2. In this case the recurrent manifestation of a manic episode is clearly
seen. And the manic symptoms seem to occur consistently in the life of the patient.
Unlike bipolar 2 which involves milder episodes of hypomania that alternate with long
periods of severe depression. One predisposing factor that can be considered is
genetics. The patient has a lot of family members that have experienced a form of
mental distress. The precipitating factors can be old age, the death of her father and
brother due to suicide and the patients abusive husband. The possible interventions
would be consistent medication, having a healthy diet, stable sleeping routine, and by
doing Interpersonal And Social Rhythm Therapy/ IPSRT this is an individual
therapy in which the patient keeps daily records of their daily activities and
the clinician helps them on how to regulate their daily routines and sleep-
wake cycles as a way to stabilize moods. In here the clinician together with
the patient also identifies interpersonal problem areas and they can discuss
potential solutions to prevent similar problems from emerging in the future.

- What possible interventions can the patient benefit from?