The Assignment Examine Case Study: An Asian American Woman with Bipolar Disorder. You will be asked to make three decisions concerning the medication to prescribe to this client.

The Assignment Examine Case Study: An Asian American Woman with Bipolar Disorder. You will be asked to make three decisions concerning the medication to prescribe to this client.

Decision #1 Which decision did you select? Begin Seroquel XR 100mg at HS This is the best option Why did you select this decision? Support your response with evidence and references to the Learning Resources. According to the National Institute of Mental Health, bipolar disorder causes unusual shifts in energy, concentration, mood, and activities of daily living (“Bipolar Disorder,” n.d., para. 1). As per three different decisions, the best option is to begin Seroquel XR 100mg at bedtime. Quetiapine (Seroquel) is atypical antipsychotic, which was approved for schizophrenia treatment, but later FDA approved it to treat bipolar disorder (Muneer, 2015). Evidence supports that, to improve cognition, negative symptoms and have functional recovery in patients with bipolar, Quetiapine has a potential role in it (Soeiro-De-Souza, 2015) and found to be effective in depressive and manic episodes with good tolerability profile (Muneer, 2015). Lithium was already been prescribed to the patient in the hospital, but it did not show any significant progress. Risperidone is also a good choice as it shows similar efficacy as to Quetiapine in reducing manic symptoms (Masi et al., 2015) but Quetiapine has This study source was downloaded by 100000898494836 from CourseHero.com on 07-03-2025 13:58:36 GMT -05:00 https://www.coursehero.com/file/65582131/psychopharma-assignment-2-Copydocx/ fewer side effects than Risperidone (Stahl, 2008). Therefore, it is appropriate to give Quetiapine to this patient that is very effective and commonly used to treat bipolar disorder. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. According to the article, it is hard to achieve full remission in patients with bipolar disorder (Garriga et al., 2017). So, I was hoping to achieve a decrease in the young mania rating scale with no side effects, because it is commonly prescribed to treat acute mania and for bipolar maintenance and it can improve maniac symptoms within 1 week (Stahl, 2008). Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different? There was a decrease in the Young Mania Rating Scale from 22 to 18, however, the patient started having complaints of side effects like dry mouth and constipation.