Sarah is a 28 year old woman who has been seeking therapy for the past six months. She presents with a history of mood swings that have been causing disruptions in her personal and professional life. Sarah reports that her mood swings have been a persistent issue for several years. During her hub of phases, which last for a few days to a week, Sarah feels extremely energetic, confident, and optimistic. She finds it easy to focus and is highly productive at work. She engages in impulsive behaviors such as excessive shopping, increased socializing, and occasional risky sexual encounters. Sarah reports that she has started multiple projects during these periods, but they often go unfinished. Conversely, during her down phases, which can last for a similar duration, Sarah experiences deep sadness, hopelessness, and guilt. She withdraws from social activities, struggles to concentrate, and has difficulty sleeping. She often calls in sick to work during these depressive episodes, and her productivity suffers as a result. Sarah's mood swings are not tied to any external events, and she has noticed a cyclical pattern with these mood swings occur about every few weeks. She has never had extreme episodes of high energy or symptoms of psychosis, and she has not used drugs or alcohol. Sarah's family history includes instances of mood disorders, with her maternal aunt being diagnosed with bipolar one disorder. 1. Are there any factors in the patient’s history that might contribute to the development of the disorder? Please identify the factor(s) and explain how they influenced the condition. 2. What treatment approaches or interventions could be effective for the diagnosed disorder(s)?
Sarah is a 28 year old woman who has been seeking therapy for the past six months. She presents with a history of mood swings that have been causing disruptions in her personal and professional life. Sarah reports that her mood swings have been a persistent issue for several years. During her hub of phases, which last for a few days to a week, Sarah feels extremely energetic, confident, and optimistic. She finds it easy to focus and is highly productive at work. She engages in impulsive behaviors such as excessive shopping, increased socializing, and occasional risky sexual encounters. Sarah reports that she has started multiple projects during these periods, but they often go unfinished. Conversely, during her down phases, which can last for a similar duration, Sarah experiences deep sadness, hopelessness, and guilt. She withdraws from social activities, struggles to concentrate, and has difficulty sleeping. She often calls in sick to work during these depressive episodes, and her productivity suffers as a result. Sarah's mood swings are not tied to any external events, and she has noticed a cyclical pattern with these mood swings occur about every few weeks. She has never had extreme episodes of high energy or symptoms of psychosis, and she has not used drugs or alcohol. Sarah's family history includes instances of mood disorders, with her maternal aunt being diagnosed with bipolar one disorder.
1. Are there any factors in the patient’s history that might contribute to the development of the disorder? Please identify the factor(s) and explain how they influenced the condition.
2. What treatment approaches or interventions could be effective for the diagnosed disorder(s)?
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