Bipolar Disorder and Conduct Disorder SOAP Note
Patient R.G is a 17-year-old male
HISTORY OF PRESENT ILLNESS: Patient has history of oppositional defiant disorder and mood dysregulation disorder who has now been admitted to inpatient unit due to property destruction. Reportedly, patient was getting his phone fixed however he got into an argument with people at the mall and the police were called and he was brought to the hospital. Patient has been irritable, threatening parents. and does not follow rules at home. He has not been taking medication and smoking marijuana. On evaluation patient is irritable and uncooperative.(SOAP Note on Bipolar Disorder Essay for Nursing Students)
Social History: Recreational Drugs
Cannabis, Marijuana, 1 Daily
Notes: unknown, refused to answer
Contributing Past Psychiatric History
History: History of multiple hospitalizations at BNBMC. Patient is historically noncompliant with medication after leaving hospital. History of physically aggressive behavior towards mother and sister with property destruction
Patient was suspended from school after he was found with the possession of cannabis. history of irritable mood, anger outbursts, physical and verbal aggression. patient has no history of suicidal ideation or suicide attempt. No history of homicidal ideations or attempts.
Patient was in the hospital for 2 weeks and discharge with plan to follow up with his psychiatrist. He was brought in the office by his father. His chief complaint was “I want to be left alone and be respected.”
Patient is diagnosed with bipolar disorder, conduct disorder
Medications: Depakote 250 in AM, 500 at bedtime, (delay release) Risperidone 1 mg bid, Cogentin 0.5 once a day.
NKDA, No medical history. No family history of mental illness.(SOAP Note on Bipolar Disorder Essay for Nursing Students)
Patient has 2 other siblings. Vital BP 128/62 pulse 84, respiration 20 temp is 98.1 oxygen saturation is 100% room air.
RatingsPts
This criterion is linked to a Learning OutcomePhoto ID display and professional attire
5 to >0.0 pts
Excellent
Photo ID is displayed. The student is dressed professionally.
0 pts
Fair
0 pts
Good
0 pts
Poor
Photo ID is not displayed. Student must remedy this before grade is posted. The student is not dressed professionally.
5 pts
This criterion is linked to a Learning OutcomeTime
5 to >0.0 pts
Excellent
The video does not exceed the 8-minute time limit.
0 pts
Fair
0 pts
Good
0 pts
Poor
The video exceeds the 8-minute time limit. (Note: Information presented after 8 minutes will not be evaluated for grade inclusion.)
5 pts
This criterion is linked to a Learning OutcomeDiscuss Subjective data:• Chief complaint• History of present illness (HPI)• Medications• Psychotherapy or previous psychiatric diagnosis• Pertinent histories and/or ROS
10 to >8.0 pts
Excellent
The video accurately and concisely presents the patient’s subjective complaint, history of present illness, medications, psychotherapy or previous psychiatric diagnosis, and pertinent histories and/or review of systems that would inform a differential diagnosis.
8 to >7.0 pts
Good
The video accurately presents the patient’s subjective complaint, history of present illness, medications, psychotherapy or previous psychiatric diagnosis, and pertinent histories and/or review of systems that would inform a differential diagnosis.
7 to >6.0 pts
Fair
The video presents the patient’s subjective complaint, history of present illness, medications, psychotherapy or previous psychiatric diagnosis, and pertinent histories and/or review of systems that would inform a differential diagnosis, but is somewhat vague or contains minor inaccuracies.(SOAP Note on Bipolar Disorder Essay for Nursing Students)
6 to >0 pts
Poor
The video presents an incomplete, inaccurate, or unnecessarily detailed/verbose description of the patient’s subjective complaint, history of present illness, medications, psychotherapy or previous psychiatric diagnosis, and pertinent histories and/or review of systems that would inform a differential diagnosis. Or subjective documentation is missing.
10 pts
This criterion is linked to a Learning OutcomeDiscuss Objective data:• Physical exam documentation of systems pertinent to the chief complaint, HPI, and history• Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses
10 to >8.0 pts
Excellent
The video accurately and concisely documents the patient’s physical exam for pertinent systems. Pertinent diagnostic tests and their results are documented, as applicable.(SOAP Note on Bipolar Disorder Essay for Nursing Students)
8 to >7.0 pts
Good
The response accurately documents the patient’s physical exam for pertinent systems. Diagnostic tests and their results are documented, as applicable.
7 to >6.0 pts
Fair
Documentation of the patient’s physical exam is somewhat vague or contains minor inaccuracies. Diagnostic tests and their results are documented but contain inaccuracies.
