PSYCH 130 Lecture Notes - Lecture 7: Insomnia, Gout, Major Depressive Disorder
Document Summary
Pat: male, caucasian, middle aged, former substitute history teacher, no known drug or alcohol abuse, undiagnosed bipolar against him although he knew this was not true, he had his suspicions. Calls the police accusing of his wife and the history teacher conspiring. His infatuation with nikki and intense desire to be with her again helped trigger aggressive and impulsive behavior in emotionally sensitive situations. Diagnosis reveal: finding wife in shower with history teacher, led to major manic episode, prior delusion of wife and history teacher plotting against him. Manifestation of symptoms: decreased need for sleep, unusual talkativeness/rapid speech, racing thoughts, increase in goal directed activity, inflated self-esteem or grandiosity, flight of ideas and subjective experiences. Medication compliance plays an essential role in the treatment of bipolar disorder, especially mood stabilizers. Other medications that may be prescribed are anti-psychotics and anti-depressants.
