Psy/270 Case Study
Client “Ellen” meets criteria for the following DSM-5 diagnoses: F31.81- Bipolar II Disorder With Major Depressive and Hypomanic Episode Differential Diagnosis:
I thought of diagnosing Ellen with Dysthymic disorder due to her long history of mild depressive symptoms. The reason I had this is mind was because Ellen was very tired all the time and most time have difficulties sleeping at night. She also reports that she was always unhappy.
Reasons for diagnoses chosen: In looking at the DSM-5 I believed that Ellen meet the criteria for diagnosis of Bipolar II with hypomanic and major depressive episode because she presented with many episodes of elevated mood, decreased need for sleep and appetite. She became talkative and run up the telephone bill overnight. She had increased activity to rejection, and her thoughts were racing which counts for hypomanic episodes. Bipolar II is mostly characterized by depressive episodes as well as hypomanic episodes that occur in cycles. Bipolar II is characterized by a pattern of one or more major depressive episodes and at least one hypomanic episode. Bipolar disorder is a medical condition that is characterized by severe changes in mood. These mood swings can be so dramatic that a person may lose their ability to function. …show more content…
These can occur soon after hypomania diminishes or at a later stage. Some people cycle back and forth between hypomania and depression, while others have long periods of normal mood in between episodes. Ellen denies physical and sexual abuse but reports that she was emotionally abused by her parents. Many factors can be attributed to the reason a person experiences Bipolar Disorder. It can be due to their genetics, as in how they may have inherited from their parents the gene for Bipolar Disorder. I also believed that the history of her father’s alcohol problem may have contributed to the
I thought of diagnosing Ellen with Dysthymic disorder due to her long history of mild depressive symptoms. The reason I had this is mind was because Ellen was very tired all the time and most time have difficulties sleeping at night. She also reports that she was always unhappy.
Reasons for diagnoses chosen: In looking at the DSM-5 I believed that Ellen meet the criteria for diagnosis of Bipolar II with hypomanic and major depressive episode because she presented with many episodes of elevated mood, decreased need for sleep and appetite. She became talkative and run up the telephone bill overnight. She had increased activity to rejection, and her thoughts were racing which counts for hypomanic episodes. Bipolar II is mostly characterized by depressive episodes as well as hypomanic episodes that occur in cycles. Bipolar II is characterized by a pattern of one or more major depressive episodes and at least one hypomanic episode. Bipolar disorder is a medical condition that is characterized by severe changes in mood. These mood swings can be so dramatic that a person may lose their ability to function. …show more content…
These can occur soon after hypomania diminishes or at a later stage. Some people cycle back and forth between hypomania and depression, while others have long periods of normal mood in between episodes. Ellen denies physical and sexual abuse but reports that she was emotionally abused by her parents. Many factors can be attributed to the reason a person experiences Bipolar Disorder. It can be due to their genetics, as in how they may have inherited from their parents the gene for Bipolar Disorder. I also believed that the history of her father’s alcohol problem may have contributed to the