Patients With Bipolar Disorder Essay 3
Patients With Bipolar Disorder Essay 3Patients With Bipolar Disorder Essay 3Bipolar
disorder is a unique disorder that causes shifts in mood and energy, which results in
depression and mania for patients. Proper diagnosis of this disorder is often a challenge for
two reasons: 1) patients often present as depressive or manic but may have both; and 2)
many symptoms of bipolar disorder are similar to other disorders. Misdiagnosis is common,
making it essential for you to have a deep understanding of the disorder’s pathophysiology.
For this Assignment, as you examine the patient case study in this week’s Learning
Resources, consider how you might assess and treat patients presenting with bipolar
disorder.To prepare for this Assignment:Review this week’s Learning Resources, including
the Medication Resources indicated for this week.Reflect on the psychopharmacologic
treatments you might recommend for the assessment and treatment of patients requiring
bipolar therapy. The Assignment: 5 pagesExamine Case Study: An Asian American Woman.
Diagnosis-Bipolar Disorder. You will be asked to make three decisions concerning the
medication to prescribe to this patient. Be sure to consider factors that might impact the
patient’s pharmacokinetic and pharmacodynamic processes. BACKGROUND
INFORMATIONThe client is a 26-year-old woman of Korean descent who presents to her
first appointment following a 21-day hospitalization for onset of acute mania. She was
diagnosed with bipolar I disorder. Upon arrival in your office, she is quite “busy,” playing
with things on your desk and shifting from side to side in her chair. She informs you that
“they said I was bipolar, I don’t believe that, do you? I just like to talk, and dance, and sing.
Did I tell you that I liked to cook?” She weights 110 lbs. and is 5’ 5”ORDER NOW FOR
CUSTOMIZED, PLAGIARISM-FREE PAPERSSUBJECTIVEPatient reports “fantastic” mood.
Reports that she sleeps about 5 hours/night to which she adds “I hate sleep, it’s no fun.”You
reviewed her hospital records and find that she has been medically worked up by a
physician who reported her to be in overall good health. Lab studies were all within normal
limits. You find that the patient had genetic testing in the hospital (specifically GeneSight
testing) as none of the medications that they were treating her with seemed to work.
Genetic testing reveals that she is positive for CYP2D6*10 allele. Patient confesses that she
stopped taking her lithium (which was prescribed in the hospital) since she was discharged
two weeks ago. MENTAL STATUS EXAMThe patient is alert, oriented to person, place, time,
and event. She is dressed quite oddly- wearing what appears to be an evening gown to her
appointment. Speech is rapid, pressured, tangential. Self-reported mood is euthymic. Affect
broad. Patient denies visual or auditory hallucinations, no overt delusional or paranoid

thought processes readily apparent. Judgment is grossly intact, but insight is clearly
impaired. She is currently denying suicidal or homicidal ideation.The Young Mania Rating
Scale (YMRS) score is 22Patients With Bipolar Disorder Essay 3RESOURCES§ Chen, R.,
Wang, H., Shi, J., Shen, K., & Hu, P. (2015). Cytochrome P450 2D6 genotype affects the
pharmacokinetics of controlled-release paroxetine in healthy Chinese subjects: comparison
of traditional phenotype and activity score systems. European Journal of Clinical
Pharmacology, 71(7), 835-841. doi:10.1007/s00228-015-1855-6Decision Point OneSelect
what you should do:Begin Lithium 300 mg orally BIDBegin Risperdal 1 mg orally BIDBegin
Seroquel XR 100 mg orally at HSAt each decision point, you should evaluate all options
before selecting your decision and moving throughout the exercise. Before you make your
decision, make sure that you have researched each option and that you evaluate the
decision that you will select. Be sure to research each option using the primary
literature. Introduction to the case (1 page)Briefly explain and summarize the case for this
Assignment. Be sure to include the specific patient factors that may impact your decision
making when prescribing medication for this patient. Decision #1 (1 page)Which decision
did you select?Why did you select this decision? Be specific and your response with
clinically relevant and patient-specific resources, including the primary literature.Why did
you not select the other two options provided in the exercise? Be specific and your
response with clinically relevant and patient-specific resources, including the primary
literature.What were you hoping to achieve by making this decision? your response with
evidence and references to the Learning Resources (including the primary
literature).Explain how ethical considerations may impact your treatment plan and
communication with patients. Be specific and provide examples. Decision #2 (1 page)Why
did you select this decision? Be specific and your response with clinically relevant and
patient-specific resources, including the primary literature.Why did you not select the other
two options provided in the exercise? Be specific and your response with clinically
relevant and patient-specific resources, including the primary literature.What were you
hoping to achieve by making this decision? your response with evidence and references to
the Learning Resources (including the primary literature).Explain how ethical
considerations may impact your treatment plan and communication with patients. Be
specific and provide examples. Decision #3 (1 page)Why did you select this decision? Be
specific and your response with clinically relevant and patient-specific resources,
including the primary literature.Why did you not select the other two options provided in
the exercise? Be specific and your response with clinically relevant and patient-specific
resources, including the primary literature.What were you hoping to achieve by making this
decision? your response with evidence and references to the Learning Resources
(including the primary literature).Explain how ethical considerations may impact your
treatment plan and communication with patients. Be specific and provide examples.Patients
With Bipolar Disorder Essay 3Conclusion (1 page)Summarize your recommendations on
the treatment options you selected for this patient. Be sure to justify your recommendations
and your response with clinically relevant and patient-specific resources, including the
primary literature.