There are 2 assignments; all assignments will be submitted through safe assign for plagiarism

Assignment 1: APA format

This assignment requires that you find 3 to 5 professional sources that address more common/less common treatment settings (ie:  in patient etc.), and the contiuum of care for psychiatric/mental health disorders.   Generally speaking, care ranges from the “least restrictive” to the “most restrictive.”  Report your findings in a 3 page, double spaced paper.  Your paper should include very specific information you find about many related aspects of these topics, ie:  the history of treatment/treatment settings, the cost, the duration of treatment and so on.

Assignment 2:

Please see attachment for case study Olivia Jacobs; at least 1-2 pages not including title and reference page; APA format; cite relevant sources

Case Study Format

You want your case to be well organized and well written to be sure that information you include is easily identified and followed by your reader. The following can be used as section headings to help you organize the paper:

· Brief overview of relevant symptoms from case

· Olivia Jacobs, 22 year old graduate student in architecture; psychiatric history began at age 15;

· Suicidal thoughts of shooting self in the head

· History of mood symptoms

· Depressive symptoms returned

· Regularly smoked weed and drunk alcohol but stopped when started graduate school

· Ate 17 begin experiencing brief, intensive depressive episodes, marked by tearfulness, feelings of guilt, anhedonia, hopelessness, low energy, and poor concentration

· Sleep more than 12 hours a day neglecting responsibilities at school or home

· Depressive episodes shifted after a few weeks into periods of increased energy, pressured speech, and unusual creativity; stayed up most the night working on projects and building architectural models

· Revved- up episodes lasted about 5 days and punctuated by feels that her friends had turned against her

· Paranoia

· Depressed, tearful, and psychomotor slowing

· Struggled to get out bed

· Reported hopelessness, poor concentration, and guilt about spending family money for school

· Denial of recent drug and alcohol use

· Feel empty

· Occasional self harm by cutting her arms

· Depersonalization and panic attacks

· List Diagnosis 1: (ICD & DSM diagnoses)

· Bipolar II disorder, current episode depressed

· Diagnosis 1 Reasoning/Evidence

· Thoughts of suicide and self harm-suicidal thoughts of shooting herself in the head and self harm herself by cutting her arms

· Lack of focus- was unable to concentrate

· Excessively energetic-when her depressive episodes shifted she would have increased energy, pressured speech, and unusual creativity. She stayed up all night working on projects.

· Depressive episodes- were marked by her feeling tearfulness, feelings of guilt, anhedonia, hopelessness, low energy, and poor concentration. At times she was unable to get out the bed, unable to keep up with school and home responsibilities, and felt guilty about spending her family money for school.

· Paranoia- she felt that her friends were turning against her.

Case Study*

“Olivia Jacobs, a 22 year old graduate student in architecture, was referred for an urgent psychiatric consultation after she told her roommate that she was suicidal. Ms. Jacobs had a history of mood symptoms that had been under good control with lithium and sertraline, but her depressive symptoms had returned soon after she had arrived in a new city for school, 3 months earlier. She had become preoccupied with ways in which she might kill herself without inconveniencing others. Her dominant suicidal thoughts involved shooting herself in the head while leaning out the window, so as not to cause a mess in the dorm. Although she did not have access to a gun, she spent time searching the Web for places where she might purchase one.

Ms. Jacobs’s psychiatric history began at age 15, when the began to regularly drink alcohol and smoke marijuana, usually when out a t dance clubs with friends. Both of these substances calmed her, and she denied that either had become problematic. She had used neither alcohol nor marijuana since starting graduate school.

Around age 17, she began experiencing brief, intensive depressive episodes, marked by tearfulness, feelings of guilt, anhedonia, hopelessness, low energy, and poor concentration. She would sleep more than 12 hours a day and neglect responsibilities at school and home.

These depressive episodes would generally shift after a few weeks into periods of increased energy, pressured speech, and unusual creativity. She would stay up most of the night working on projects and building architectural models. These revved-up episodes lasted about 5 days and were punctuated by feelings that her friends had turned against herald that there were not really friends at all. Worried especially about the paranoia, her family brought her to a psychiatrist, who diagnosed her as having bipolar II disorder and prescribed lithium and sertraline. Although Ms. Jacobs’s moods did not completely stabilize on this regimen, she did well enough at a local university to be accepted into a prestigious program far from home. At that point the depression returned, and she became intensely suicidal for the first time.

Upon evaluation, the patient was visibly depressed and tearful, and had psychomotor slowing. She said it was very difficult to get out of bed and she was not attending class most days. She reported hopelessness, poor concentration, and guilt about spending family money for school when she was not able to perform. She stated that she thought about suicide most of the time and that she had found nothing to distract her. She denied recent drinking or smoking marijuana, stating she did to feel like “partying.” She acknowledged profound feelings of emptiness, and indicated that she had occasionally cut her arms superficially to “see what it would feel like.” She stated that she knew that cutting herself this way would not kill her. She reported depersonalization and occasional panic attacks. She denied having mood instability, derealization, problems with impulsivity, concerns about her identity, and fears of abandonment.”

*Oquendo, M.A. In Barnhill, J.W. (Ed.) 2014.