6 to >0 pts
Poor
The response provides incomplete, inaccurate, or unnecessarily detailed/verbose documentation of the patient’s physical exam. Systems may have been unnecessarily reviewed, or objective documentation is missing.(SOAP Note on Bipolar Disorder Essay for Nursing Students)
10 pts
This criterion is linked to a Learning OutcomeDiscuss results of Assessment:• Results of the mental status examination• Provide a minimum of three possible diagnoses in order of highest to lowest priority and explain why you chose them. What was your primary diagnosis and why? Describe how your primary diagnosis aligns with DSM-5 diagnostic criteria and is supported by the patient’s symptoms.
20 to >17.0 pts
Excellent
The video accurately documents the results of the mental status exam. Video presents at least three differentials in order of priority for a differential diagnosis of the patient, and a rationale for their selection. Response justifies the primary diagnosis and how it aligns with DSM-5 criteria.(SOAP Note on Bipolar Disorder Essay for Nursing Students)
17 to >15.0 pts
Good
The video adequately documents the results of the mental status exam. Video presents three differentials for the patient and a rationale for their selection. Response adequately justifies the primary diagnosis and how it aligns with DSM-5 criteria.
15 to >13.0 pts
Fair
The video presents the results of the mental status exam, with some vagueness or inaccuracy. Video presents three differentials for the patient and a rationale for their selection. Response somewhat vaguely justifies the primary diagnosis and how it aligns with DSM-5 criteria.(SOAP Note on Bipolar Disorder Essay for Nursing Students)
13 to >0 pts
Poor
The response provides an incomplete, inaccurate, or unnecessarily detailed/verbose description of the results of the mental status exam and explanation of the differential diagnoses. Or assessment documentation is missing.
20 pts
This criterion is linked to a Learning OutcomeDiscuss treatment Plan:• A treatment plan for the patient that addresses chosen FDA-approved psychopharmacologic agents and includes alternative treatments available and supported by valid research. The treatment plan includes rationales, a plan for follow-up parameters, and referrals. The discussion includes one social determinant of health according to the HealthyPeople 2030, one health promotion activity and one patient education consideration for this patient for improving health disparities and inequities in the realm of psychiatry and mental health.(SOAP Note on Bipolar Disorder Essay for Nursing Students)
20 to >17.0 pts
Excellent
The video clearly and concisely outlines an evidence-based treatment plan for the patient that addresses FDA-approved psychopharmacologic agents and includes alternative treatments and rationale supported by valid research. … Discussion includes a clear and concise follow-up plan and parameters…. The discussion includes a clear and concise referral plan. … The paper discussion contains all 3 elements from the assignment directions including a discussion demonstrating critical thinking of the case related to the HealthyPeople 2030 social health determinates. Clearly and concisely relates discussion to the psychiatric and mental health field.
17 to >15.0 pts
Good
The video clearly outlines an appropriate treatment plan without evidence-based discussion for the patient that addresses FDA-approved psychopharmacologic agents and includes alternative treatments and rationale supported by vague or questionable research. … Discussion includes a clear follow-up plan and parameters…. The discussion includes a clear referral plan…. The paper discussion contains 2 of the elements from the assignment directions with one being a basic discussion of the case related to the HealthyPeople 2030 social health determinates. Clearly relates discussion to the psychiatric and mental health field.(SOAP Note on Bipolar Disorder Essay for Nursing Students)
15 to >13.0 pts
Fair
The response somewhat vaguely or inaccurately outlines a treatment plan for the patient that addresses psychopharmacologic agents without discussion of FDA approval and includes vague or inaccurate alternative treatments with little rationale discussed. … The discussion is somewhat vague or inaccurate regarding the follow-up plan and parameters…. The discussion is somewhat vague or inaccurate regarding a referral plan. … The paper discussion contains 1 of the required elements from the assignment directions which is the HealthyPeople 2030 social health determinates…. Somewhat vaguely or inaccurately relates discussion to the psychiatric and mental health field.
13 to >0 pts
Poor
The response does not address the treatment plan or the treatment plan is not appropriate for the assessment and the diagnosis. There is no mention of FDA approval for treatment choices or no research supported discussion. Alternative treatment discussion is missing. … Rationales for treatments are missing. … There is no discussion for follow-up and parameters. … There is no discussion of a referral plan. … The paper discussion is missing discussion relating to the psychiatric and mental health field or relates discussion to another specialty realm including medical co-morbidity illnesses.(SOAP Note on Bipolar Disorder Essay for Nursing Students)
20 pts
This criterion is linked to a Learning OutcomeReflect on this case. Discuss what you learned and what you might do differently.
