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Explain how schizophrenia is different from bipolar disorder?
Schizophrenia is a common disorder with a lifetime morbid risk of 1% (roughly equal in males
and females), and more if spectrum disorders are included. It is a major cause of morbidity and
consumes a great deal of long-term medical and social care (Kessing, Vradi & Andersen, 2014).
You have indicated that your diagnosis criteria does not meet that of your client CJ.
Schizophrenia differs from bipolar disorder and sometimes can seem similar if misdiagnosed. An
episode with mixed features refers to a bipolar episode that includes symptoms of both mania
and depression. People who are having a mixed-symptom episode may experience intense
despair, guilt, and worthlessness, as well as great energy, racing thoughts and words, and over
activity (Kessing, Vradi & Andersen, 2014). The client meets this criterion for Bipolar disorder
with depression based on her symptoms.
Does bipolar get worse with age?
If left untreated, bipolar disorder can worsen with age or over time. As time passes, a person may
have more severe and frequent episodes than when the symptoms first emerged. The longer
symptoms go untreated, the more likely a person has problems with their relationships or
everyday obligations. Refusing to believe that treatment is still required can lead to a
deterioration of symptoms. When a person's symptoms start to improve, it is normal for them to
think they have been cured and try to stop taking their medicine. This can result in a rapid
recurrence of symptoms (Vieta et al., 2018).
What is the therapeutic treatment plan for the patient?
Psychotherapy is an essential element of bipolar illness treatment and can be done alone, in a
family, or a group. Various sorts of therapy may be beneficial. These are some of them:
Interpersonal and social rhythm treatment are two types of rhythm therapy (IPSRT). The stability
of everyday rhythms such as sleeping, waking, and mealtimes are the emphasis of IPSRT (Vieta
et al., 2018). Better mood regulation is possible with a steady schedule. As a therapist, you
should develop a daily plan for CJ that will entail; for sleep, diet, and exercise.
Cognitive-behavioral therapy (CBT) is a type of therapy (CBT). The goal is to discover and
replace unhealthy, negative thoughts and habits with healthy, positive ones. CBT can assist you
in determining what causes your bipolar episodes. You will also learn helpful ways of dealing
with stress and distressing circumstances (Vieta et al., 2018).
Kessing LV, Vradi E, Andersen PK.(2014). Starting lithium prophylaxis early v. late in bipolar
disorder. Br J Psychiatry;205(3):214-220.
Vieta E, Salagre E, Grande I, (2018). Early intervention in bipolar disorder [published online
January 24, 2018]. Am J Psychiatry.doi: 10.1176/appi.ajp.2017.17090972
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