BP Etiology: A Case Study

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Working with clients who are truly bipolar has been very challenging at times. This past Monday we had a client who was stable in the community for about two years walk into our corporate office on Monday in a manic episode. Imagine the energizer bunny, he kept going and going. He was talkative, euphoric, easily distracted switching from one subject to the next. He just paid his rent up for the next two years, and his landlord was concern so he called his long time therapist. Come to find out he stop taking his medication three weeks ago. We spent the entire day trying to get him to meet with an APRN to get him back on his medication. He wasn’t in danger of harming himself or other however, in the past his behaviors escalated and lead to suicide …show more content…
The evidence seem to suggest that BP may represent a constellation of factors that individually could contribute to other pathways such as attention problems or anxiety (Miller, 2006). Furthermore, the review also indicate that BP roots are in development at processes that unfold during youth rather than manifesting abruptly in adulthood (Miller, 2006) When looking at behavioral factors they could stem from a lack of social skills and life stressors (Whitebourne & Halgin). All this has to be taken into consideration when developing a treatment plan. My former client was stable for two years. We had many resources put in place to assist this client which included medication management along with psycho therapies. Even with his team of providers he still managed to stop taking his medication. This is one of the reason BP is very difficult to treat. According to Miller (2006) Poor insight into being ill and rejection of medication or help are common, comorbid psychiatric disorders the most common anxiety, and drug and alcohol disorder create complication. I believe treatment should be aimed at resolving symptoms and reducing immediate risk. The Arthurs express long term treatment should limit future episodes of illness and help regain a level of functioning that will improve physical health and reduce the risk of suicide (Anderson & Haddad & Scott, 2012). Suicide is prevalent among people who are diagnosis with BP disorder especially those with BP1. According to Anderson et al., (2012) the completed suicide rate in a recent large prospective study show that men more than women follow through and it was higher than for depression or schizophrenia. Drugs like lithium which is the most common in treating BP form the mainstay of treatment (Miller, 2006). I did my last case study on the movie Mr. Jones which was about BP and once he became depressed
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