Case study bipolar disorder in an adolescent case

Example, Bipolar Disorder, Asian Studies, Mood Disorders

Excerpt coming from Case Study:

bipolar analysis: A case examine of Miranda

Miranda is known as a sixteen-year-old second-generation Chinese-American woman who is suspected of manifesting bipolar disorder, according her referencing doctor. Miranda’s particular, proposed analysis according to Appendix D of the DSM is “Bipolar 2 Disorder, in which the principal symptom demonstration is repeated depression accompanied by hypomanic symptoms (a less severe state of mania when the symptoms are not severe enough to trigger marked disability in social or work-related functioning or need for hospitalization, but are enough to be observable by others). ” However , there are also some indications that drug work with may be invoking her symptoms Miranda originates from a very high-achieving family that places significant weight after academic accomplishment. Throughout the majority of her scholastic life, Miranda has excelled in school yet her sophomore year of high school her grades started to decline. In accordance to Miranda’s mother (who is a self-described ‘stay in the home mom’), her daughter’s work habits started to be increasingly unpredictable.

Sometimes Miranda would stay up and last and last ostensibly doing homework nevertheless would be seriously talking with her friends on her computer system. When confronted by her dad about this tendencies, Miranda cheerfully told him that she could study in between classes in school and seemed unperturbed by his anger. Miranda, even when the girl seemed to be spending so much time and chattered on regarding her extravagant plans to venture to an Flowers League institution would have small to show on her efforts doing work at night. Different days Miranda would state she was so exhausted she could not possibly head to school and lost every interest in her extracurricular activities such as music. Her educators described her as possibly overly buzzing and ‘social’ and distracted in class or extremely tired to the level of falling asleep during classes.

Miranda is described as creating a high IQ, particularly in math, yet also being a very sensitive child. Nevertheless , she has constantly had various friends and was well-known at university until recently. Miranda has a self-admitted perfectionist streak and tends to find things in black and white – both she is profitable or a inability, in her estimation. However , as her mood swings started to be more irregular, she started to lose a few of her closest friends. Miranda began to go out with a great uncharacteristically ‘cooler’ crowd and end up staying out late in defiance of her curfew which the lady had under no circumstances done prior to. Her mom does not just like Miranda’s fresh boyfriend, who have she says she suspects of doing drugs. Miranda has begun to wear all-black apparel and her mother is definitely worried that she is heading down a bad route.

Miranda’s evident rebellion is the more inexplicable to her mother and father because both are immigrants supply by china manufacturer from to whom a profound level of behavior was expected when they were growing up. They describe themselves since holding Miranda to comparable standards and possess always sought to ensure that the youngster upholds the tenants with their culture. Although not extremely faith based, both parents describe their very own worldview since coming from a Confucian tradition which stresses compliance from children and a serious respect pertaining to parental authority. They find it shocking and distressing that their child is not honoring this kind of perspective in her actions and is acting in a manner they consider defiant and ungrateful for all they have sacrificed for her. In addition they state that Miranda’s behavior is triggering considerable scrubbing between the a pair of them and is having a adverse impact after their relationship. Regarding the family’s mental well being history, Miranda’s mother was at one time diagnosed with depressive disorder after Miranda’s grandmother died and had taken antidepressants for a brief time frame but both parents declare they do not place much inventory in remedy and think that Miranda is just ‘acting out’ rather than includes a mental disorder.

When asked how the girl perceives this kind of behavior Miranda says that her parents have always been extremely protective and also have stifled her creativity. Miranda points to the fact that her older brother was a disappointment towards the family (he never finished college) and says that she has been subjected to further pressure to attain. Her close friend is described as ‘lazy’ by the parents, typically sleeping late and hanging out with a ‘bad crowd’ as being a teenager. Miranda refuses to speak about her marriage with her boyfriend or perhaps answer questions about substance abuse, also in private. She says that her parents hold her to a different