Rule Out Explosive Disorder Case Study
Marshall is a 37 year old white male. He is a successful musical artist, but he has been having problems writing and developing his music. He expressed that his mind is either racing with a million thoughts at a time or it feels like he doesn’t even have a mind at all and it hurts to think. Marshall has not been feeling like his normal self for quite some time. He admits that he often becomes extremely angry without cause. Marshall has expressed that his anger is so strong that it feels like it could rip through his skin or cause him to explode. Marshall has a history of tumultuous relationships. He is estranged from his mother and has two failed marriages, to the same woman. In 2008, Marshall was arrested for Criminal Domestic Violence and
…show more content…
Rule Out Antisocial Personality- Marshall has a history of impulsivity, reckless disregard for himself and others and excessive irritability and aggression.
8) Etiology of Presenting Problems: Family history of mental illness is unknown, however Marshall claims that his mother suffers from Munchausen Syndrome. History of suicide in the family. History of substance use.
9) Treatment Goals: Marshall will reduce the thoughts of suicide, learn appropriate coping skills, and recognize patterns of behavior and triggers for relapse.
10) Treatment Suggestions: Cognitive Behavior Therapy and Mood-stabilizing medication can help control the symptoms of bipolar disorder. However, patients often need help and support to take medicine properly and to ensure that any episodes of mania and depression are treated as early as possible. Some people stop taking the medication as soon as they feel better or because they want to experience the productivity and creativity associated with mania. Although these early manic states may feel good, discontinuing medication may have very negative
Rule Out Antisocial Personality- Marshall has a history of impulsivity, reckless disregard for himself and others and excessive irritability and aggression.
8) Etiology of Presenting Problems: Family history of mental illness is unknown, however Marshall claims that his mother suffers from Munchausen Syndrome. History of suicide in the family. History of substance use.
9) Treatment Goals: Marshall will reduce the thoughts of suicide, learn appropriate coping skills, and recognize patterns of behavior and triggers for relapse.
10) Treatment Suggestions: Cognitive Behavior Therapy and Mood-stabilizing medication can help control the symptoms of bipolar disorder. However, patients often need help and support to take medicine properly and to ensure that any episodes of mania and depression are treated as early as possible. Some people stop taking the medication as soon as they feel better or because they want to experience the productivity and creativity associated with mania. Although these early manic states may feel good, discontinuing medication may have very negative