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When at a hyper mood, the patient expressed impulsive behaviours of extravagance and decision-makings that are often unreasonable. Patient also bared dangerous sexual behaviours and often doing it with different unknown woman he met in a club or a bar. He professed sometime of overdosing on sedatives to get some sleep and often take in excessive alcohol especially when melancholic. This admittedly has caused impairment in some of his social and work activities in hopelessness. He felt looming emptiness, fatigue, loss of appetite, and some innate guilt about his choices.
His depression can be intensified by other stimulants in his environment. If not assisted or cared, he has the suicidal tendency as he often talks about death and the senselessness of life (Pevin & Shulman, 1983). Diagnosis, recommended specific treatment, and therapy The patient is prescribed of lithium for this disorder and of therapy as part of the treatment to let patient understand his illness and its effects (Even & Shulman, 1983). On cognitive aspect, he needs to be wary of the hyper manic and extreme depression episodes because this is imminent (Keck, 2003).
Using the psychodynamics for patient with bipolar, parents must understand that patient has the tendency for emotional reactivity or has hypersensitivity or subjective stress (Even & Shulman, 1983). They may at times be driven to achieve the impossible and when in deep sadness, has the tendency to refuse obligations and wants to enjoy unlimited freedom (Pevin & Shulman, 1983). Under humanistic options, parents are advised to help and support the patient to cope of his illness otherwise, his illness will be aggravated and severed and might result to a lifetime of medication albeit this may wean down as patient reach maturity or old age (Keck, 2003).
Patient’s openness to treatment and therapy can produce better outcome (Keck, 2003). The treatment must continue even if patient is feeling better. He shouldn’t be immersed on stressful activities, and must undergo regular meditation and yoga (Keck, 2003). Family must ensure that the patient have healthy eating habit, ample sleeping hours, and must exercise to stabilize his moods. He should be stopped from alcoholism and in socializing outside only on his own. They must closely monitor his moods and behaviours.
Regular consultation per month is advised or whenever necessary. Patient 2: Ephefanio Demahthalino (Schizophrenic) Ephefanio Demahthalino is a 26 years old male diagnosed of schizophrenia. There are many theories to explain this disorder but most psychologists attribute this illness to physiological condition due to life’s stresses. Demahthalino has been bearing this illness since 14 years old. He has psychotic symptoms of seeing something that causes him fear and believed that he is hearing voices that are calling him.
He has maintained this pattern of delusions and hallucinations. He has a very disorganized behaviour and can’t speak clearly about his plight. Diagnosis, recommended specific treatment and therapy From the cognitive model, the patient has alogia, asociality, poor motivation, and such flat affect (AQA B Psychology, 2010). He has such extreme paranoia and persecutory grandiose delusion (AQA B Psychology
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