Bipolar Disorders

“Captain of the Ship” Project – Bipolar Disorders

Bipolar disorders are severe disorders of mood that include both depressive episodes and expansive, grandiose, or manic episodes. During these times, the person may engage in activities with little awareness of the consequences because of accompanying psychosis. A diagnosis of bipolar disorder includes periods of mania or hypomania and periods of depression where the mood is down, hopeless, and suicidal. The neurovegetative symptoms of bipolar depression can be incapacitating. It is also important to differentiate the psychosis of bipolar disorder from schizophrenia.

In this Assignment, you will become the “captain of the ship” as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with a bipolar disorder.

Goal:

Recommend psychopharmacologic treatments based on therapeutic end points for clients with bipolar disorders

Recommend psychotherapy based on therapeutic end points for clients with bipolar disorders

Identify medical management needs for clients with bipolar disorders

Identify community support resources for clients with bipolar disorders

Recommend follow-up plans for clients with bipolar disorders

To prepare for this Assignment:

Select an adult or older adult client with a bipolar disorder that you have seen in your practicum.

In 3-4 pages, write a treatment plan for your client. In which you do the following:

Describe the HPI and clinical impression for the client.

Recommend psychopharmacologic treatments and describe specific and therapeutic end points for your psychopharmacologic agent. (This should relate to HPI and clinical impression.).

Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.

Identify medical management needs, including primary care needs, specific to this client.

Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.

Recommend a plan for follow-up intensity and frequency and collaboration with other providers.

Check Your Assignment Draft for Authenticity, Plagiarism and spelling check

Support your answer with 3 or 4 current literature

Required Readings

American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.

Standard 13 “Collaboration” (pages 78-79)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

“Bipolar and Related Disorders”

Marsee, K., & Gross, A. F. (2013). Bipolar disorder or something else? Current Psychiatry, 12(2), 43–49. Retrieved from http://www.mdedge.com/currentpsychiatry/article/66320/bipolar-disorder/bipolar-disorder-or-something-else

Miller, L. J., Ghadiali, N. Y., Larusso, E. M., Wahlen, K. J., Avni-Barron, O., Mittal, L., & Greene, J. A. (2015). Bipolar disorder in women. Health Care for Women International, 36(4), 475–498. doi:10.1080/07399332.2014.962138

Schouws, S. M., Comijs, H. C., Dols, A., Beekman, A. F., & Stek, M. L. (2016). Five-year follow-up of cognitive impairment in older adults with bipolar disorder. Bipolar Disorders, 18(2), 148–154. doi:10.1111/bdi.12374

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 8, “Mood Disorders” (pp. 347–386)
Note: This is review from the Learning Resource in Week 2.

Gabbard, G. O. (2014). Gabbard’s treatment of psychiatric disorders (5th ed.). Washington, DC: American Psychiatric Publications.

Chapter 13, “Acute and Maintenance Treatment of Bipolar and Related Disorders”

Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press.

Sample Solution

Why We Believe Horoscopes

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horoscope essayLiving in the 21st century implies living in the period of innovative miracles, permitting individuals to do things that would be viewed as enchantment a century back. TV, the Internet, mobile phones, space flights, shot trains, computer generated reality, and holographic and three-dimensional pictures are only a few models exhibiting the unimaginable mechanical advancement humankind has made during late decades. At the same time, numerous individuals despite everything have faith in ungainly and in some cases silly marvels, similar to superstitions, enchantment, crystal gazing, etc. Particularly this proposal alludes to crystal gazing; albeit numerous individuals guarantee horoscopes for their zodiac signs are “totally obvious,” science demonstrates it is just a matter of discernment.

In the event that you have ever perused a horoscope for the zodiac sign you were brought into the world under, you more likely than not saw that occasionally “expectations” about your character qualities, way of life, connections, or vocation can by one way or another appear to be precise. Luckily, this doesn’t imply that far off stars and planets some way or another influence your fate; considerably more likely, in such cases, you are encountering what is known as the Barnum Effect.

For the most part, the Barnum Effect (additionally called the Forer Effect) implies individuals’ inclination to take obscure and summed up qualities of themselves as precise and honest (Paranormality). Or then again, at the end of the day, it implies that individuals acknowledge qualities that can apply to numerous individuals as close to home and precise just for themselves.

Here is a mental trademark made out of the announcements utilized by the American clinician Bertram Forer in the analysis that demonstrated the impact. He furnished every one of his understudies with the accompanying content, and every one of the understudies remembered it to be their exact mental trademark:

You have an incredible requirement for others to like and respect you. You tend to be disparaging of yourself. You have a lot of unused limit which you have not made advantageous for you. While you have some character shortcomings, you are commonly ready to make up for them. Your sexual change has displayed issues for you. Restrained and self-controlled outside, you will in general be troubling and uncertain inside. On occasion you have genuine questions regarding whether you have settled on the correct choice or made the best choice. You lean toward a specific measure of progress and assortment and become disappointed when stitched in by limitations and constraints. You pride yourself as a free scholar and don’t acknowledge others’ announcements without palatable evidence. You have thought that it was impulsive to be excessively forthcoming in uncovering yourself to other people. On occasion you are outgoing, approachable, friendly, while at different occasions you are withdrawn, watchful, held. A portion of your desires will in general be truly unreasonable. Security is one of your significant objectives throughout everyday life. (Forer)

As should be obvious, the announcements above can be pretty much applied to nearly anyone. No compelling reason to state that horoscopes for the most part comprise of expressions that to a critical degree look like (or even rehash) those in the displayed content. Now and then, horoscopes can be totally precise. For instance, a Gemini author may peruse that their sign is inclined to composing and additionally scholarly work. In any case, such cases are either incidents (only one out of every odd Gemini, all things considered, is an essayist, or if nothing else gifted recorded as a hard copy), or represent an individual’s capacity to discover particularities in dubiousness.

Crystal gazing and horoscopes ought not be trusted. Albeit a portion of the forecasts may appear to be staggeringly precise, this is a deception brought about by the quirks of how our brains work. Individuals will in general acknowledge summed up qualities as exact and relevant to themselves; this is known as the Barnum (Forer) Effect, and it is liable for making use consider horoscopes to be something sound.

References

“Barnum Effect.” Paranormality. N.p., n.d. Web. 06 Nov. 2014.

Forer, B.R. (1949). “The Fallacy of Personal Validation: A Classroom Demonstration of Gullibility.” Journal of Abnormal and Social Psychology (American Psychological Association).

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