An Asian American Woman with Bipolar Disorder
Name
University
NURS 6630: Psychopharmacologic Approaches to Treatment of Psychopathology
2022
An Asian American Woman with Bipolar Disorder
Race of a patient plays a significant role in planning for treatment. The way medicine
functions may be affected by race and whether side effects are not acceptable in other descent
circumstances (Stahl, 2013). The patient, a woman from Korea, is diagnosed with biblical illness,
and after discharge from an acute hospital, she appears hyperverbally, euphorically and
unorganized through thinking (Laureate Education, 2016). Upon discharge, this consumer has
acknowledged that the recommended lithium is not acceptable. The aim of this paper is to
explore the choices at each decision point and take into account the ethnic background of the
customer.
Decision #1
The customer must not take the prescribed lithium until an acute stay has been released. The
customer tends not to have suicidal or violent thoughts at the beginning of an episode of
manicure. Genetic studies have shown that CYP2D6* 10 alone is advantageous to this customer
(Laureate Education, 2016). In a week, depressive symptoms may start to decrease but it may
take six to eight weeks for them to become completely active.
The choice of lithium is perhaps not the best option for this company, given that it can take
several weeks to be fully effective, needs nutritional restrictions and frequent laboratory testing
is required to track therapeutic levels. The customer has already illustrated their patterns with
failure to meet the specifications that could lead to lithium toxicity if they fail to track standard
laboratories (Sthal, 2014).
Decision #2
When the customer returns to his place of reservation after four weeks for a follow-up, he seems
very lenient, even sedated. The mother accompanies the customer and expresses concern that
after about a week of Risperdal as recommended the customer displays these symptoms.
There is no need at this time to transition to a new medication like lithium suddenly. The
sedation and lethargy can be reversed if the dose is decreased and only administered at bedtime.
Following a restful night's sleep, the consumer will be fully operational. If the risk is increased to
2 mg at bedtime, sedation or lethargy may increase and the consumer will not benefit from it
(Dean, 2017). The starting dose should be small and the dosage should be increased as required.
The customers will be less sedated and lethargic with better manicure and thinking processes
during the next follow-up.
Decision #3
In four weeks, the doctor will make no modifications to the medications and reassess the client.
The observed results are that there is positive response from the patient. Regardless of the
previously reported sedative effects, the dose of Risperdal is not increased down to 1 mg twice
daily. There is no need for the patient to turn suddenly to a particular product as well as
Risperdal. The customer expects to further build on the current dosage without any
improvements in the near future.
Ethical Considerations
Mental disorder is perceived as stigma in Asian society and continues to isolate itself from those
with mental disorders (Wang, 2018). This community is more likely than external therapy to
hold personal and social issues within the social. The therapist will provide psychotherapy
instruction on any visit and promote customer involvement.
Conclusion
If the situation is raised, the patients ' race and the patient check CYP2D6 correctly have been
taken into account if making drug choices. The good thing is that at the end of the third decision
the client has stayed on his medicine and changed dramatically.
References
Dean, L. (2017). Risperidone Therapy and CYP2D6 Genotype. Retrieved from
https://www.ncbi.nlm.nih.gov/books/NBK425795/
Laureate Education. (2016). Case Study: An Asian American Woman with Bipolar Disorder.
Baltimore, MD: Author.
Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical
applications (4th ed.). New York, NY: Cambridge University Press.
Stahl, S. M. (2014). The prescriber’s guide (5th ed.). New York, NY: Cambridge University
Press.
BWang, X. (2018) Asian American Mental Health Care: With a Special Focus on the Chinese
Population. International Journal of Mental Health & Psychiatry, 4, 2. doi:
10.4172/2471-4372.1000164
