Who Is The Client Meets All Criteria For Bipolar I Due

Based on my clinical judgement, I believe the client meets all criteria for Bipolar I due to the following. Criteria A requires a distinct more than one week of abnormal and persistent expansive or irritable mood. According to the narrative, the client has demonstrated excessive energy that last from a few day to several weeks reported from his wife prior to his current hospitalization state. Criteria B requires three or more symptoms to a significant effect and represent noticeable change from usual behavior. Ezekiel currently demonstrates 1. Flight of ideas or subjective experience that thoughts are racing, mainly demonstrated when he is working and unable to focus on one thing and one task; 2. Increase in goal-directed activities, such†¦show more content†¦Additional, the client has met a Major Depressive Episode, which includes him currently meeting the three criteria; A, B, and C. Criteria A suggest that the client meet five symptoms during a two week time period. The c lient’s symptoms are as follows: depressed mood most of the day nearly every day as indicated by observation of his wife, marked diminished interest in activities most of the day, nearly every day indicated by observation of him not going to work in the past two weeks, psychomotor retardation nearly every day the last two weeks observed by his wife due to him not leaving the bed, diminished ability to think noticed by others when suggesting courses of action as to what may be helpful to him, and lastly, recurrent suicidal thoughts of death demonstrated by his irrational inquiries about an un-diagnosable disease of him dying soon. Criteria B reads that the client’s symptoms have to put significant distress or impairment in life areas of function, which the client does meet due to him not being able to currently leave his home/bed. Finally, criteria C is met because the client has to history of substance abuse or another medical condition that indicates attributable phys iological effects. Although, the narrative suggests that there is history of Major Depressive Disorder, those particular episodes, I believe are not clinically attached to this particular manic episode, where he is now saying, â€Å"My skin is coming off in