Mania Case Study

2123 Words 9 Pages
Case Study Mania

Sally, 42 year old female client is admitted to the ward informally with a diagnosis of acute mania. She is dressed in layers of multi coloured clothing and appears dishevelled. She refuses to cooperate with admission procedures. Instead, she demands a cigarette stating it is ‘her right’ to have one. Her husband states that she has not slept, eaten, or drunk for three days. In addition, he says she is very agitated and has been arguing with the neighbours.

A Explain the alterations in functioning that Sally is exhibiting with reference to the Diagnostic and Statistical Manual of Mental disorders (DSM) criteria for a diagnosis of mania (150 words).

A manic episode is defined by a distinct period during which there is an
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Olanzapine rebalances dopamine and serotonin to improve thinking, mood, and behavior. Olanzapine is prescribed to people diagnosed with schizophrenia to block serotonin and dopamine receptors, serotonin more than dopamine (National Alliance on Mental Illness, 2013). The amounts of serotonin and dopamine in the brain influence cognition, sleep, appetite, pain, and mood. Serotonin and dopamine are neurotransmitters. Neurotransmitters are believed to misfire altering the chemical balance of the brain causing behavioral problems. Researchers have found that serotonin directly promotes wakefulness and also promotes the formation of sleep-promoting brain factors (Science Daily, 2015). It is thought that people with schizophrenia and other psychotic disorders produce too much dopamine. Increased amounts of dopamine cause psychotic symptoms and schizophrenic-like paranoid states such as hallucinations (Mental Health Daily, 2016). The amount of Malaki’s serotonin will be balanced enough so he is able to sleep. The amount of dopamine will be balanced to a level which he will not experience psychotic states such as his hallucinations of what God is telling him to do. Olanzapine is well absorbed after oral administration and reaches peak concentrations in approximately after 6 hours. It is widely distributed throughout the body. It is bound to 93% of plasma proteins. Olanzapine is metabolized in the liver and …show more content…
An individual experiencing mental illness, may be stereotyped and labeled to a particular group which creates prejudice and discrimination. A feeling of stigma and discrimination bring experience and feelings of shame, blame, hopelessness and distress. Families of an individual experiencing a mental illness can also be affected by stigma. Stigma and discrimination can be a large barrier to an individual’s recovery. The families may feel that they themselves are seen as abnormal or corrupt (Commissioner, Health and Disability, 1997) Studies have shown families often feel embarrassed when a relative is affected by a mental health disorder. Movies and books often portray people diagnosed with schizophrenia to be crazy, mad or abnormal. Without education or background knowledge an individual may always believe that this is the case. Malaki’s mother is experiencing difficulty coping with her son’s diagnoses of schizophrenia. As stigma is normally attached to the consumer, discrimination results from actions of others. Malaki’s mother may fear the extended family does not have knowledge or education around schizophrenia. This will lead to thoughts of her family experiencing embarrassment or shame on Malaki and even isolate him in the future (Hyde & Goldman,

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