Case Study

Case Study: Elizabeth Jacks
Shannon Cooper
Roberts Wesleyan College

Case Study: Elizabeth Jacks
The Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association, 2013) describes bipolar I disorder to be a mélange of affective behavioral mood episodes. These episodes are categorized into three clusters: major depressive episodes, manic episodes, or hypomanic episodes (American Psychiatric Association, 2013). The criteria for a proper bipolar disorder diagnosis is then determined based on the presence, sequence and history of episodes (Castonguay & Oltmanns, 2013). The following case study is that of Elisabeth Jacks, diagnosed with Bipolar I Disorder. This paper will compare her diagnosis of bipolar I disorder to the requirements of the DSM-5, while also highlighting unique specifiers, a differential diagnosis, potential treatments, and prognosis based on her current state, history, and treatment plan.
296.44 Bipolar I Disorder with mood congruent psychotic features, moderate anxious distress, rapid cycling, peripartum onset, Severe (principal diagnosis) (American Psychiatric Association, 2013).
In order for a bipolar I disorder diagnosis to be valid, the patient must experience episodes of profound emotional highs and lows which meet the criterion for mania, hypomania, and major depression (American Psychiatric Association, 2013). Episodes are associated with an indisputable change in attitudes and behaviors that are unusual for the individual when not symptomatic (American Psychiatric Association, 2013).   Elisabeth started showing signs of depression early in her second trimester (4 months) with her third child. Donald described Elisabeth’s behavior as atypical and out of character. Major depressive episodes are characterized by anhedonic symptoms that negatively impair functioning (American Psychiatric Association, 2013). An individual suffering from major depressive symptoms may experience...