5 to >4.0 pts
Excellent
Reflections are thorough, thoughtful, and demonstrate critical thinking.
4 to >3.5 pts
Good
Reflections demonstrate critical thinking.
3.5 to >3.0 pts
Fair
Reflections are somewhat general or do not demonstrate critical thinking.
3 to >0 pts
Poor
Reflections are incomplete, inaccurate, or missing.
5 pts
This criterion is linked to a Learning OutcomePresentation style
5 to >4.0 pts
Excellent
Presentation style is exceptionally clear, professional, and focused.
4 to >3.5 pts
Good
Presentation style is clear, professional, and focused.
3.5 to >3.0 pts
Fair
Presentation style is mostly clear, professional, and focused
3 to >0 pts
Poor
Presentation style is unclear, unprofessional, and/or unfocused.
5 pts
Total Points: 80
SOAP Note on Bipolar Disorder Essay for Nursing Students
Bipolar Disorder and Conduct Disorder SOAP Note
Patient Initials: R.G.
Gender: Male
SUBJECTIVE:
CC: “I want to be left alone and respected.”
HPI: The patient has a history of oppositional defiant disorder and mood dysregulation disorder. He has now been admitted to the inpatient unit due to property destruction. Reportedly, the patient was getting his phone fixed and got into an argument at the mall. The police attended the scene, and he was brought to the hospital. The patient has been irritable, threatening his parents, and does not follow the rules at home. He has not been taking medication but smokes marijuana. The patient was suspended from school after he was found possessing the drug. He has a history of irritable mood, anger outbursts, and physical and verbal aggression. The patient has no history of suicidal or homicidal ideation or suicide attempt.
Social History: R.G. lives with his parents. The patient has two siblings.(SOAP Note on Bipolar Disorder Essay for Nursing Students)
Education and Occupation History: R.G. is in high school.
Substance Current Use and History: Recreational Drugs, Cannabis, Marijuana, 1 Daily
Legal History: The client denies any legal history but has been suspended from school. (SOAP Note on Bipolar Disorder Essay for Nursing Students)
Family Psychiatric/Substance Use History: The patient denies a family history of mental health issues. Reports mother and father using alcohol occasionally. (SOAP Note on Bipolar Disorder Essay for Nursing Students)
Past Psychiatric History:
Hospitalization: History of multiple hospitalizations at BNBMC.
Medication trials: Denies history of medical trials
Psychotherapy or Previous Psychiatric Diagnosis: The patient is historically noncompliant with medication after leaving the hospital. History of physically aggressive behavior towards mother and sister with property destruction, but a diagnosis was not established.
Medical History: None.
• Current Medications: Denies using any medications currently.
• Allergies: None. (SOAP Note on Bipolar Disorder Essay for Nursing Students)
• Reproductive Hx: Sexually active. R.G. states using protection.
ROS:
General: The patient is well-nourished, normal activity levels. Denies fever or fatigue.
HEENT: Eyes: Patient denies visual loss, blurred vision, double vision, or yellow sclerae. Ears, Nose, Throat: No hearing loss, sneezing, congestion, runny nose, or sore throat. (SOAP Note on Bipolar Disorder Essay for Nursing Students)
Skin: No rash or itching.(SOAP Note on Bipolar Disorder Essay for Nursing Students)
Cardiovascular: Denies chest pain, chest pressure, or chest discomfort. No palpitations or edema.
Respiratory: Denies wheezes, shortness of breath, consistent coughs, and breathing difficulties while resting.
Gastrointestinal: Patient denies diet changes, feelings of nausea, and vomiting. Denies diarrhea. No abdominal pain or blood. Denies constipation. History of GERD.
Genitourinary: Denies burning on urination, urgency, hesitancy, odor, odd color
Neurological: The patient denies headaches, dizziness, syncope, paralysis, ataxia, numbness, or tingling in the extremities. No change in bowel or bladder control. Reports concentration and attention problems.
Musculoskeletal: The patient denies muscle pain and weakness. Denies back pain and muscle or joint stiffness. Moves all extremities well.
Psychiatric: History of behavior problems. Recent complaints of ill conduct.
