Week 4 Discussion

I need this completed TODAY by 10pm.

Please no plagiarism and make sure you are able to access all resources on your own before you bid. Main reference comes from Sinacola, R. S., Peters-Strickland, T., & Wyner, J. D. (2020). You need to have scholarly support for any claim of fact or recommendation regarding treatment. Grammar, Writing, and APA Format: I expect you to write professionally, which means APA format, complete sentences, proper paragraphs, and well-organized and well-documented presentation of ideas. Remember to use scholarly research from peer-reviewed articles that are current. Sources such as Wikipedia, Ask.com, PsychCentral, and similar sites are never acceptable. Please remember that resources used must be from peer-reviewed resources such as academic journals. Grammar, Writing, and APA Format: I expect you to write professionally, which means APA format, complete sentences, proper paragraphs, and well-organized and well-documented presentation of ideas. Please follow the instructions to get full credit for the discussion.

Discussion – Week 4

Bipolar Disorders

This abstract from Nature Reviews Disease Primers (Vieta et al., 2018) offers a succinct way to think about bipolar disorders:

Bipolar disorders are chronic and recurrent disorders that affect >1% of the global population. Bipolar disorders are leading causes of disability in young people as they can lead to cognitive and functional impairment and increased mortality, particularly from suicide and cardiovascular disease. Psychiatric and nonpsychiatric medical comorbidities are common in patients and might also contribute to increased mortality. Bipolar disorders are some of the most heritable psychiatric disorders, although a model with gene-environment interactions are believed to best explain the etiology. Early and accurate diagnosis is difficult in clinical practice as the onset of bipolar disorder is commonly characterized by nonspecific symptoms, mood lability, or a depressive episode, which can be similar in presentation to unipolar depression. Moreover, patients and their families do not always understand the significance of their symptoms, especially with hypomanic or manic symptoms. As specific biomarkers for bipolar disorders are not yet available, the careful clinical assessment remains the cornerstone of diagnosis. The detection of hypomanic symptoms and longitudinal clinical assessment is crucial to differentiate bipolar disorder from other conditions. Optimal early treatment of patients with evidence-based medication (typically mood stabilizers and antipsychotics) and psychosocial strategies is necessary.

Reference: Vieta, E., Berk, M., Schulze, T. G., Carvalho, A. F., Suppes, T., Calabrese, J. R., … Grande, I. (2018). Bipolar disorders [Abstract]. Nature Reviews Disease Primers, 4. Retrieved from https://www.nature.com/articles/nrdp20188

To prepare for the Discussion:

  • Review Chapter 6 of the textbook.
  • Review the media pieces listed in the Learning      Resources.
  • Review the expectations in the Discussion Rubric.

Consider the following scenario:

Betty came to her second session with you describing what appear to be manic and depressive episodes. You have valid questions and concerns and want to get a formal psych eval.

How would you explain to Betty that you have concerns about her symptoms and want to refer her to see a psychiatrist for evaluation? Write out a mini script showing what you, the counselor, might say to Betty.

By Day 3

Respond to the following prompts using a mini script.

  • Provide an explanation of why counselors refer clients to a psychiatrist for a psych eval (what is and what is not in our scope of practice).
  • Explain what collaborative behavioral healthcare is.
  • Include a description of two circumstances when a counselor would refer a client for a psych evaluation.
  • Describe two circumstances when a counselor would use the Release of Information (ROI) signed by a client.
  • Include an empathetic reflection to Betty.

Be sure to support your postings and responses with specific references to the Learning Resources.

Required Resources

Sinacola, R. S., Peters-Strickland, T., & Wyner, J. D. (2020). Basic psychopharmacology for mental health professionals (3rd ed.). Hoboken, NJ: Pearson.

· Chapter 6, “Treatment of Bipolar Disorder”

Required Media

TED. (2017, February). Helen M. Farrell: What is bipolar disorder? [Video file]. Retrieved from https://www.ted.com/talks/helen_m_farrell_what_is_bipolar_disorder

Note: The approximate length of this media piece is 6 minutes.

TED. (2011, May). Joshua Walters: On being just crazy enough. [Video file]. Retrieved from https://www.ted.com/talks/joshua_walters_on_being_just_crazy_enough

Note: The approximate length of this media piece is 6 minutes.

Optional Resources

Brain and Behavior Research Foundation. (n.d.). Bipolar Disorder. Retrieved June 11, 2019 from https://www.bbrfoundation.org/research/bipolar-disorder

Depression and Bipolar Support Allliance. (n.d.). Retrieved June 11, 2019 from https://www.dbsalliance.org/

International Bipolar Foundation (n.d.). Healthy living with bipolar disorder book. Retrieved June 11, 2019 from http://ibpf.org/webform/healthy-living-bipolar-disorder-book

Psychopharmacology Institute (2019). Bipolar disorder treatment guidelines: A 2019 update. Retrieved on June 13, 2019 from https://psychopharmacologyinstitute.com/guidelines/bipolar-disorder-guidelines/

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