In: People

Submitted By AlanCaldwell
Words 883
Pages 4
Case Study: Bipolar Disorder

Mary is a 40 yrs successful business woman in the high-stress high-power world of corporate finance. Mary present herself as a nonsense business professional. She is frank and honest about the events that she has brought her to the office. Mary tells me that although she tell herself that she will only have one or two glasses with dinner, she usually finished the whole bottle. Her talkativeness, high energy, and engaging personality connects with everyone, about five years ago Mary started having problem sleeping and found herself in financial debt. She continuously overworks; she did not appear to be having any other significant problem. In the last several months, she has taken on more and more jobs at work and is more stressed. A few months ago she began to act out more verbally with other co-worker. Currently, she finds herself depressed; she is struggling to keep up with her work commitment. Mary has a live in sister and she is experiencing many forms of distress. Some feel angry because their routine are often disrupted and other feel anxious. Because they continuously anticipate a change in her mood. With her mind racing at night, her inability to sleep and the increasing distress in her work place, Mary decided to talk with someone on her work staff. After assessment, she was admitted to the women’s program at SLI for treatment.

Beginning Treatment:
Prior to her evaluation at SLI, Mary had been diagnosed as having anxiety and depressions, and started on an antidepressant, Paxil. She reported some improvement in her mood, but felt “seventy percent” better. After several weeks, the dose was increased in an attempt to relieve the lingering depression. Within days, her manic symptom emerged. As with many people who have bipolar disorder, the usual antidepressants can induce a manic state and worsen condition.…...

Similar Documents

Nexus 2 Manual

...and a context menu will appear. Simply select “save preset” from this menu. If you’ve changed the preset name beforehand (by double-clicking on the name itself ), a new preset is created and saved into the currently selected category. Remember, if you’d like to save an edited preset into a different category, the destination category must be selected first. 26 NEXUS2 User Manual MODULATION vib-source The MIDI source used to control vibrato depth: modulation wheel, aftertouch, or both. pb-rangeThe amount (in semitones) that pitch is lowered when the pitchbender is at its minimum position. vib-speed This slider adjusts the vibrato speed i.e. the rate of an LFO dedicated to pitch modulation. vel-volume This parameter is biploar and can therefore be set to both positive and negative values (default is 0). When set to a positive value, notes played with a high velocity have a high volume and notes played with a low velocity have a lower volume. When set to a negative value this operation is reversed – high velocity notes are lower in volume and low velocity notes are higher in volume. The volume of notes in relation their velocity depends upon the value set here. Most presets have velocity information embedded into them, so changing this value in these presets simply accentuates any velocity differences. vib-depth Maximum vibrato depth. Data from the vibrato source (see vib-source above) is modulated with this amount. pb-range+ The amount (in......

Words: 9726 - Pages: 39


...Agitation Speech: Coherent Thought/associations (ego functions: identity, time, volition): See above Suicidal Ideation: (+) ___5__ (-) ____5_ Lethality: Plan see above Means: see above Homicidal Ideation: (+) __5___ (-) ___5__ Lethality: Plan see above Means: see above Substance Abuse: (+) ___5_ (-) ___5 __ What kind: Drug and Substance Misuse How much: Excessive Other addictions (compulsions/obsessions—e.g., gambling, sex, shopping, etc): Sexual Addiction Sleep: Poor Appetite: Ok Memory Functions (long/short term, attention, concentration): Concentration Judgment/Insight/Fund of Knowledge: Lack of insight Motivation for treatment: non compliance and lack of insight into problems Prognosis: suspected HIV and undetermined Biploar Disorder Client Strengths/Resources First Session His overall mood at the initial session was overly optimistic and clearly in significant denial lacking insight into his difficulties. He openly talked about his extensive history of traumatic experiences. His descriptions indicated significant negative emotion, consistent with PTSD and very little insight into the seriousness of his condition. Second Session During his second session we discussed his own expectations and goals for therapy. Talking about his concerns led to a realization of his anger management issues and loss of father. An agreed-to framing of improving his current life functioning and self-evaluation skills, increasing his positive self-evaluation; this......

Words: 10771 - Pages: 44