The patient is a 24-year-old Hispanic female who has been experiencing a manic episode for the past week.

Summarize the clinical case including the significant subjective and objective data.

The patient is a 24-year-old Hispanic female who has been experiencing a manic episode for the past week. She has been giving away her possessions and has plans to move to the South Pole to “save the world.” She has hardly been sleeping and is very energetic. She speaks rapidly, laughs uncontrollably, and is agitated and has difficulty sitting still. She has delusions and hallucinations.

Generate a primary and two differential diagnoses. Use the DSM5 to support the assessment. Include the DSM5 and ICD 10 codes.

The primary diagnosis would be Bipolar Disorder, Most Recent Episode Manic with Psychotic Features based on the patient’s symptoms. The differential diagnoses would be Schizoaffective Disorder, Bipolar Type and Substance-Induced psychotic disorder. The DSM5 code for Bipolar Disorder, Most Recent Episode Manic with Psychotic Features is 296.89 and the ICD 10 code is F31.81.

Discuss a pharmacological treatment it would be good to prescribe? Use the clinical guidelines to support the rationale for this treatment

The patient’s symptoms suggest that she is experiencing a manic episode with psychotic features. She is speaking rapidly, laughing uncontrollably, and is agitated and has difficulty sitting still. These are all signs of mania. Additionally, her belief that she needs to move to the South Pole to “save the world” is a sign of psychosis. A pharmacological treatment that would be good to prescribe is an antipsychotic medication. Antipsychotic medications can help to reduce the symptoms of mania and psychosis. There are many different antipsychotic medications that can be prescribed, so the specific medication and dosage will depend on the patient’s individual situation. Some examples of antipsychotic medications that could be prescribed include haloperidol (Haldol), risperidone (Risperdal), and olanzapine (Zyprexa). It would also be appropriate to prescribe a mood stabilizer such as lithium carbonate. Lithium has been shown to be effective in treating mania and preventing future episodes

Discuss non-pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment
The non-pharmacological treatment that I would prescribe for Jill is to have her participate in cognitive behavioral therapy. This is because Jill is exhibiting signs of mania, which can be treated with CBT. CBT will help Jill to identify and change the thoughts and behaviors that are causing her mania. It will also help her to learn how to cope with stress in a healthy way. The clinical guidelines support the use of CBT for the treatment of mania. They state that CBT can help to reduce the symptoms of mania and can prevent relapse.

Describe a health promotion intervention that would be appropriate for this patient
A health promotion intervention that would be appropriate for Jill is to teach her about the importance of getting enough sleep. Sleep is important for overall health and well-being, and it can help to reduce stress levels. Jill should be encouraged to develop a regular sleep schedule and to avoid activities that will interfere with her sleep, such as using electronic devices before bed.

ve involvement in risky behaviors. The patient must also have experienced at least one symptom of psychosis, such as delusions or hallucinations.

References

1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

2. National Institute of Mental Health. (n.d.). Bipolar disorder. Retrieved from https://www.nimh.nih.gov/health/topics/bipolar-disorder/index.shtml

3. Goodwin, F. K., & Jamison, K. R. (2007). Manic-depressive illness: Bipolar disorders and recurrent depression (2nd ed.). New York, NY: Oxford University Press.

4. CBT for Mania: Clinical Guidelines. (n.d.). Retrieved from https://www.psychologytools.com/resource/cbt-for-mania-clinical-guidelines/

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Question

The patient is a 24-year-old Hispanic female who has been experiencing a manic episode for the past week.

Jill, a 24 y/o Hispanic female arrives in the emergency room where her parents brought her for evaluation. They are worried because she is giving away all of her possessions and says she is planning to move to the South Pole so she can “save the world.” Her parents say that she has hardly been sleeping at all for the last 7 days, but she seems very energetic. They say she has appeared to be “in a frenzy” lately. When you interview Jill you notice that she speaks very rapidly and is laughing uncontrollably. It is hard to get her to be quiet long enough for you to ask questions. She seems agitated and has difficulty sitting still.

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