¶ … bipolar diagnosis: A case study of Miranda
Miranda is a sixteen-year-old second-generation Chinese-American girl who is suspected of manifesting bipolar disorder, according her referencing pediatrician. Miranda's specific, proposed diagnosis according to Appendix D of the DSM is "Bipolar 2 Disorder, in which the primary symptom presentation is recurrent depression accompanied by hypomanic episodes (a milder state of mania in which the symptoms are not severe enough to cause marked impairment in social or occupational functioning or need for hospitalization, but are sufficient to be observable by others)." However, there are also some indications that drug use may be provoking her symptoms Miranda comes from a very high-achieving family that places considerable weight upon academic success. Throughout most of her scholastic life, Miranda has excelled in school but her sophomore year of high school her grades began to decline. According to Miranda's mother (who is a self-described 'stay at home mom'), her daughter's work habits became increasingly erratic.
Sometimes Miranda would stay up all night ostensibly doing homework but would be really talking with her friends on her computer. When confronted by her father about this behavior, Miranda cheerfully told him that she could study in between classes in school and seemed unperturbed by his anger. Miranda, even when she seemed to be working hard and chattered on about her extravagant plans to go to an Ivy League school would have little to show for her efforts working at night. Other days Miranda would say she was so tired she couldn't possibly go to school and lost all interest in her extracurricular activities such as music. Her teachers described her as either overly talkative and 'social' and distracted in class or extremely tired to the point of falling asleep during lectures.
Miranda is described as having a high IQ, particularly in math, but also as being a very sensitive child. However, she has always had many friends and was well-liked at school until recently. Miranda has a self-admitted perfectionist streak and tends to see things in black and white -- either she is a success or a failure, in her estimation. However, as her mood swings became more erratic, she began to lose some of her closest friends. Miranda began to hang out with an uncharacteristically 'cooler' crowd and stay out late in defiance of her curfew which she had never done before. Her mother does not like...
She has also recently experienced a "depressive episode characterized by the presence, while depressed, of two (or more) of the following:" poor appetite, insomnia and hypersomnia, low energy and fatigue, low self-esteem, poor concentration, difficulty making decisions, feelings of hopelessness, and a lack of energy that stood in notable contrast to her agitated, incessant movement and energy during her manic phase. During her manic phase, Katherine showed clear signs of
Bipolar Disorder generally sets in during adolescence or early adulthood though it may also occur late in one's life or during childhood. It results in terrible mood swings ranging from mania and euphoria to depression and suicidal tendencies. The earlier a person is diagnosed with bipolar disorder the better. Medication is available for bipolar disorder, which helps control the mood swings and even treats the condition. Diagnosis of bipolar disorders
Bipolar Disorder Symptoms Bipolar disorder has been studied for more than a decade after remaining undiagnosed in children and adolescents for many years. Much literature such as that by Pavuluri, Birmaher, and Naylor (2005b), and Kowatch and Debello (2006) is available on diagnostic issues pertaining to paediatric bipolar disorder. In addition, many cases studies have also been published on the topic such as those by DuVaI (2005) and Hamrin and Bailey
Bipolar in Adolescence Child Development - Bipolar in Adolescence The early years of the life of a child is full of development and learning, which plays an integral role in building and shaping the entire personality, characteristics and the health cycle. In other words, the life from birth to adolescence period is the developmental phase of life in which parents, educators and even peers are significant that can help and nurture the
Bipolar disorder individuals often make highly lethal suicide attempts therefore early identification of high-lethality suicide attempters is critical. In this study, BD patients were classified as high- or low- lethality attempters. High lethality attempts required inpatient medical treatment. A logistics model and permutation analyses examined the correlations between lethality, number and order of attempts. Researchers found that multiple attempters showed no pattern in increasing or decreasing their lethality attempts later
[Frank et.al, 2006)] Baethge et.al (2005) examined substance use disorders in patients with first episode BP 1 disorder using 'Structured Clinical Interview for DSM-IV Axis I Disorders' (SCID). The study included a total of 172 patients who were admitted in the McLean hospitals between 1989 and 1996 for clinically diagnosed first lifetime manic/mixed BP 1 episodes. All the 172 subjects underwent follow-up assessment at 6,12 and 24 months respectively. Results
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