Running head: CASE STUDY<\/p>\n
1<\/p>\n
3<\/p>\n
CASE STUDY<\/p>\n
Case Study
FirstName LastName
University title<\/p>\n
Intake Report<\/p>\n
Presenting Problem<\/p>\n
Mr. Hill is an African American man who is appeared to be in his 30s, and has been referred to the urban emergency room (ER) by the police because of his condition. The initial report that had been developed provided the assertion that he was suffering from schizophrenic and having emotional disturbance. From the revelations of the police officers that he had offered money for sex is an affirmation that he does not have a positive intimate relationship with anybody. This is an affirmation of a lonely lifestyle The referral form indicated that he was schizophrenic and an \u201cemotionally disturbed person\u201d He referred to himself as the \u201cNew Jesus\u201d and declined to offer another name. He had grandiose delusions, and his perceptions were significant for \u201cGod talking to me\u201d. He denied other hallucinations as well as suicidality and homicidally. He refused more cognitive testing and his insight and judgment appeared poor. His toxicology screen was negative and his blood alcohol level was zero. The initial lab results were pertinent for elevated blood urea nitrogen and a blood sugar level of 210 mg\/dl. He, therefore, seeks to have permanent progress to the development of the appropriate progress in the management of the instrumental quality of lifestyle. Having the ability to positively manage his conditions would help to provide a progressive boost to the nature of his musical career. <\/p>\n
The history of his medical condition projects that Mr. Hill has had a fundamental determination to seek for treatment of the condition. The report of his healthcare records provide that in the last two years he has had two instances of similar healthcare problems. He had been hospitalized for a period of two weeks and the diagnosis that affirmed the presence of schizoaffective disorder. However, it is revealed that the information of diagnosis was a misdiagnosis for the symptoms of schizoaffective disorder are critically similar to those of bipolar I disorder. From the observation of his physical physique, he has fundamentally given up in life. Having a positive nature of life is developed following the progressive dimension of creating the certainty of solving the crucial scale of the health function that is critically presented for the patient. Mr. Hill had a negative confidence that prevented the attainment of positive progress in socializing. Because of these attributes, the entirety of life that was lived by the individual lacked any form of conducive bearing. Thus, the scope of life projected by Mr. Hill enhances the validity of promoting the certainty of influencing the crucial point of growth that is mitigated thereby.<\/p>\n
The physical attributes of Mr. Hill revealed an individual who had a negative personality. The overall progress of the poor management of the feet provided the projection of an individual who understood the establishment of the appropriate progress in overall health. The lack of supportive operations that are promoted becomes the crucial process that highlights the specific impact of the condition to the space of the impact. Because of these models, it becomes sufficient that the overall quality of impact as expected is promoted to ensure that the ideal impact to the management of Mr. Hills life is attained. Therefore, the promotion of an effective progress in establishing the certainty of progress in solving the health condition be actualized thereby. <\/p>\n
During the examination, Mr. Hill projected calmness that could be misdiagnosed as normalcy in life. However, there are specific triggers for the mood swings that arise in his life. The presence of certain stressful conditions is a critical trigger that projects the establishment of mood swings. Whenever he is present in an environment that does not arouse the stressful condition, it becomes impossible to establish whether He could be facing the condition. However, whenever a stressful condition gets instigated, the capacity of the calmness that had earlier been projected at the beginning of the session turns into uncontrollable lapses. Establishing the appropriate condition that would be certain in creating the effective condition becomes the instrumental prospect that is highlighted in causing the life of Mr. Hill the lonely scope. Thus, the initiative by Mr. Hill to establish the management models of the stressful conditions for Mr. Hill becomes the crucial prospect that helps to create certainty of operation. <\/p>\n
Background Information<\/p>\n
Mr. Hill is a 30s-years old gent who was brought to an urban emergency room(ER) by police. He has a critical condition that has in the past been treated for the schizophrenic disorder and the schizoaffective disorders. However, these diagnoses were not correct for they did not address the critical condition that Mr. Hill is suffering from. He is easily depressed by conditions that would normally be difficult to stress an individual in a normal circumstance. The experience of extreme mood swings in his life is the undoing of every possible promotion of a relationship that is affirmed therein. Establishing the appropriate understanding of the condition. The presence of either emotional highs or lows in his life, especially when faced with a stressful situation he does not have the ability to control the depression situation. This occurrence provides a challenging aspect to the ability to develop a positive relationship within the society and even on other intimate relationships. <\/p>\n
