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Diagnostic and Treatment Plan

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I am looking for a simple diagnosis, the rationale for that diagnosis, and a preliminary treatment plan for the following scenario:
Sara is a 24-year-old Jewish-American female who is living with her fiancée, David. They have been together for 3 years and are planning to get married next year after he finishes school. In the last year Sara has been having significant mood swings. At times she has no energy, sleeps 10 hours a day, states she feels "down and blue" most of the time, has no appetite, loses interest in any of their usual social activities, and has difficulty concentrating at work. At other times Sara is full of energy, sleeps 4 hours a night, believes that she is the best employee of all the 263 other workers at her job, talks very fast, and is easily distracted. Both David and her supervisor have expressed concern about her behavior. He supervisor states that Sara is a valuable employee and "puts up with" the times when she produces less at work because that is balanced by the times when she is extremely productive. David has asked her to see her doctor, but Sara does not thing there is anything wrong with her. "Everybody has good and bad days" is her reply to him.

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Solution Summary

Using the example case, the Solution focuses on a diagnostic and treatment plan.

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https://www.mayoclinic.org/diseases-conditions/bipolar-disorder/symptoms-causes/syc-20355955
https://www.mayoclinic.org/diseases-conditions/bipolar-disorder/diagnosis-treatment/drc-20355961

Sarah is suffering from "bipolar disorder", which is characterized by symptoms such as extreme lows (depression) and extreme highs (mania) that occur periodically throughout the year but are mostly skewed toward being depressed most of the time. Sarah is often lethargic and lacks energy, feels hopeless, and lacks interest, but whenever she has a manic episode, she feels as if she is the best and most productive worker in her company and can stay awake 20 hours out of any given day she is suffering a manic episode. These extreme mood shifts are a result of a chemical imbalance in her brain that ...

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