(Solved) Bipolar/Depression Case Study:Luis Chaves is a 22-year-old who migrated to Miami at the age of 2 years with hisparents.
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RN Bipolar and Related Disorders
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RN Bipolar and Related Disorders 2022
Bipolar and Related Disorders - ANSWER: Found between the chapters on
schizophrenia spectrum and other psychotic disorders and depressive disorders in
DSM-5-TR, representing a bridge between those two diagnostic classes in terms of
symptomatology, family history, and genetics.
Bipolar I Disorder - ANSWER: Criteria represent the modern understanding of the
classic manic-depressive disorder, requiring a distinct period of abnormally elevated
mood and increased activity lasting at least 1 week.
Bipolar II Disorder - ANSWER: Requires the lifetime experience of at least one major
depressive episode and at least one hypomanic episode, but no history of mania,
often accompanied by serious impairment in work and social functioning.
Cyclothymic Disorder - ANSWER: Given to adults who experience at least 2 years of
both hypomanic and depressive periods without fulfilling the criteria for an episode
of mania, hypomania, or major depression.
Substance/Medication-Induced Bipolar and Related Disorder - ANSWER: Associated
with manic-like phenomena due to substances of abuse, some prescribed
medications, or several medical conditions.
Other Specified Bipolar and Related Disorder - ANSWER: Recognizes individuals with
bipolar-like symptoms not meeting criteria for bipolar I, bipolar II, or cyclothymic
disorder.
Unspecified Bipolar and Related Disorder - ANSWER: Category for individuals with
symptoms that do not fit specific bipolar and related disorder diagnoses.
Manic Episode - ANSWER: Characterized by abnormally elevated mood, increased
activity, and specific symptoms lasting at least 1 week, leading to marked
impairment in social or occupational functioning.
Hypomanic Episode - ANSWER: Distinct period of abnormally elevated mood and
increased activity lasting at least 4 consecutive days, with symptoms not severe
enough to cause marked impairment in social or occupational functioning.
Major Depressive Episode - ANSWER: Involves five or more specific symptoms
present during a 2-week period, including depressed mood or loss of interest or
pleasure, leading to a change from previous functioning.
Depressed mood - ANSWER: Feeling sad, empty, or hopeless most of the day
Diminished interest - ANSWER: Marked lack of pleasure in activities
, Weight changes - ANSWER: Significant weight loss or gain, or appetite changes
Insomnia - ANSWER: Difficulty sleeping most days
Psychomotor agitation - ANSWER: Observable restlessness or slowed movements
Fatigue - ANSWER: Loss of energy daily
Feelings of worthlessness - ANSWER: Excessive guilt or self-reproach
Diminished ability to concentrate - ANSWER: Inability to focus or make decisions
Suicidal ideation - ANSWER: Recurrent thoughts of death or suicide
Clinically significant distress - ANSWER: Symptoms impair social or occupational
functioning
Bipolar I Disorder criteria - ANSWER: Requires at least one manic episode
Manic episode features - ANSWER: Elevated, expansive, or irritable mood with
increased activity
Rapid cycling specifier - ANSWER: Pattern of frequent mood shifts
Melancholic features specifier - ANSWER: Depressive episode with specific
characteristics
Peripartum onset specifier - ANSWER: Onset during pregnancy or postpartum period
Inflated self-esteem - ANSWER: Ranges from uncritical confidence to marked
grandiosity
Grandiose delusions - ANSWER: Beliefs of special relationships to famous persons
Decreased need for sleep - ANSWER: Sleeping little or waking early feeling rested
Rapid speech - ANSWER: Speech characterized by speed, loudness, and difficulty to
interrupt
Flight of ideas - ANSWER: Thoughts racing faster than can be expressed through
speech
Distractibility - ANSWER: Inability to focus on relevant stimuli, hindering rational
conversation
Increased goal-directed activity - ANSWER: Excessive planning and participation in
various activities
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