The GOP: A Case Study of Bipolar Disorder with Psychotic Features

The GOP: A Case Study of Bipolar Disorder with Psychotic Features

Problem/Symptomatology: 157 Year Old Political Party, presents with worsening symptoms of Bipolar Disorder with Psychotic Features. Patient (Pt) recently went through period of elevated mood  (Mania), during which delusions of grandeur were prevalent (e.g. widespread megalomania,  God had chosen Michele Bachmann to run for President ). During such Manic Episodes , Patient has been known to be hyper-religious, (e.g. Rick Perry Talks to God about the Need for Rain.)  and to suffer from Auditory Hallucinations .In addition, Pt’s speech is often disorganized and incoherent.

Manifestation of the Cognitive Impairment Associated With Bipolar Disorder

During previous Manic episodes, Pt has history of reckless spending and increased aggression. (see George W. Bush). Pt has been known to be promiscuous during such episodes, engaging in short lived, euphoria inducing relationships with questionable partners. (e.g. Donald Trump ) Pt also has experienced delusions of persecution, during which they contend the democratically elected President of the United States, is a Hitler mustache wielding radical socialist Muslim terrorist,  who is  hell-bent on destroying the country. Some also claim said President is the Anti-Christ.

 

Example of Visual Hallucination Experienced by Patient

During depressive phases, Patient experiences feelings of sadness and hopelessness. Motivated by such unpleasant feelings, the patient engages in irrational, often self-destructive behavior , and often experiences morbid/active suicidal ideation. Pt also struggles with periods of intense anxiety, presumably due to persistent struggles with cognitive dissonance (which often manifests itself through unmistakable/overzealous displays of subconscious projection-e.g. see positions regarding Homosexuality)

Cognitive Dissonance/Projection is often not difficult to identify-as is the case with the above subject

Pt will regularly attempt to refute Scientific Facts, and generally displays a conspicuous and gleeful aversion to reality.

Treatment Plan/Prognosis : Condition/Prognosis complicated by patient’s refusal to acknowledge a problem/seek treatment. Reality feedback has proven fruitless. It is the opinion of writer, that based on the present symptomatology, the Patient requires extensive inpatient treatment, and therefore will need to be involuntarily committed via a citizen initiated/signed certificate and petition. ( VOTE INFORMED, VOTE SMART, VOTE IN YOUR INTERESTS)

Be Good Friends,

@koolking83

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