Hematologic: Denies anemia, bleeding, or bruising.(SOAP Note on Bipolar Disorder Essay for Nursing Students)
Lymphatics: Denies enlarged nodes. No history of splenectomy.(SOAP Note on Bipolar Disorder Essay for Nursing Students)
Endocrinologic: Denies sweating. No reports of cold or heat intolerance. No polyuria or polydipsia.
OBJECTIVE:
Vital signs: Stable
Temp: 98.1F
B.P.: 128/62
P: 84
R.R.: 20
O2: 100% Room air
Pain: 0/10
Ht: 5’9 feet
Wt: 170 lbs
BMI: 25.1
BMI Range: Overweight
LABS:
Lab findings WNL
Tox screen: Positive
Alcohol: Positive
Physical Exam:
General appearance: The patient is awake, healthy-appearing, well-developed, and well-nourished.
HEENT: Normocephalic and atraumatic. Sclera anicteric, No conjunctival erythema, PERRLA, oropharynx red, moist mucous membranes.
Neck: Supple. No JVD. Trachea midline. No pain, swelling, or palpable nodules.
Heart/Peripheral Vascular: Regular rate and rhythm noted. No murmurs. No palpitation. No peripheral edema to palpation bilaterally. (SOAP Note on Bipolar Disorder Essay for Nursing Students)
Cardiovascular: The patient’s heartbeat and rhythm are normal. The patient’s heart rate is within normal range, and capillaries refill within two seconds. (SOAP Note on Bipolar Disorder Essay for Nursing Students)
Musculoskeletal: Normal range of motion. Normal motor strength and tone.
Respiratory: No wheezes, and respirations are easy and regular.
Neurological: Balance is stable, gait is normal, posture is erect, the tone is good, and speech is clear. The patient has occasional headaches.
Psychiatric: The patient is easily distracted and is irritable and uncooperative in some instances.
Neuropsychological testing: Social-emotional functioning is impaired.
Behavior/motor activity: The patient was easily irritable and uncooperative in some instances.
Gait/station: Stable.(SOAP Note on Bipolar Disorder Essay for Nursing Students)
Mood: Fair.
Affect: Fair.
Thought process/associations: comparatively linear and goal-directed.
Thought content: Thought content was appropriate.
Attitude: the patient was irritable and uncooperative at times
Orientation: Oriented to self, place, situation, and general timeframe.
Attention/concentration: Impaired
Insight: Good
Judgment: Good.(SOAP Note on Bipolar Disorder Essay for Nursing Students)
Remote memory: Good
Short-term memory: Good
Intellectual /cognitive function: Good
Language: clear speech, with a tone assessed to be normal
Fund of knowledge: Good.
Suicidal ideation: Negative.(SOAP Note on Bipolar Disorder Essay for Nursing Students)
Homicide ideation: Negative.
ASSESSMENT:
Mental Status Examination:
The male patient, 17, claims he should be left alone and respected. The patient presents with ill and uncontrollable behavior and conduct. The patient is combative, bullying, uncooperative, and easily agitated and angered. Building rapport was difficult because the patient had trouble focusing and paying attention. His mood and affect were fair, but he was apathetic, had difficulty concentrating, and was quickly disoriented. He denies having any suicidal or homicidal ideas.
Differential Diagnosis: (SOAP Note on Bipolar Disorder Essay for Nursing Students)
1. F91. 9 Conduct Disorder and F31.1 Bipolar I Disorder (Confirmed)
Bipolar disorder, commonly referred to as bipolar affective disorder, ranks as one of the top 10 major causes of disability worldwide. It is common to misdiagnose bipolar disorder, characterized by recurrent periods of mania or hypomania that alternate with depression (Jain & Mitra, 2022). Bipolar and related disorders include undefined bipolar or related disorders, bipolar I disorder (BD-I), bipolar II disorder (BD-II), cyclothymic disorder, and other specified bipolar and related illnesses. Per the DSM-5 diagnosis, for a patient to be diagnosed with bipolar I disorder, criteria should meet for at least one manic episode, preceded or followed by a significant depression or hypomanic episode. However, major depressive or hypomanic episodes are not necessary for the diagnosis (Jain & Mitra, 2022). In clinical, epidemiological, and research samples, a strong and bidirectional connection between pediatric bipolar I (BP-I) disorder and conduct disorder (CD) has continuously been found (Wozniak et al., 2019). Even though BP-I and CD are two separate, highly morbid illnesses, their co-occurrence signals a gravely compromised clinical condition.(SOAP Note on Bipolar Disorder Essay for Nursing Students)
