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NR 547 Differential Diagnosis NR_547_week_5_discussion.

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NR 547 Differential Diagnosis

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  • August 20, 2024
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  • 2024/2025
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1.The screening tool for Kristin is the Mood Disorder Questionnaire (MDQ).
The MDQ is a self-report measure used to assess the presence of symptoms
of bipolar disorder. The MDQ has good reliability and validity and has been
shown to be useful in detecting bipolar disorder in both clinical and non-
clinical populations. The MDQ consists of 21 items that are each rated on a 4-
point scale from 0 (not at all) to 3 (very much or most of the time). The total
score ranges from 0 to 63, with higher scores indicating more severe
symptoms of bipolar disorder.

2.The rationale for the screening tool "Mood Disorder Questionnaire (MDQ)"
is that it is a reliable and valid measure of symptoms of bipolar disorder. The
MDQ has good reliability and validity and has been shown to be useful in
detecting bipolar disorder in both clinical and non-clinical populations. The
MDQ consists of 21 items that are each rated on a 4-point scale from 0 (not
at all) to 3 (very much or most of the time). The total score ranges from 0 to
63, with higher scores indicating more severe symptoms of bipolar disorder.

3.The diagnosis for Kristin is Bipolar 1. Bipolar 1 is characterized by one or
more manic episodes, which are periods of abnormally elevated or irritable
mood, energy, and activity levels. Kristin has reported symptoms of mania,
such as feeling angry without provocation, crying often, losing weight, and
having difficulty sleeping. Bipolar 1 is also characterized by periods of major
depression, which Kristin has also reported experiencing. Kristin has stated
that she feels "not liking herself," has lost interest in activities she used to
enjoy, and has been missing work due to her symptoms. The diagnosis of
Bipolar 1 is supported by the presence of both manic and depressive
symptoms.

4.The ICD-10-CM code for Bipolar 1 is F31.0.

5.The treatment plan for Kristin includes both pharmacological and
psychosocial interventions. Medications that may be used to treat bipolar
disorder include mood stabilizers, antipsychotics, and antidepressants. Mood
stabilizers are the first-line treatment for bipolar disorder and are effective in
treating both manic and depressive symptoms. Antipsychotics are often used
in combination with mood stabilizers to treat manic symptoms and can be
used as monotherapy in patients who cannot tolerate mood stabilizers.
Antidepressants are used to treat depressive symptoms and can be used in
combination with mood stabilizers or antipsychotics. Psychosocial
interventions that may be used to treat bipolar disorder include individual
therapy, family therapy, and group therapy.




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