Family Information<\/p>\n
Mr. Hill has a family that is distant to him his sister is the closest of the family members who are present with the community of New Jersey. The declaration of lacking family members was informed by the need to ensure that progressive liability for the financial constraints that are advanced is reverted to the government. The presence of his sister is the only reference to family connection that is available. \u00a0This is the critical information that helps to provide the absolute improvement to the quality of understanding the life of Mr. Hill.<\/p>\n
Development and Social History<\/p>\n
Prenatal, Perinatal: N\/A<\/p>\n
Infancy, Early Childhood, Pre-school: Mr. Hill does not have sufficient historical data concerning the challenges of early childhood stage. <\/p>\n
Social Developmental Milestones: N\/A<\/p>\n
Self-Management: Mr. Hill continues to be an optimistic individual who acknowledges possibilities even in situations where the possibility is uncertain. His determination to engage in education career as a teacher is a testimony that he focuses on improving his self-management project. <\/p>\n
Relationship with family members: Mr. Hill has not been having a positive relationship with close family members. This negative form of life has been the main downfall to his quality of social life control. The need for continuous adjustment in managing the scope of appropriate context of life helps to provide the effective and sufficient promotion that is helped in providing the absolute promotion following effective scale of instrumental lifestyle.<\/p>\n
Relationship with Friends: N\/A<\/p>\n
Academic Information<\/p>\n
The scope of academic performance has not been a particular source of strength. He has a history of continuing with academics for according to revelations by his sister, he has been a mathematics teacher. This is an affirmation that he had been determined to have the scope of his life provided with the best scale of academic excellence. Having completed a semester while teaching is an indication that were it not for the healthcare condition that he is experiencing, then he would be having a crucial progression of social life. Having a positive social life is a function of the academic qualification that an individual has been able to achieve.<\/p>\n
Assessment of Present Functioning<\/p>\n
Mr. Hill appears demoralized, worried, dejected, and despondent. he is okay whenever He is engaged in his musical career. However, whenever He is involved in other activities, He gets easily offended and erupts mood swings that are uncontrollable, especially by the utterances that arise whenever an emotional high has been experienced. During the examination session. Mr. Hill affirmed the worries in his life by breaking into uncontrollable sobs that evoked the emotional stress and trauma He was facing. He has struggled in life to establish a positive acknowledgment of his life but has been unable to promote the appropriate impact of resolving these problems. Advancing the certainty of progress became the instrumental promotion that arises whenever the certainty of operation is developed through the evaluation of the appropriate process of quality care. Hence, the objective of the examination is to provide information to Mr. Hill on the ways he would be able to establish the right coping mechanism to enable him to acquire a love affair with the woman who he acknowledges to have the best interests of his life. <\/p>\n
The presence of depression in his life is a critical provision that is affirmed by the crucial scale of health capacity that is projected by his body. He is highly skinny, which is an indication of a highly depressed woman. The lack of attaining the appropriate context in affirming the positive impact in life creates the certainty of progress that is critically developed. Instituting the sustainable approach model that would help Mr. Hill attain the ability to cope with his condition is the certain which of his life that He is expecting. Before the determination of what would become of their relationship with Mr. Hill, he feels discouraged and defeated individual. <\/p>\n
Mental Status Exam:<\/p>\n
Appearance: depressed, dejected, sad, and sorry for himself<\/p>\n
Behavior: Upset, hyperactive<\/p>\n
Speech: loss of words, tearful\/sobbing, sad, and frustrated<\/p>\n
Mood: tired, sad, increased energy, disturbance, decreased sleep, distractibility\u00a0 <\/p>\n
Affects: low self-esteem, overwhelmed<\/p>\n
Cognition effectively logical<\/p>\n
Memory: relatively progressive memory. <\/p>\n
Viii Orientation: aware of the situations around him. <\/p>\n
Diagnostic Impression<\/p>\n
Primary Diagnosis: Bipolar I Disorder<\/p>\n
Manic Episode<\/p>\n
A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased activity or energy, lasting at least 1 week and present most of the day, nearly every day (or any duration if hospitalization is necessary). <\/p>\n
Mr. Hill is affected by the condition by experiencing uncontrollable depression problem.<\/p>\n
\u00a0<\/p>\n
During the period of mood disturbance and increased energy or activity, three (or more) of the following symptoms (four if the mood is only irritable) are present to a significant degree and represent a noticeable change from usual behavior:<\/p>\n
Inflated self-esteem or grandiosity. <\/p>\n
Mr. Hill does not have the confidence to face other members of society to establish an intimate relationship. <\/p>\n
