In the case of Ellen, I believe she meets criteria for 296.89 F31.81 Bipolar II disorder with atypical features, current episode depressed, severe. Per the DSM-5, Bipolar II diagnosis is warranted when there has been at least one episode of hypomania but never has been a manic episode and the most predominant episodes are those of depression. In the case of Ellen, she has struggled with depressed moods described as being unhappy most of her life, weight gain and increased appetite, insomnia and hypersomnia, fatigue, diminished ability to concentrate, and recurrent thoughts of death.
She has also experiences symptoms of hypomania as she has had abnormally elevated moods over several months, increased activity level, decreased need for sleep, …show more content…
Also there is leaden paralysis identified by feelings of heavy arms and legs. She also exhibits impairments when facing rejection. The symptoms are severe as she presents most of the symptoms of each category as well as the length of time she has experience the symptoms. The symptoms also have a hinder her ability to work, complete school and affects her relationships.
I would also give Ellen a secondary diagnosis of F41.0 Panic Disorder or a Panic Attack Specifier. However, more information is needed in regards to the panic attacks in order to be able to complete a diagnosis. Per the textbook, it is common for BD clients to have dual diagnosis associated with ADHD and anxiety disorders with a 10.6% to 62.5% panic disorder rate.
When making this diagnosis, the major consideration was whether Ellen had experience episodes of mania or hypomania. What I took into consideration was the fact that during these episodes of elevated moods, Ellen’s daily functioning was not severely impacted or included any psychotic symptoms that warranted a hospitalization or engaged is severely risky behaviors that could potentially get her in trouble. Although she was hospitalized at the age of 14, this incident was due to a suicide attempt. However, it is unclear if this was due to a manic episode or depressive
She has also experiences symptoms of hypomania as she has had abnormally elevated moods over several months, increased activity level, decreased need for sleep, …show more content…
Also there is leaden paralysis identified by feelings of heavy arms and legs. She also exhibits impairments when facing rejection. The symptoms are severe as she presents most of the symptoms of each category as well as the length of time she has experience the symptoms. The symptoms also have a hinder her ability to work, complete school and affects her relationships.
I would also give Ellen a secondary diagnosis of F41.0 Panic Disorder or a Panic Attack Specifier. However, more information is needed in regards to the panic attacks in order to be able to complete a diagnosis. Per the textbook, it is common for BD clients to have dual diagnosis associated with ADHD and anxiety disorders with a 10.6% to 62.5% panic disorder rate.
When making this diagnosis, the major consideration was whether Ellen had experience episodes of mania or hypomania. What I took into consideration was the fact that during these episodes of elevated moods, Ellen’s daily functioning was not severely impacted or included any psychotic symptoms that warranted a hospitalization or engaged is severely risky behaviors that could potentially get her in trouble. Although she was hospitalized at the age of 14, this incident was due to a suicide attempt. However, it is unclear if this was due to a manic episode or depressive