Disruptive behavioral disorders include conduct disorder (CD) and oppositional defiant disorder (ODD). CD is characterized by a series of behaviors, including showing hostility and violating other people’s rights. Conduct disorder frequently co-occurs with other psychiatric diseases, such as depression, attention deficit hyperactivity disorder, and learning problems (Mohan et al., 2023). Often, occasional rebellious conduct and a propensity to disrespect and disobey authority figures can be seen during childhood and adolescence. The signs and symptoms of CD show a pervasive and recurrent pattern of hostility towards people and animals, as well as the destruction of property and breaking of regulations (Sagar et al., 2019). Per the DMS-5 criteria, an individual must exhibit behaviors that violate other people’s rights and disregard acceptable conduct. The individuals should demonstrate dysfunction in various areas, including aggression toward other people and animals, such as initiating fights, carrying and using weapons, bullying, threatening, and being cruel towards people and animals. Moreover, they should demonstrate deliberate property destruction, stealing and lying, and significant violations of rules like running away from home and staying late (Zhang et al., 2018). R.G. presents with all these dysfunctions, confirming the diagnosis. (SOAP Note on Bipolar Disorder Essay for Nursing Students)
2. F91. 3 Oppositional Defiant Disorder
Oppositional defiant disorder (ODD) is another disruptive behavioral condition that frequently precedes CD. ODD is infrequently recognized in older children and teenagers, owing partially to the continuously established disagreements between children and their parents. Males are more prevalent than girls to have ODD in preadolescence (1.4:1). However, this male predominance does not exist in adolescents or adults (Aggarwal & Marwaha, 2022). Symptoms are thought to be steady around the ages of five and 10, and then they begin to decline. The prevalence reduces as people age. It primarily involves problems with emotional and behavioral inhibition. A recurrent pattern of anger or irritation, argumentative or rebellious behavior, or revenge towards other people is the primary hallmark of ODD, per the DSM-5 criteria (Aggarwal & Marwaha, 2022). This diagnosis was ruled out because the patient displayed additional symptoms that met CD criteria alongside the ODD symptoms.(SOAP Note on Bipolar Disorder Essay for Nursing Students)
3. F90. 9. Attention Deficit Hyperactivity Disorder
ADHD frequently co-occurs with CD, hampering an individual’s capacity to function. People with this condition have excessive impulsivity, hyperactivity, or inattentiveness. According to Magnus et al. (2023), young children with ADHD frequently display inattentiveness, lack of attention, disorganization, difficulties finishing tasks, forgetfulness, and losing things. For symptoms to be considered ADHD, they must appear before age 12, last for six months, and interfere with daily tasks. It must be present in numerous settings, such as at home and work or after-school programs and classes (Magnus et al., 2023). Large-scale effects could lead to challenging social relations, increased risky behavior, job losses, and challenges in the classroom. This diagnosis was rejected because ADHD was not recognized before age 12, and the client only exhibits inattentiveness and no functioning challenges. (SOAP Note on Bipolar Disorder Essay for Nursing Students)
PLAN:
The patient would benefit from combining medication and psychotherapy. (SOAP Note on Bipolar Disorder Essay for Nursing Students)
Safety Risk/Plan: (SOAP Note on Bipolar Disorder Essay for Nursing Students)
R.G. has no present objective or desire to hurt himself or others. There are no suicidal or homicidal ideas in the patient. It is not essential to register.
Pharmacological Interventions:
Pharmacotherapy tries to treat mental co-morbidities using the appropriate medications, such as stimulants and non-stimulants for the treatment of ADHD, antiepileptic drugs for the treatment of bipolar illness, and mood stabilizers for the treatment of aggression and mood dysregulation (Mohan et al., 2023). Traditional mood stabilizers that can elevate mood include second-generation antipsychotics and antiepileptic drugs (AEDs). The proposed medication plan includes Depakote 250 in AM, 500 at bedtime, (delay release) Risperidone 1 mg bid, and Cogentin 0.5 once a day. (SOAP Note on Bipolar Disorder Essay for Nursing Students)
Psychotherapy:
The psychosocial treatment that can help address conduct disorder in R.G. includes parent management training, which teaches parents ways to discipline their children consistently, reward positive behavior properly, and promote prosocial behavior in young people, multisystemic therapy, which focuses on family, school, and individual issues, and anger management training. Additionally, individual psychotherapy that emphasizes problem-solving skills helps treat CD by fostering connections through resolving interpersonal conflicts and teaching assertiveness to reject negative communal influences (Mohan et al., 2023). Community-based treatment will be centered on creating therapeutic school settings that can provide a structured program to reduce disruptive behaviors in the future.(SOAP Note on Bipolar Disorder Essay for Nursing Students)
Education:
1. Educate parent and patient on drug adherence, potential adverse effects, and complications from taking the medication.
