The case study associated with this week is Case 14 is titled “Cheryl”.<\/p>\n
Formulate a question regarding the case study and include the rationale for the answer.
\nInclude one scholarly peer-reviewed reference.
\nCase 17 Cheryl R. is a twenty-eight-year-old married woman with two children under three years of age. She has been referred by her family doctor, who has been treating her depression for nine months with fluoxetine, 20 mg daily. Her physician states that medication adjustment is not indicated and thinks \u201ctalking therapy\u201d will be beneficial. Her psychiatric history is negative for hospitalizations, and she has never been in therapy. She describes a \u201clifetime of sadness\u201d with periodic episodes of suicidal ideation during late adolescence. Cheryl reports moderate improvement in her depression since starting the medication and wants to continue taking it. However, she says that some of her initial symptoms of irritability, tearfulness, and tiredness have never really improved. She reports continued initial insomnia and describes lying awake worrying about things. Her major concern is that she is not the \u201cbest mother\u201d she can be. On particularly \u201cbad days,\u201d she places the children in front of the television and retreats to her room. She wishes she had more \u201cgood days,\u201d which occur about every three months and last about a week. During these periods she begins sewing and craft projects for the house, socializes with neighbors, and a general feeling of exhaustion have not significantly decreased. She describes having initial sleeplessness that continues to this day and describing lying awake thinking about various things. The fact that she is not the “best mother” she can be is her primary source of anxiety. When things are exceptionally “awful,” she shuts the door to her bedroom and sends the children to their rooms with the television on. She expresses the desire that she had more “good days,” which come about once every three months and last for an extended period of time.exercises, and \u201cfeels on top of the world.\u201d She appears slightly nervous and describes her mood as \u201cpretty bad.\u201d She describes her marriage as \u201caverage\u201d and her children as the \u201ccenter of her life.\u201d She is moderately impatient with the interview questions relative to history taking, since she wants to \u201cget on with things.\u201d You are encouraged by Cheryl\u2019s motivation for treatment. However, you internally question whether she may fit the profile for bipolar II. In the process of the diagnostic interview, you elicit enough information indicative of hypomanic periods that predated the initiation of fluoxetine to warrant further consultation with her original prescriber or a psychiatrist. Listed below are important diagnostic specifiers for bipolar I and bipolar II. The reader should refer to DSM-5 for a full explanation of coding and recording proce dures for these specifiers. Episode severity Remission status With anxious distress With mixed features With rapid cycling With melancholic features With atypical features With mood-congruent psychotic features 106 Handbook of Clinical Psychopharmacology for Therapists With mood-incongruent psychotic features With catatonia With peripartum onset With seasonal pattern The mixed episode was recognized in DSM-IV-TR as a discrete clinical entity, requiring that full diagnostic criteria be met simultaneously for bipolar I and major depression. In DSM-5 a specifier has been added, termed mixed features, applicable to a current manic, hypomanic, or depressive episode in bipolar I or bipolar II disorder. Mixed features would apply to mania or hypomania with depressive features, and to depressive episodes with features of mania or hypomania<\/p>\n","protected":false},"excerpt":{"rendered":"
The case study associated with this week is Case 14 is titled “Cheryl”. Formulate a question regarding the case study and include the rationale for the answer. Include one scholarly\u2026<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6037],"tags":[6779],"class_list":["post-47165","post","type-post","status-publish","format-standard","hentry","category-essay-writer-uk","tag-case-14-is-titled-cheryl"],"_links":{"self":[{"href":"https:\/\/www.essaybishops.com\/essays\/wp-json\/wp\/v2\/posts\/47165","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.essaybishops.com\/essays\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.essaybishops.com\/essays\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.essaybishops.com\/essays\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.essaybishops.com\/essays\/wp-json\/wp\/v2\/comments?post=47165"}],"version-history":[{"count":1,"href":"https:\/\/www.essaybishops.com\/essays\/wp-json\/wp\/v2\/posts\/47165\/revisions"}],"predecessor-version":[{"id":47167,"href":"https:\/\/www.essaybishops.com\/essays\/wp-json\/wp\/v2\/posts\/47165\/revisions\/47167"}],"wp:attachment":[{"href":"https:\/\/www.essaybishops.com\/essays\/wp-json\/wp\/v2\/media?parent=47165"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.essaybishops.com\/essays\/wp-json\/wp\/v2\/categories?post=47165"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.essaybishops.com\/essays\/wp-json\/wp\/v2\/tags?post=47165"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}