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Complex Case Study Presentation

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Complex Case Study Presentation

Discussion Question No. 1

Based on the patient’s clinical presentations, I would have agreed a trial of Latuda as an

appropriate antipsychotic drug. The clinical presentations significant for this type of

antipsychotic drug included mania and psychosis, which are associated with a bipolar disorder.

The 71-year old Caucasian female presented the ideation of mania and psychosis while reporting

her chief complaint. Latuda is an antipsychotic medication that is helpful in treating symptoms

associated with bipolar disorder such as mania and psychosis (WebMD, 2023). According to the

DSM-5-TR, symptoms of mania and psychosis associated with bipolar disorder include an

elevated mood that persists for at least a week (American Psychiatric Association, 2022). Other

symptoms may include hallucinations, engaging in risky behaviors, and sleep disturbances.

Having reported mania and psychosis, I therefore agree a trial of Latuda as an appropriate

antipsychotic drug for the patient.

Discussion Question No. 2

I strongly feel that bipolar disorder with manic and psychotic features is the appropriate

differential diagnosis for the patient. The rationale for my strong feelings includes the report of

mania and psychosis while presenting the chief complaint. Besides, the patient’s mental status

examination indicates the symptoms of mania and psychosis, which are associated with the

bipolar disorder. Besides, the patient’s delusional thoughts are a reflection of bipolar disorder

with manic and psychotic features (Fletcher, 2023). The mental status examination also

indicated that the 71-year old Caucasian female had symptoms of depression, anxiety.

Discussion Question No. 3

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I would not expect other diagnostic tests for this patient other than the mental

examinations and using the DSM-5-TR diagnostic criteria. This criterion uses diagnoses a patient

based on the symptoms presented. On the other hand, mental examination determines the

patient’s behavior due to a certain mental condition.

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References

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders:

DSM-5-TR. https://www.psychiatry.org/psychiatrists/practice/dsm

Fletcher, J. (2023). What is bipolar psychosis? Retrieved from

https://www.medicalnewstoday.com/articles/314450

WebMD, (2023). Latuda - Uses, Side Effects, and More. Retrieved from

https://www.webmd.com/drugs/2/drug-155134/latuda-oral/details