Read each other’s scenarios and attempt to determine the appropriate diagnoses. By the end of Day 6, respond to at least two of your classmates’ posts. What do you think the appropriate diagnosis is? What screening tool would you use to confirm the diagnosis? Do you agree or disagree with others’ diagnoses?
Sandra Monica Delgado
Consider this scenario:
Patient/Peter: Friends call me moody. Why? I must admit, yes, one day I am in a good mood. Everybody and everything are fine. I am happy. I sleep well and perform well. The next time I am irritable- explosive toward any form of negativity. I am grumpy in the morning- sometimes reluctant to get out of bed. My performance on the job is tense even combative. My attitude and behavior are unpredictable. Family, friends, and coworkers donâ€™t know what to expect. Sometimes they avoid me or at least they test me out, at a distance, to gauge my mood for the day. These symptoms all started long time as I remember, maybe 10 years ago and they usually last for about a week or so when I get this feeling of not waiting to sleep, overenergetic, and my friends and family say I can not stop talking. Other days, I just can not find anything that interest me or gives me any pleasure and in those days when I down like now, I just lose weight and I am not able to concentrate at work.
Can you identify what kind of Mood disorder is Peter experiencing? Help me diagnose him
Mary has a grand-daughter Nicole, a 16-year-old. who in the beginning of February, had a mood change for a month
She was not herself, feeling low kind of depressed. This ended Late February, but in March she experienced a mood change again this time more overtly excited and upbeat and full of energy. In the last few weeks, she has been in low spirit, feeling down for the whole of April. In early May her mood changed again, full of energy and overly excited for one week.
Today, the two presented at the clinic since Mary is concerned about the mood changes. In recent times, Nicole has been suggesting that life is not worth living and is contemplating suicide.