Diagnosing Psychotic Disorders and Mood Disorders week 5

Please read the materials then read the Schizophrenia, Thought, and Mood Disorders Vignette. Then write a paper in which you analyze it:
1)Briefly summarize the vignette.
2))Diagnose the individual using the information presented in the vignette.
3)Identify any Z-codes that could apply to the client.
4)Provide a rationale for your diagnosis using supporting information from the weekly reading and the criteria in the DSM.
Schizophrenia, Thought, and Mood Disorders Vignette
Elisabeth Jacks grew up in a Persian family and ran a catering service with her second husband, Donald. At age 38, Elisabeth already had two grown children. She and Donald had an unplanned pregnancy, which upset her, but they decided to have the baby. Since the news of the pregnancy, she had seemed unnaturally sad. Starting at about four months, Elisabeth spent much of each day in bed, not arising until afternoon, when she began to feel a little less tired. Her appetite, voracious during her first trimester, fell off, so that by the time of delivery she was several pounds lighter than usual for a full-term pregnancy. She had to give up keeping the household and business accounts, because she couldn’t focus her attention long enough to add a column of figures. Still, the only time Donald became really alarmed was one evening at the beginning of Elisabeth’s ninth month, when she told him that she had been thinking for days that she wouldn’t survive childbirth and he would have to rear the baby without her. “You’ll both be better off without me, anyway,” she had said.
After their son was born, Elisabeth’s mood brightened almost at once. The crying spells and the hours of rumination disappeared; briefly, she seemed almost her normal self. However, late one Friday night, when the baby was 3 weeks old, Donald returned from catering a banquet to find Elisabeth wearing only bra and panties and icing a cake. Two other just-iced cakes were lined up on the counter, and the kitchen was littered with dirty pots and pans.
“She said she’d made one for each of us, and she wanted to party,” Donald told the clinician. “I started to change the baby—he was howling in his basket—but she wanted to drag me off to the bedroom. She said ‘Please, sweetie, it’s been a long time.’ I tired to shake her off without hurting her feelings so that I could help the baby. I mean, even if I hadn’t been dead tired, who could concentrate on having sex, with the baby crying like that? I felt very confused.”
All the next day, Elisabeth was out with girlfriends, leaving Donald home with the baby. On Sunday she spent nearly $300 for Christmas presents at an April garage sale. She seemed to have boundless energy, sleeping only 2 or 3 hours a night before arising, rested and ready to go. On Monday, she decided to open a bakery and tried to charge over $1,600 worth of kitchen supplies to their Visa card. She’d have done the same the next day, but she talked so fast that the person she called to order the supplies couldn’t understand her. In frustration, she slammed the phone down.
Elisabeth’s behavior became so erratic that for the next two evenings Donald took off work to care for the baby, but his presence only seemed to provoke her sexual demands. Then, he noticed the marijuana. Before Elisabeth became pregnant, she would have an occasional toke (she called it her “herbs”). During the past week, not all the smells in the house had been fresh-baked cake, so Donald thought she might be smoking again.
Yesterday Elisabeth had shaken him awake at 5am and announced, “I am becoming God.” That was when he had made the appointment to bring her in for an evaluation. Elisabeth herself could hardly sit still during the interview. In a burst of speech, she described her renewed energy and plans for the bakery. She volunteered that she had never felt better in her life. In rapid succession she then described her mood (ecstatic), how it made her feel when she put on her best silk dress (sexy), where she had purchased the dress, how old she had been when she bought it, and to whom she was married at the time.

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