DISCUSSION 3: Substance Abuse With Personality Disorder: A Case Study

11/20/20, 11'09 PMGary (bipolar disorder) | Society of Clinical Psychology

Page 1 of 4https://div12.org/case_study/gary-bipolar-disorder/

CASE STUDY

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11/20/20, 11'09 PMGary (bipolar disorder) | Society of Clinical Psychology

Page 2 of 4https://div12.org/case_study/gary-bipolar-disorder/

GARY (BIPOLAR DISORDER)

CASE STUDY DETAILS Gary is a 19-year-old who withdrew from college after experiencing a manic

episode during which he was brought to the attention of the Campus Police (“I

took the responsibility to pull multiple fire alarms in my dorm to ensure that

they worked, given the life or death nature of fires”). He had changed his

major from engineering to philosophy and increasingly had reduced his sleep,

spending long hours engaging his friends in conversations about the nature of

reality. He had been convinced about the importance of his ideas, stating

frequently that he was more learned and advanced than all his professors. He

told others that he was on the verge of revolutionizing his new field, and he

grew increasingly irritable and intolerant of any who disagreed with him. He

also increased a number of high-risk behaviors – drinking and engaging in

sexual relations in a way that was unlike his previous history. At the present

time, he has returned home and his been placed on a mood stabilizer (after a

period of time on an antipsychotic), and his psychiatrist is requesting

adjunctive psychotherapy for his bipolar disorder. The patient’s parents are

somewhat shocked by the diagnosis, but they acknowledge that Gary had early

11/20/20, 11'09 PMGary (bipolar disorder) | Society of Clinical Psychology

Page 3 of 4https://div12.org/case_study/gary-bipolar-disorder/

problems with anxiety during pre-adolescence, followed by some periods of

withdrawal and depression during his adolescence. His parents are eager to be

involved in treatment, if appropriate.

SYMPTOMS Alcohol Use

Depression

Elevated Mood

Impulsivity

Irritability

Mania/Hypomania

Mood Cycles

Risky Behaviors

DIAGNOSES AND RELATED TREATMENTS

1. BIPOLAR DISORDER (HTTPS://WWW.DIV12.ORG/DIAGNOSIS/BIPOLAR- DISORDER/)

The following treatments have empirical support for individuals with Bipolar

Disorder (https://www.div12.org/diagnosis/bipolar-disorder/):

Cognitive Therapy (CT) for Bipolar Disorder

11/20/20, 11'09 PMGary (bipolar disorder) | Society of Clinical Psychology

Page 4 of 4https://div12.org/case_study/gary-bipolar-disorder/

(https://www.div12.org/treatment/cognitive-therapy-ct-for-bipolar-

disorder/)

Family Focused Therapy (FFT) for Bipolar Disorder

(https://www.div12.org/treatment/family-focused-therapy-fft-for-

bipolar-disorder/)

Interpersonal and Social Rhythm Therapy (IPSRT) for Bipolar Disorder

(https://www.div12.org/treatment/interpersonal-and-social-rhythm-

therapy-ipsrt-for-bipolar-disorder/)

Psychoeducation for Bipolar Disorder

(https://www.div12.org/treatment/psychoeducation-for-bipolar-

disorder/)

Systematic Care for Bipolar Disorder

(https://www.div12.org/treatment/systematic-care-for-bipolar-

disorder/)

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