1. After reading the Julia’s vignette, I have concluded that she meets the diagnostic criteria for Bipolar I. In order to be diagnosed with Bipolar I, an individual must meet the criteria for one manic episode as well as not being better explained by another mental disorder (e.g., schizophrenia, schizoaffective disorder, delusional disorder, etc.). The symptoms that I have factored into the diagnosis of a Major Depressive Episode (MDE) are uncontrollable crying, guilt, overeating, exhaustion, and oversleeping for a period longer than two weeks. The symptoms that I have factored into the diagnosis of a Manic Episode are psychosis, insomnia, rapid speech, inability to focus, racing thoughts, and strange beliefs. According to the DSM-5, in order to meet criteria for a diagnosis of Bipolar I, Julia has to meet criteria A-D of Manic Episode, while she also meets criteria A-C for a MDE.
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For criteria B, she has mood disturbance and increased energy as well as at least three of the seven possible symptoms, which are decreased need for sleep, pressured speech racing thoughts, and flight of ideas. Julia fulfils criteria C by having symptoms so severe that she was hospitalized. And, for criteria D, Julia’s urine test concluded that she was nut using substances. With that being said, Julia meets the criteria for having a Manic Episode. As for the MDE, she has had at least five symptoms of criteria A, being depressed mood (i.e., tearful and sad), hypersomnia, fatigue, increased appetite, feelings of guilt, thoughts of death. For criteria B, the symptoms cause both distress and impairment—made evident by not being able to maintain employment. And, for criteria C and as previously stated, Julia’s drug test was negative. With that being said, Julia meets the criteria for having a
For criteria B, she has mood disturbance and increased energy as well as at least three of the seven possible symptoms, which are decreased need for sleep, pressured speech racing thoughts, and flight of ideas. Julia fulfils criteria C by having symptoms so severe that she was hospitalized. And, for criteria D, Julia’s urine test concluded that she was nut using substances. With that being said, Julia meets the criteria for having a Manic Episode. As for the MDE, she has had at least five symptoms of criteria A, being depressed mood (i.e., tearful and sad), hypersomnia, fatigue, increased appetite, feelings of guilt, thoughts of death. For criteria B, the symptoms cause both distress and impairment—made evident by not being able to maintain employment. And, for criteria C and as previously stated, Julia’s drug test was negative. With that being said, Julia meets the criteria for having a