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Immune

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Submitted By marc123
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Chapter III
PSYCHODYNAMICS
A. Tabular Presentation of Predisposing and Precipitating Factors and Rationale Factors | Present | Rationale | I. Predisposing | | | * Age | Patient B is a 29 years old having diagnosed with Bipolar 1 Disorder at present. | Bipolar disorder usually first occurs between the ages of 15 - 30 years, with an average age of onset at 25 years. However, bipolar disorder can affect people of all ages, including children (Simon, 2012). | * Gender | Male | Bipolar disorder affects both sexes equally, but there is a higher incidence of rapid cycling, mixed states, and cyclothymia in women. Early-onset bipolar disorder tends to occur more frequently in men and it is associated with a more severe condition. Men with bipolar disorder also tend to have higher rates of substance abuse (drugs, alcohol) than women (Simon, 2012). | * Genetic | According to patient’s sister, one of their grandfather had experienced psychiatric condition but was not diagnosed. | Bipolar disorder frequently occurs within families. Family members of patients with bipolar disorder are also more likely to have other psychiatric disorders. They include schizophrenia, schizoaffective disorder, anxiety disorders, ADHD, and major depression (Simon, 2012).According to (APA,2002), it seems clear that genetics has a role in bipolar disorder. Siblings and close relatives have a higher incidence of manic-depressive illness/bipolar 1 disorder than the general population, and cyclothymic characteristics are common. | * Marital separation | Patient B suffers for relationship separation after knowing that he was cheated by his wife. | Separation or the end of a marriage can cause reactive depression, which is an extension of adjustment disorder. Reactive depression is characterized as a response to a situation or event that causes sadness, fatigue, loss of interest

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