Decreased need for sleep (e.g., feels rested after only 3 hours of sleep).<\/p>\n
Poor productivity especially in his work place<\/p>\n
More talkative than usual or pressure to keep talking. <\/p>\n
Poor capacity to focus on a particular issue<\/p>\n
Flight of ideas or subjective experience that thoughts are racing. <\/p>\n
Poor scope of presenting a coherent information that is logical.<\/p>\n
Distractibility (i.e., attention too easily drawn to unimportant or irrelevant external stimuli), as reported or observed. <\/p>\n
Inability to concentrate<\/p>\n
Increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation (i.e., purposeless non-goal-directed activity). <\/p>\n
Mr. Hill does not have a specific model of activity that would improve on the quality of occurrence.<\/p>\n
Excessive involvement in activities that have a high potential for painful consequences (e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments). <\/p>\n
The promotion of substantive impact in developing a conducive improvement to the operations of quality care.<\/p>\n
The mood disturbance is sufficiently severe to cause marked impairment in social or occupational functioning or to necessitate hospitalization to prevent harm to self or others, or there are psychotic features. <\/p>\n
The occurrence of mood swings is a function that prevents the presentation of a sober state of mind that is provided. <\/p>\n
The episode is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication, other treatment) or another medical condition. <\/p>\n
The occurrence of the health condition is from experiencing stressful situations in his life.<\/p>\n
A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased activity or energy, lasting at least 4 consecutive days and present most of the day, nearly every day. <\/p>\n
Mr. Hill has in the past month been diagnosed of other disorders.<\/p>\n
During the period of mood disturbance and increased energy and activity, three (or more) of the following symptoms (four if the mood is only irritable) have persisted, represent a noticeable change from usual behavior, and have been present to a significant degree: <\/p>\n
Inflated self-esteem or grandiosity. <\/p>\n
\u00a0Decreased need for sleep (e.g., feels rested after only 3 hours of sleep). <\/p>\n
More talkative than usual or pressure to keep talking. <\/p>\n
\u00a0Flight of ideas or subjective experience that thoughts are racing. <\/p>\n
\u00a0Distractibility (i.e., attention too easily drawn to unimportant or irrelevant external stimuli), as reported or observed. <\/p>\n
Increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation. <\/p>\n
Excessive involvement in activities that have a high potential for painful consequences (e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments). <\/p>\n
Mr. Hill has been experiencing these crucial symptoms <\/p>\n
The episode is associated with an unequivocal change in functioning that is uncharacteristic of the individual when not symptomatic. <\/p>\n
Mr. Hill has been experiencing sufficient progress in attaining the absolute influence in operation.<\/p>\n
The disturbance in mood and the change in functioning are observable by others.<\/p>\n
Yes, the changes in the mood and character is observable. <\/p>\n
The episode is not severe enough to cause marked impairment in social or occupational functioning or to necessitate hospitalization. If there are psychotic features, the episode is, by definition, manic. <\/p>\n
Mr. Hill has been experiencing psychotic features that project the scale of his character as manic.<\/p>\n
The episode is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication, other treatment) or another medical condition.<\/p>\n
Absolutely, Mr. Manic does not engage in consumption of substances that may contribute to negative impact to his overall character.<\/p>\n
\u00a0<\/p>\n
Treatment Recommendations<\/p>\n
Peer counseling <\/p>\n
Development of lifelong medication program. <\/p>\n
Substance abuse treatment<\/p>\n
Recommendation for hospitalization if the conditions are severe<\/p>\n
General Treatment Goals<\/p>\n
Stabilize the depression<\/p>\n
Learn skills to manage symptoms<\/p>\n
\u00a0<\/p>\n
Treatment Plan<\/p>\n
Client: Mr. Hill<\/p>\n
\u00a0<\/p>\n
\u00a0<\/p>\n
Date: 12\/12\/2022<\/p>\n
\u00a0<\/p>\n
\u00a0<\/p>\n
\u00a0<\/p>\n
DOB: (as appropriate)<\/p>\n
Diagnosis: Bipolar I Disorder<\/p>\n
Services Recommended<\/p>\n
Frequency of Service<\/p>\n
X Individual Tx<\/p>\n
X Group Tx<\/p>\n
X Family Tx<\/p>\n
2x per week<\/p>\n
1x per week<\/p>\n
1x per Month<\/p>\n
\u00a0<\/p>\n
\u00a0<\/p>\n
Treatment goal 1: Reducing the intensity of mood swing <\/p>\n
Treatment Objective<\/p>\n
Treatment Activity<\/p>\n
Outcome Criteria<\/p>\n
As Reported By<\/p>\n
The client would individually participate<\/p>\n
Provision of support by a counselor<\/p>\n
2X a week<\/p>\n
Self-report<\/p>\n
Continuous therapy<\/p>\n
Mr. Hill would learn how to handle triggers to the mood swings problems<\/p>\n
2x a week<\/p>\n
Self-report<\/p>\n
\u00a0<\/p>\n
The treatment Goal 2: Learning on ways of managing the symptoms<\/p>\n
Treatment Objective<\/p>\n
Treatment Activity<\/p>\n
Outcome criteria<\/p>\n
As reported by<\/p>\n
The client Mr. Hill, would go for therapy<\/p>\n
Creating an understanding of the condition and how to manage it<\/p>\n
2x a month<\/p>\n
Self-report<\/p>\n
Positive relationship with a partner<\/p>\n
Going for scheduled dinners with his sister<\/p>\n
2x a month<\/p>\n
Self-report<\/p>\n","protected":false},"excerpt":{"rendered":"
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