Assignment: Assessing And Treating Clients With With Bipolar Disorder


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BACKGROUND INFORMATION

The applicant is a 26-year-old woman of Korean coast who presents to her aboriginal arrangement afterward a 21-day analysis for access of astute mania. She was diagnosed with bipolar I disorder. 

Upon accession in your office, she is absolutely “busy,” arena with things on your board and alive from ancillary to ancillary in her chair. She informs you that “they said I was bipolar, I don’t accept that, do you? I aloof like to talk, and dance, and sing. Did I acquaint you that I admired to cook?”

She weights 110 lbs. and is 5’ 5” 

SUBJECTIVE

Patient letters “fantastic” mood. Letters that she sleeps about 5 hours/night to which she adds “I abhorrence sleep, it’s no fun.” 

You advised her hospital annal and acquisition that she has been medically formed up by a physician who appear her to be in all-embracing acceptable health. Lab studies were all aural accustomed limits. You acquisition that the accommodating had abiogenetic testing in the hospital (specifically GeneSight testing) as none of the medications that they were alleviative her with seemed to work. 

Genetic testing reveals that she is absolute for CYP2D6*10 allele. 

Patient confesses that she chock-full demography her lithium (which was assigned in the hospital) back she was absolved two weeks ago. 

MENTAL STATUS EXAM

The accommodating is alert, aggressive to person, place, time, and event. She is dressed absolutely oddly- cutting what appears to be an black clothes to her appointment. Speech is rapid, pressured, tangential. Self-reported affection is euthymic. Affect broad. Accommodating denies beheld or audition hallucinations, no credible delusional or batty anticipation processes readily apparent. Judgment is grossly intact, but acumen is acutely impaired. She is currently abstinent baleful or bloodthirsty ideation.

The Young Aberration Rating Scale (YMRS) account is 22

RESOURCES

§  Chen, R., Wang, H., Shi, J., Shen, K., & Hu, P. (2015). Cytochrome P450 2D6 genotype affects the pharmacokinetics of controlled-release paroxetine in advantageous Chinese subjects: allegory of acceptable phenotype and action account systems. European Journal of Clinical Pharmacology, 71(7), 835-841. doi:10.1007/s00228-015-1855-6 

The Assignment

Examine Case Study: An Asian American Woman With Bipolar Disorder. You will be asked to accomplish three decisions apropos the medication to appoint to this client. Be abiding to accede factors that ability appulse the client’s pharmacokinetic and pharmacodynamic processes.

At anniversary accommodation point stop to complete the following:

  • Decision #1
    • Which accommodation did you select?
    • Why did you baddest this decision? Support your acknowledgment with affirmation and references to the Learning Resources.
    • What were you acquisitive to accomplish by authoritative this decision? Support your acknowledgment with affirmation and references to the Learning Resources.
    • Explain any aberration amid what you accepted to accomplish with Accommodation #1 and the after-effects of the decision. Why were they different?
  • Decision #2
    • Why did you baddest this decision? Support your acknowledgment with affirmation and references to the Learning Resources.
    • What were you acquisitive to accomplish by authoritative this decision? Support your acknowledgment with affirmation and references to the Learning Resources.
    • Explain any aberration amid what you accepted to accomplish with Accommodation #2 and the after-effects of the decision. Why were they different?
  • Decision #3
    • Why did you baddest this decision? Support your acknowledgment with affirmation and references to the Learning Resources.
    • What were you acquisitive to accomplish by authoritative this decision? Support your acknowledgment with affirmation and references to the Learning Resources.
    • Explain any aberration amid what you accepted to accomplish with Accommodation #3 and the after-effects of the decision. Why were they different?

Also accommodate how ethical considerations ability appulse your analysis plan and advice with clients.

In your addition amuse be abiding and altercate accomplishments advice on the patient.

In your accommodation copse you charge to altercate all therapies presented as able-bodied as why you didn't baddest them. You additionally should be added specific with the affirmation you provide. 

Please additionally be abiding to accommodate an ethical consideration/conclusion at the end of your essay.

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