2. Educate the patient regarding consistent therapy sessions and why they are necessary.
3. To prevent relapse, monitor withdrawal symptoms frequently. (SOAP Note on Bipolar Disorder Essay for Nursing Students)
4. Inform the client regarding healthy behaviors and attitudes.(SOAP Note on Bipolar Disorder Essay for Nursing Students)
5. Encourage the patient to cooperate with the medical staff and seek assistance anytime.
6. Encourage the client to participate in group therapy or a support group to develop social skills.
Consultation/follow-up: Follow-up is in two weeks for further assessment.(SOAP Note on Bipolar Disorder Essay for Nursing Students)
Reflection
Children with bipolar disorder are more likely to experience conduct issues. Children and adolescents who have conduct disorders are prevalent, and these disorders are frequently linked to developmental stages and traits. Adolescence is a time when occasional disobedience and bad behavior is normal or anticipated. However, the situation becomes problematic when there is a reoccurring pattern and behavioral dysfunctions. In some cases, such as this one, parents and instructors cannot handle conduct dysfunctions effectively and must seek professional assistance. Since the patient is seen as problematic and may become aggressive toward the practitioner, dealing with CD also presents difficulties for practitioners. Nonetheless, the process is more successful when professionals, parents, and instructors collaborate.(SOAP Note on Bipolar Disorder Essay for Nursing Students)
Over half of Americans will receive a mental condition diagnosis at some point in their lives. Healthy People 2030 emphasizes the prevention, screening, evaluation, and treatment of behavioral and mental problems (Healthy People 2030, n.d.). The goals for mental health and mental disorders also include improving the health and living standards of those who suffer from these problems. Health promotion techniques for conduct disorder can assist in reinforcing responsible conduct by providing consistent adult caregiving, positive emotional support, proper learning and social skills, an easy temperament, a sense of competence, and optimistic worldviews. Autonomy and confidentiality are ethical issues that arise when working with the client, given he is a minor. Any sort of treatment should only be given with the parent’s informed consent. If I were given another chance to work with the client, I would gather information from the instructor and the school’s disciplinary staff to create a more thorough diagnosis and treatment plan.(SOAP Note on Bipolar Disorder Essay for Nursing Students)
References
Healthy People 2030. (n.d.). Mental Health and Mental Disorders. https://health.gov/healthypeople/objectives-and-data/browse-objectives/mental-health-and-mental-disorders(SOAP Note on Bipolar Disorder Essay for Nursing Students)
Jain, A., & Mitra, P. (2022). Bipolar affective disorder. In StatPearls [Internet]. StatPearls Publishing.
Mohan, L., Yilanli, M., & Ray, S. (2017). Conduct disorder. In: StatPearls [Internet]. StatPearls Publishing.
Aggarwal, A., & Marwaha, R. (2022). Oppositional Defiant Disorder. In StatPearls [Internet]. StatPearls Publishing.
Magnus, W., Nazir, S., & Anilkumar, A.C. (2023). Attention Deficit Hyperactivity Disorder. In: StatPearls [Internet]. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK441838/(SOAP Note on Bipolar Disorder Essay for Nursing Students)
Sagar, R., Patra, B. N., & Patil, V. (2019). Clinical Practice Guidelines for the Management of conduct disorder. Indian Journal of Psychiatry, 61(Suppl 2), 270–276. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_539_18(SOAP Note on Bipolar Disorder Essay for Nursing Students)
Wozniak, J., Wilens, T., DiSalvo, M., Farrell, A., Wolenski, R., Faraone, S. V., & Biederman, J. (2019). Comorbidity of bipolar I disorder and conduct disorder: a familial risk analysis. Acta Psychiatrica Scandinavica, 139(4), 361–368. https://doi.org/10.1111/acps.13013
Zhang, J., Liu, W., Zhang, J., Wu, Q., Gao, Y., Jiang, Y., Gao, J., Yao, S., & Huang, B. (2018). Distinguishing Adolescents With Conduct Disorder From Typically Developing Youngsters Based on Pattern Classification of Brain Structural MRI. Frontiers in human neuroscience, 12, 152. https://doi.org/10.3389/fnhum.2018.00152(SOAP Note on Bipolar Disorder Essay for Nursing Students)
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