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+++This is a discussion question and reply to peer post which is below also please++++
Discussion Prompt [Due Wednesday]
An individual is referred to your office by his parole officer. This 19-year-old male, named Sam, was recently arrested for a “psychotic break” that caused him to throw a chair through the neighborhood drug store window. Sam’s parents arrive and Sam agrees to have his parents present during the interview.
His parents state Sam recently withdrew from college after experiencing a “resounding moment” in which he changed his major from engineering to philosophy and increasingly had reduced his sleep, spending long hours engaging individuals in the commons in conversations about the nature of reality and how he is gaining an appreciation “for all life”. He had been convinced about the importance of his ideas, stating frequently that he was more learned and advanced than all his professors. He told many that “I should be the one teaching these courses, after all, I understand it much better than my professors”. Sam has also increased the number of high-risk behaviors – drinking and engaging in sexual relations in a way that was unlike his previous history. He also has spent a considerable sum of money on “projects to help the world” – unfortunately, he has never completed a project.
Sam’s parents also state that Sam was diagnosed previously by his PCP with MDD and GAD. “These new behaviors are just that – new – since he went to college”.
Further discussions with Sam and his parents reveal that he has never experienced hallucinations and you believe that he currently is not experiencing any delusions. Sam states “I am what I am”.
What diagnosis do you believe may apply to this individual?
What classifications of medications can be used to treat this disorder? Which medication do you recommend and why?
Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer-reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with in-tex
++++Discussion Peer/Participation +++ peer post below+++
Please respond to at least 1 of your peer’s posts with substantive comments using the following steps:
Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.
References and citations should conform to APA standards.
Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.
Plagiarism is never acceptable – give credit when credit is due – cite your sources.
YesterdayFeb 15 at 4:26pm
Unit 6 Discussion – Medications for Bipolar Disorder
The patient’s most likely diagnosis is bipolar 1 disorder. This is a mental disorder characterized by dramatic shifts in cognitive abilities, energy, and mood. An individual with bipolar 1 disorder would experience manic episodes identified with an elevated mood that affects daily functioning (Shah et al., 2017). The elevated mood contributes to greater irritability, the development of unpredictable behaviors, and impaired judgment in social situations. During the manic episode, an individual would make poor decisions, act impulsively, and assume unusual risks when interacting with other people in social situations. This is evidenced by Sam’s recent actions of throwing a chair at the neighborhood pharmacy, claiming to know more than his professor, and increased sexual relationship.
I would consider prescribing and administering an antimanic agent or a mood stabilizer, considering that it will modulate the actions of GABA A receptors, as well as control glutamatergic neurotransmission and voltage‐gated ion channels to inhibit mood swings (Pacchiarotti et al., 2020). I recommend Lithium since it is indicated for managing manic episodes in the treatment of adult bipolar 1 disorder. As an antimanic agent, Lithium is the first-line treatment for bipolar 1 disorder due to its proven effectiveness in the alleviation of irritability during manic episodes and desirable safety profile among adults.
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