Case Study Branda

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Branda is a 20-year-old Caucasian female. While looking at history I notice that Branda’s family was middle class however, Branda’s family was forced to down grade when Branda was nine. At nine years, old Branda and her family moved into a trailer park. Branda began trying to make friends but found it difficult, the only friends she was able to make were those involved in gangs. When Branda was ten one of her best, friends committed suicide because he felt as though no one cared. Again, at age fifteen another of her friends committed suicide after being bullied at school. Branda had a difficult time dealing with the pain that she felt from the loss and she was hospitalized for eight days. At nineteen, her family was forced to move in with her grandmother whom she does not get along with. When Branda began using drugs at nineteen her family attempted to help her. At age twenty, her grandmother for bringing drugs into the house kicked her out. Branda began blaming everyone for her trouble. Finally, three months after being kicked out, she asked her parents for help and they had her go to drug rehab. Branda’s family on both sides shows mental illness. Branda has been referred to therapy after severely cutting herself, which caused her to be hospitalized. Branda appears to be withdrawn and unwilling to communicate.
After waiting several minutes, Branda begins to speak rapidly. Branda states how she hates having to be here, she feels angry and irritable. Branda is complaining of having a headache. Branda is ranting about how her parents had put her in the hospital twice before for becoming uncontrollable and cutting herself. The second time she went to Oakland she was six and she was there for two weeks to get her stabilized. The third time, she was hospitalized she eleven and she was there for three weeks while they did med changes and stabilized her. Branda expresses how her parents were over protective and critical of her behavior. According to David J. Miklowitz, in the article “The Role of the Family in the Course and Treatment of Bipolar Disorder”, “these attributes evoke criticism or overprotectiveness among parents, and determine which of these children actually develop bipolar disorder in adulthood” (4). Overbearing parents can have an adverse effect on a child who is bipolar. Many times the family is not able to understand what is happening and at times, they blame themselves, or feel as though they are being punished. However, in Branda’s case the Bipolar disorder is genetic.
Brand confides how she never told her parents that she was raped when she was six because she was afraid. Brand began cutting herself in high school she explains how it took the pain away for a while. Branda states how it is her dad’s fault that she is screwed up because he is Bipolar. In addition, she follows with how her mom’s side of the family has bipolar and other problems that she is not sure of but they are psycho. Upon asking her, what brings her in she...