Bipolar Therapy

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February 5, 2020
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February 5, 2020

Week 4: Bipolar Therapy

Jay, an 18-year-old high school senior, presents
with symptoms of difficulty sleeping and feeling sad, which results in
an initial diagnosis of depression. His mother later reports, however,
that Jay exhibits symptoms of irritability and risk-taking behaviors.
(His little brother reported to his mother that they were driving over
90 miles an hour on the highway.) After further evaluation, Jay’s
psychiatric mental health nurse practitioner diagnosed him with bipolar
disorder.

Cases like this are not uncommon
with bipolar disorder, as initial assessments rarely provides all the
information needed. In your role, as a psychiatric mental health nurse
practitioner, you must develop strategies for properly assessing and
diagnosing these clients because treatments for bipolar disorder are
significantly different than treatments for depression or other mood
disorders.

This week, as you examine bipolar
therapies, you explore the assessment and treatment of clients with
bipolar disorder. You also consider ethical and legal implications of
these therapies.


Assignment: Assessing and Treating Clients with With Bipolar Disorder

Bipolar disorder is a unique disorder that
causes shifts in mood and energy, which results in depression and mania
for clients. Proper diagnosis of this disorder is often a challenge for
two reasons: 1) clients often present as depressive or manic, but may
have both; and 2) many symptoms of bipolar disorder are similar to other
disorders. Misdiagnosis is common, making it essential for you to have a
deep understanding of the disorder’s pathophysiology. For this
Assignment, as you examine the client case study in this week’s Learning
Resources, consider how you might assess and treat clients presenting
with bipolar disorder.

Learning Objectives

Students will:
  • Assess client factors and history to develop personalized plans of bipolar therapy for clients
  • Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring bipolar therapy
  • Evaluate efficacy of treatment plans
  • Analyze ethical and legal implications related to prescribing bipolar therapy to clients across the lifespan

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Note: All Stahl resources can be accessed through this link provided.

Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.

To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.

  • Chapter 6, “Mood Disorders”
  • Chapter 8, “Mood Stabilizers”

Stahl, S. M., & Ball, S. (2009b). Stahl’s illustrated mood stabilizers. New York, NY: Cambridge University Press.

To access the following chapters, click on the Illustrated Guides tab and then the Mood Stabilizers tab.

  • Chapter 4, “Lithium and Various Anticonvulsants as Mood Stabilizers for Bipolar Disorder”
  • Chapter 5, “Atypical Antipsychotics as Mood Stabilizers for Bipolar Disorder”

Vitiello, B. (2013). How effective are the current treatments for children diagnosed with manic/mixed bipolar disorder? CNS Drugs, 27(5), 331-333. doi:10.1007/s40263-013-0060-3

Chen, R., Wang, H., Shi, J., Shen, K., & Hu, P. (2015). Cytochrome P450 2D6 genotype affects the pharmacokinetics of controlled-release paroxetine in healthy Chinese subjects: comparison of traditional phenotype and activity score systems. European Journal of Clinical Pharmacology, 71(7), 835-841. doi:10.1007/s00228-015-1855-6

Note: Retrieved from Walden Library databases.

Required Media

Laureate Education. (2016f). Case study: An Asian American woman with bipolar disorder [Interactive media file]. Baltimore, MD: AuthorNote: This case study will serve as the foundation for this week’s Assignment.

Optional Resources

Mostafavi, A., Solhi, M., Mohammadi, M., Hamedi, M., Keshavarzi, M., & Akhondzadeh, S. (2014). Melatonin decreases olanzapine induced metabolic side-effects in adolescents with bipolar disorder: a randomized double-blind placebo-controlled trial. Acta Medica Iranica, 52(10), 734-739.
Retrieved from http://acta.tums.ac.ir/index.php/acta

To prepare for this Assignment:

  • Review this week’s Learning Resources. Consider how to assess and treat clients requiring bipolar therapy.

The Assignment

Examine Case Study: An Asian American Woman With Bipolar Disorder.
You will be asked to make three decisions concerning the medication to
prescribe to this client. Be sure to consider factors that might impact
the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following:

  • Decision #1
    • Which decision did you select?
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support
      your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with
      Decision #1 and the results of the decision. Why were they different?
  • Decision #2
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support
      your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with
      Decision #2 and the results of the decision. Why were they different?
  • Decision #3
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support
      your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with
      Decision #3 and the results of the decision. Why were they different?

Also include how ethical considerations might impact your treatment plan and communication with clients.

Note: Support your rationale with a minimum of three
academic resources. While you may use the course text to support your
rationale, it will not count toward the resource requirement.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Save your Assignment using the naming convention “WK4Assgn+last name+first initial.(extension)” as the name.
  • Click on the Assignment Rubric to review the Grading Criteria for the Assignment.
  • Click on the Week 4 Assignment link. Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK4Assgn+last name+first initial.(extension)” and click on Open.
  • If applicable: From the Plagiarism Tools area, click in the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Grading Criteria


To access your rubric:Week 4 Assignment Rubric

Check Your Assignment Draft for Authenticity


To check your Assignment draft for authenticity:Submit your Week 4 Assignment draft and review the originality report.

Submit Your Assignment by Day 7


To submit your Assignment:Week 4 Assignment


Making Connections

Now that you have:

  • Assessed clients presenting with bipolar disorder
  • Developed personalized plans of bipolar therapy for clients
  • Examined factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring bipolar therapy
  • Explored ethical and legal implications of prescribing bipolar therapy to clients

Next week, you will build on your
assessment and treatment skills as you examine clients presenting for
anxiolytic therapy and PTSD treatment.
To go to the next week:Week 5

 

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Bipolar Therapy was first posted on February 3, 2020 at 2:29 pm.
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