DSM 5 Diagnostic Client Assessment
It is evident that this client has social problems because he is unable to control his thoughts and how he shares them with other people. Brian's wife has noticed these unseemly changes in her husband that worries her a lot and for this reason, she could act as a resource towards solving her husband’s problem. Also, Brian’s workplace and the hospital he had visited before could be another important resource for gathering information concerning the client’s behavior and health. Other than resources, a client’s strength could be used to empower him or her towards recovery. A client’s relationship with close family members could be an influential factor in assessing the patient’s strength. Based on the DSM-5 diagnostic assessment, Brian appears to be suffering from bipolar I and mood-congruent psychotic features.
Bipolar I with psychotic symptoms is a mood disorder signified by abnormal euphoric or agitated moods alongside depression or a mixture of high and low moods (American Psychiatric Association, 2013). Psychotic feature form part and parcel of this disorder which can undermine one's ability to function properly. These psychotic features can either be congruent or incongruent and as per the case study, Brian seems to experience mood-congruent psychotic symptoms. This mood-congruent psychotic symptom includes delusions which compose of false beliefs or hallucinations which entail false sensory thoughts that are inconsistent with an individual’s current or most recent mood. He reveals to Kristy that concerning the endless ideas that he has as a businessman and an entrepreneur that he keeps writing down in his book.
This act demonstrates an increased goal-oriented activity and elevated energy levels that make him believe that could turn out to be something great in the future. Obviously, Brian exhibits a high level of irritable mood it is for this reason that he got upset when her wife confronted her concerning his unusual behavior where the two ended up quarreling and Brian went out to rent a hotel for a couple of days. Also, a symptom of talkativeness is presented in his act of making several phone calls to people in an attempt to share his numerous ideas that landed in in quite a huge expense of $100. Brian's endless flow of ideas is an indication of someone with racing thoughts which is a symptom of a manic episode.
Ideally, bipolar and schizophrenia normally exhibit similar characteristics that could make the diagnosis of the actual disorder difficult. In both cases, there are incidents of altered sleep pattern, hallucinations, and delusions. however, the differential part of these two disorders lies in the hallucinations and delusion part. Unlike in bipolar in which an individual could hallucinate of having special powers, hallucinations in schizophrenia is associated with loss of touch with reality particularly "hearing of voices” (Singer, 2008). Brian exhibited no such symptoms and thus the basis for ruling out schizophrenia. H. , Cipriani, A. & Holmes, E. A. Evidence-based guidelines for treating bipolar disorder: revised third edition recommendations from the British Association for Psychopharmacology. , Delavest, M. & Duchesnay, E. A multicenter tractography study of deep white matter tracts in bipolar I disorder: psychotic features and interhemispheric disconnectivity.
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