Jay, an 18-year-old high school senior, presents
with symptoms of difficulty sleeping and feeling sad, which results in
an initial diagnosis of depression. His mother later reports, however,
that Jay exhibits symptoms of irritability and risk-taking behaviors.
(His little brother reported to his mother that they were driving over
90 miles an hour on the highway.) After further evaluation, Jay’s
psychiatric mental health nurse practitioner diagnosed him with bipolar
Cases like this are not uncommon
with bipolar disorder, as initial assessments rarely provides all the
information needed. In your role, as a psychiatric mental health nurse
practitioner, you must develop strategies for properly assessing and
diagnosing these clients because treatments for bipolar disorder are
significantly different than treatments for depression or other mood
This week, as you examine bipolar
therapies, you explore the assessment and treatment of clients with
bipolar disorder. You also consider ethical and legal implications of
Bipolar disorder is a unique disorder that
causes shifts in mood and energy, which results in depression and mania
for clients. Proper diagnosis of this disorder is often a challenge for
two reasons: 1) clients often present as depressive or manic, but may
have both; and 2) many symptoms of bipolar disorder are similar to other
disorders. Misdiagnosis is common, making it essential for you to have a
deep understanding of the disorder’s pathophysiology. For this
Assignment, as you examine the client case study in this week’s Learning
Resources, consider how you might assess and treat clients presenting
with bipolar disorder.
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Note: All Stahl resources can be accessed through this link provided.
Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.
To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.
Stahl, S. M., & Ball, S. (2009b). Stahl’s illustrated mood stabilizers. New York, NY: Cambridge University Press.
To access the following chapters, click on the Illustrated Guides tab and then the Mood Stabilizers tab.
Vitiello, B. (2013). How effective are the current treatments for children diagnosed with manic/mixed bipolar disorder? CNS Drugs, 27(5), 331-333. doi:10.1007/s40263-013-0060-3
Chen, R., Wang, H., Shi, J., Shen, K., & Hu, P. (2015). Cytochrome P450 2D6 genotype affects the pharmacokinetics of controlled-release paroxetine in healthy Chinese subjects: comparison of traditional phenotype and activity score systems. European Journal of Clinical Pharmacology, 71(7), 835-841. doi:10.1007/s00228-015-1855-6
Note: Retrieved from Walden Library databases.
Laureate Education. (2016f). Case study: An Asian American woman with bipolar disorder [Interactive media file]. Baltimore, MD: AuthorNote: This case study will serve as the foundation for this week’s Assignment.
Mostafavi, A., Solhi, M., Mohammadi, M., Hamedi, M., Keshavarzi, M., & Akhondzadeh, S. (2014). Melatonin decreases olanzapine induced metabolic side-effects in adolescents with bipolar disorder: a randomized double-blind placebo-controlled trial. Acta Medica Iranica, 52(10), 734-739.
Retrieved from http://acta.tums.ac.ir/index.php/acta
To prepare for this Assignment:
Examine Case Study: An Asian American Woman With Bipolar Disorder.
You will be asked to make three decisions concerning the medication to
prescribe to this client. Be sure to consider factors that might impact
the client’s pharmacokinetic and pharmacodynamic processes.
At each decision point stop to complete the following:
Also include how ethical considerations might impact your treatment plan and communication with clients.
Note: Support your rationale with a minimum of three
academic resources. While you may use the course text to support your
rationale, it will not count toward the resource requirement.
To submit your completed Assignment for review and grading, do the following:
Now that you have:
Next week, you will build on your
assessment and treatment skills as you examine clients presenting for
anxiolytic therapy and PTSD treatment.
To go to the next week:Week 5