Dear freelancer,
Rewrite Journal 3 and Journal 4 from the attached file, around 700-750 words. Keep the main content from the journals like the treatment, but rewrite those sections because they have been flagged as AI generated. Below are the initial prompts of the paper.
Full order description:
2. The Mental /Physical effects Continue your narrative about the same individual in Journal #1. Include the Diagnosis. How does this problem affect this person‘s mood, feelings, emotions, body, health, and living conditions? Make sure to include examples of behavior and health. At least one Page Submit here. Include the topic heading.
3. The Relationships Continue your narrative about the same individual in Journals #1 and #2. How does this problem affect their relationships with family and friends? – about 1-1.5 page include title.
4. Treatment history and options Continue your narrative about the individual in Journals #1-3.What treatment has been done and what are some options. Include topic heading – about a 1-2 pages
Journal Entry #1 Fictional Patient with Bipolar Disorder
Trey, an 18-year-old, struggled to keep any sort of friendship since the third grade after
he moved for the first time. He always knew how to make friends, but something would always
get in the way and would loop back to square one where he would meet new people and lose
those past friendships no matter how much they meant to him originally. Although he was good
as a son and loved his family, he started showing some challenging rough patches that could
have started within his childhood.
When he had gotten into his sophomore year of high school, he started to generate intense
mood swings and which emotions would shift rapidly from euphoria to intense sadness, this
coupled with a higher level of impulsivity than others, in one instance in his junior year of high
school he went from saying hi to a bunch of his friends to going back to his room and he would
cut himself after having a small rough patch. This generated the idea in which you might need
help when someone had found out and this manifested a prompt of concern that Trey had a
problem. Additionally, although Trey never could sustain a friendship for far too long, he started
to exhibit an overwhelming fear of abandonment even within very stable relationships as well as
having struggled to cope with perceived threats of rejection.
Some of the probable causes for Trey’s BPD could include childhood abuse as well as
biological factors that could include vulnerability to stress as well as imbalances within his
neurotransmitters. Specifically, serotonin levels that have been linked towards BPD; these
neurotransmitters play a surefire role within regulating moods and disruptions within the
neurotransmitters may create emotional dysregulation that are seen within people with BPD.
Another underlying probable cause could be the brain structure and or function while someone
who has BPD certain areas of the brain involved with emotional regulation, impulsivity as well
as decision making could function differently with people who have BPD.
Journal Entry #2 The Mental & Physical Health
Trey’s diagnosis of Bipolar II Disorder (BD II) cast a profound shadow over every facet
of his life, leaving an indelible mark on his mood, emotions, body, health, and living conditions.
The cyclic nature of BD II, characterized by alternating hypomanic and depressive episodes,
played out as a tumultuous symphony in Trey’s daily existence.
The manic episodes unleashed a surge of energy, marked by impulsive actions that could
range from exuberant social interactions to sudden, isolating tendencies. During these elevated
moods, Trey’s feelings oscillated between intense euphoria and heightened irritability,
contributing to impulsive behaviors that jeopardized his well-being. In one instance, the abrupt
shift from socializing with friends to retreating to his room for self-harm exemplified the extreme
emotional rollercoaster that BD II propelled him through. This erratic behavior not only strained
Trey’s relationships but also took a toll on his physical health, evident in the scars left by selfinflicted wounds.
Conversely, the depressive episodes submerged Trey into the depths of despondency. The
heavy burden of symptoms like loss of interest, fatigue, and suicidal ideation manifested as a
pervasive cloud that dimmed the light in his life. The impact on his body was severe, as the
weight of emotional distress translated into physical manifestations. The struggle to maintain
healthy sleep patterns, changes in appetite, and overall lethargy during depressive episodes
underscored the toll of BD II on Trey’s well-being.
The pervasive fear of abandonment and the challenges in sustaining meaningful
relationships added an extra layer of complexity to Trey’s emotional landscape. This fear, rooted
in the emotional dysregulation characteristic of BD II, seeped into every interaction and decision,
shaping his living conditions, and further isolating him from stable social connections. As a
result, it means that he was unable to live and have the same experiences that others his age can.
Journal Entry #3 The Relationships
Trey’s fluctuating emotions, oscillating between extreme happiness and profound grief,
had a significant impact on the relationships within his family. It had a significant impact on
Trey’s life, since his family had challenges in maintaining unity, flexibility, and interpersonal
connections. Trey’s family was characterized by a significant amount of expressed emotion,
which is often seen in families coping with BD. This emotional atmosphere had a role in the
complex set of difficulties that Trey faced.
Trey’s family issues were not limited to his own personal experiences, but rather reflected
the larger patterns identified in people with bipolar disorder (BD). Trey’s life was negatively
affected by decreased family cohesiveness and flexibility, as well as increased conflict, which
led to the development of mood problems. The reciprocal impact of family functioning on
psychological results is evident in the complex nature of Trey’s connections, going beyond a
simple correlation to exemplify a mutually beneficial relationship.
Moreover, Trey experienced a situation where perceived support from his childhood
friends diminished for the course of a couple of weeks, making the difficulties he encountered
worse. Trey’s difficulties in establishing new social interactions and maintaining close
connections were exacerbated by the lack of crucial support, particularly within the family unit.
Resilience, a fundamental idea deeply integrated into the structure of family resilience
frameworks, played a crucial role. For Trey, more resilience was associated with improved
psychological well-being. Nevertheless, the complex interplay of resilience, social support, and
psychosocial functioning in individuals with BD has not been extensively investigated, reflecting
the research deficiency emphasized in the study.
Trey’s account reveals that the presence of suicidal thoughts had a significant influence
on the well-being of his family and their ability to operate in social and psychological contexts.
Like the results of the study, Trey’s experiences with suicidal thoughts suggested a complex
connection between mental health difficulties and family relationships.
Journal Entry #4 Treatment History and Options
During the first stages of treatment, mood stabilizers proved to be reliable protectors
against the volatile mood swings that were characteristic of Trey’s Bipolar Disorder II. Lithium,
known for its long-standing use in managing bipolar illness, served as a strong defense against
the constant fluctuations between extreme happiness and sadness. Nonetheless, the management
of lithium required careful adjustment to optimize its advantages while minimizing its negative
consequences.
Atypical antipsychotics had a vital role in reducing impulsive behaviors and limiting the
worsening of self-harm inclinations during manic episodes. Quetiapine, with its diverse effects
on manic and depressive symptoms, helped Trey’s turbulent mental state. The relationship
between pharmaceutical therapies reflected the nature of BD II, where no one remedy could fully
understand the complexities of Trey’s mental state.
Trey’s psychological aspect of treatment was explored via psychotherapy, specifically
using dialectical behavior therapy (DBT) to navigate through emotional disturbance. Trey’s
concerns with fear of abandonment and relationship difficulties found a perfect match in DBT’s
emphasis on emotional regulation and interpersonal efficacy, providing a much-needed source of
support and guidance.
The family setting, which consistently surrounded Trey’s path, became the central focus
for intervention. Family-focused treatment aimed to improve resilience and unity within the
family by addressing the complex interplay between family dynamics and Trey’s psychological
well-being. Given the understanding that the impacts of BD II are felt not just by Trey but also
by the whole family, therapies focused on promoting unity were essential to the therapeutic
story.
Looking to the future, there are many different treatments that Trey could explore;
however, this depends on many factors. For example, depending on how well Trey continues to
respond to his current medications, he could be put on more moderate doses over a certain
period. However, if his condition does not change, his doses may become more frequent.
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