course material

1. Captain of the Ship” Bipolar Disorders.
Captain of the Ship” Bipolar Disorders. Recommend psychopharmacologic treatments based
on therapeutic end points for clients with bipolar disordersRecommend psychotherapy
based on therapeutic end points for clients with bipolar disordersIdentify medical
management needs for clients with bipolar disordersIdentify community support resources
for clients with bipolar disordersRecommend follow-up plans for clients with bipolar
disorders.Captain of the Ship” Bipolar Disorders.ORDER A PLAGIARISM-FREE PAPER
HEREBipolar disorder us a mental disorder characterized by extreme mood swings that
encompass mania/hypomania (high moods) and depression (low mood). During
hypomania/manicepisode, the person is full of energy while during the depressive episode,
the person feels sad and loses interest in most activities (McCormick et al, 2016). This paper
will analyze a client with bipolar disorder and discuss the appropriate treatment options for
the client.HPI and Clinical Impression for the ClientThe client Mr. M a 32-year-old male
presented complaining of symptoms such as difficulty in concentrations, loss of appetite,
sadness, irritability, sleep disturbances, lack of energy and lack of interest in most activities.
The client reported that in spite of taking lamotrigine 100 mg/day and moclobemide 600
mg/day, the symptoms had persisted. The client further reported that sometimes he was
full of energy, overly sociable, aggressive, talkative, sleep for only 2 hours at night, and
would take risky decisions, which was unlike him.Captain of the Ship” Bipolar
Disorders.From the above data, the client experiences hypomanic episodes and depressive
episodes and hence the diagnosis is bipolar II disorder. The DSM-5 criteria stipulate that
depressive episodes are characterized by symptoms such as fatigue, sadness, lack of
interest, appetite and weight changes, as well as suicidal thoughts. Hypomania episode is
characterized byrisky behaviors, high energy levels, reduced need to sleep, delusions, and
feeling euphoric (Muneer, 2016). The client presented with hypomanic and depressive
symptoms and this justifies the diagnosis of bipolar II disorder.Captain of the Ship” Bipolar
Disorders.Psychopharmacologic TreatmentsLithium 300 mg 3 times a day: Lithium will be
prescribed as the mood stabilizer. Shah et al, (2017) explain that the efficacy of lithium in
the treatment and prevention of hypomania and mania episodes. The medication is also
effective in improving suicidal thoughts in people with bipolar disorder.Lurasidone 20 mg
PO qDay: Lurasidone will target the bipolar depressive symptoms. The medication is
approved by the FDA in treating bipolar depressive symptoms, either as a monotherapy or
in combination with lithium (Bawa&Scarff, 2015). Moreover, the medication is associated
with few side effects and therefore the client is not likely to experience metabolic symptoms

2. such as weight gain.Psychotherapy ChoicesCognitive-behavioral therapy (CBT): CBT is the
psychotherapy choice for the client. CBT targets the maladaptive thinking patterns and the
dysfunctional beliefs that lead to the hypomanic and depressive symptoms for the client
(Geddes & David, 2013). As a result, the negative/maladaptive thinking pattern will be
transformed into more a positive thinking patternand this will help eliminate the negative
feeling and improve the symptoms of bipolar and normal functioning for the client (Geddes
& David, 2013).Captain of the Ship” Bipolar Disorders.Medical Management NeedsThe client
and his immediate family members will require education regarding the client’s condition
to enable them to understand his condition and handle him better. They will also be
educated about the possible triggers for depressive and hypomanic symptoms and how to
avoid the triggers. There will also be a need to encourage the client to adhere to the
prescribed treatment. (Kilbourne et al, 2013). Moreover, bipolar is characterized by suicidal
thoughts and therefore it will be necessary to monitor the client closely.Captain of the Ship”
Bipolar Disorders. It will also be important to educate the client about the importance of
maintaining regular schedules when it comes to activities of daily living such as sleep. More
importantly, one of the prescribed medications (lithium) is associated with toxicity and side
effect and therefore the client will be educated about the side effect and possible toxicity.
The client will also be monitored and assessed closely to avoid any possible toxicity
(Kilbourne et al, 2013).Community Support ResourcesThe client will be linked to the locally
available support groups so that he can meet and socialize with individuals undergoing
similar mental health problems. This will motivate the client to cope with his conditions and
adhere to the prescribed treatment. The client will also be provided with educative
resources such as booklets and magazines about his condition so that he can gain
information about how to avoid triggers and manage the symptoms (Culpepper,
2014).Captain of the Ship” Bipolar Disorders.Follow-up PlanThe treatment plan and the
client’s progress and response to the prescribed treatment will be reviewed after four
weeks. The psychiatrist in collaboration with the PMHNP will assess the client and
prescribe treatment according to his progress, tolerance, and response to the treatment.
The PMHNP will also educate the client and administer the medications as well (Culpepper,
2014). A social worker will have the role of monitoring the progress of the client while at
home.ConclusionThe diagnosis for this client is bipolar II disorder as per the hypomanic
and depressive symptoms. The prescribed medications include lithium as the mood
stabilizer and lurasidone to treat the depressive symptoms. The psychotherapy choice for
the client is cognitive behavioral therapy in order to change the maladaptive thinking
pattern into a more positive thinking pattern. The medical management needs include
monitoring the client for suicide and treatment adherence, as well as educating the client
about the possible triggers and symptom management. The client will be linked with the
local support groups and given reading resources about the condition.Captain of the Ship”
Bipolar Disorders.