**I have attached the paper that I wrote, I just need you to check it and make sure everything is correct. If more info needs to be added or taken out, please do so.****My famous person is Gregory House from the TV show ‘House’**Pick a character from a favorite book (fiction or nonfiction) or from a favorite movie. Choose a character whom you believe to have a psychological disorder (e.g., Sylvia Plath, Antwone Fisher). Describe the character and his or her problems, using this discussion as a foundation for diagnosing the individual and planning a treatment program. Make your diagnosis using the DSM-5.(Please Note: Unfortunately, the Diagnostic and Statistical Manual of Mental Disorders (DSM), is not available for free online. Also, because most libraries who own the DSM keep the book in their reference collection and do not lend it out, our library cannot obtain a copy for you. If you live near a public library (or a college library that welcomes visitors), you can go in and ask if they have a copy of the DSM that you can use there, onsite. You can also simply research your psychology/mental-health topic in our library databases. You won’t find info from the DSM there, but you should be able to find other useful info on your topic.)Carefully take the reader through the steps you followed to decide on a diagnosis (using all specifiers and qualifiers such as mild, or under certain conditions, etc.) and a type of treatment (e.g., therapy, possible medication, referrals to other professionals). Describe any other recommendations you have, including assessments you would want completed to help accurately diagnose your character.This paper should be 6–8 pages and formatted in APA style.
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Running head: GREGORY HOUSE AND BIPOLAR I DISORDER
Gregory House and Bipolar I Disorder
Hope Timberlake
University of Maryland University College
November 22, 2018
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GREGORY HOUSE AND BIPOLAR I DISORDER
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Introduction
In the current world, we are constantly exposed to the media, which makes it crucial that
significant issues, for instance, those that revolve around mental health are portrayed as
accurately as possible. This is to say that TV shows or movies can to a great extent misguide us
and also alter our perception of the reality of mental illness. However, there are a number of TV
shows, movies as well as books that give quite an accurate description and portrayal of different
mental illnesses, while ensuring that they maintain their entertainment value. Standing in the
position to identify characters with a psychological disorder in such settings makes it possible to
make diagnosis utilizing the DSM-V diagnosis classification. The Diagnostic and Statistical
Manual of Mental Disorders (DSM) offers what is recognized as the standard language by which
researchers, public health officials, as well as clinicians in the United States, consider when it
comes to communicating about mental disorders. The fifth revision (DSM-V), which is the
current edition, was published in May the year 2013 and this is marking the first major overhaul
of diagnostic criteria as well as classification since the DSM-IV that was set in the year 1994.
This paper revolves around making a diagnosis using the DSM-V classification based on the
character Gregory house from the TV show ‘House.’
Gregory House and Bipolar I Disorder
Gregory House, M.D. is the title character that is highly associated with the American
medical drama series House. It is worth noting that even though the colleagues of Gregory
describe him as having an exceptional knowledge, they also to a great extent state that Gregory
House has a cruel sense of humor as well as being very cynical. The colleagues also say that
Gregory often refuses to meet patients and claims that this aids him to avoid getting attached
GREGORY HOUSE AND BIPOLAR I DISORDER
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(Jonason, et al., 2012). Gregory House has openly admitted to the use of a couple of drugs, and it
occurs that he suffers from chronic pain in his right leg and this is as a result of what is known as
a severe muscle injury. He once utilized Vicodin recreationally but ended up becoming
dependent on it considering it for pain management.
Gregory House has had to deal with so many near to death experiences throughout his
lifetime whereby some of these instances were self-inflicted. This character has had to put
himself into insulin shock in an attempt to rid himself of perceived hallucinations. The volatile
relationship with his parent is seen as the contributing factor to his emotional instability, and it
occurs that Gregory does not know the identity of his biological dad. He also admits of hating his
mother as well as the father for their dishonesty claiming that this caused him a great deal of
hurt. He has had a couple of failed relationships that ended based on his instabilities.
It is worth noting that Gregory fits the Diagnostic and Statistical Manual of Mental
Disorders depiction of Bipolar I Disorder according to or in other words because of the different
symptoms he shows. It is crystal clear that Gregory has major depressive symptoms as well as
social impairment, having a tough time making friends and in many instances choosing to stay
alone (MacQueen, & Young, 2001). This character has little to no contact with family members,
and he has only one close friend who considers him as an outsider that is looking for an
opportunity to belittle everyone around him. It is also crystal clear that Gregory has an addiction
when it comes to the use of pain relievers. It is proper to remember that substance abuse is a
common practice highly associated with those individuals that are faced with bipolar disorder
and this can increase the level of impairment significantly.
GREGORY HOUSE AND BIPOLAR I DISORDER
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Based on the DSM-V, bipolar I disorder is highly characterized by one having at least
one manic episode with or even without a known history of major depressive symptoms. In our
case, multiple symptoms of manic behavior have been illustrated by Dr. Gregory House (Keller,
& Galgay, 2010). These manic symptoms that Gregory shows consist of exaggerated emotions, a
self-significant manner, as well as having impairment in social functioning. Decreased work
productivity is yet another characteristic of bipolar disorder. Gregory House displays moments
where he will not show up to work simply because he is too busy sleeping with whores. Having
increased libido in such a situation implies the physiological effect of mania. Again, it is worth
remembering that people experiencing mania frequently act impulsively and are often
uninhibited. This is the case with Gregory who ends up purchasing expensive items that were
well out of character for him.
Gregory House as a character in the TV show, ‘House’ has overdosed on medication
several times attempting to die to ‘see if there is anything after death,’ and so he could see the
pain go away. Research shows that more than half of the people that are diagnosed with bipolar
disorder have suicidal ideation (Oquendo, et al., 2010). Gregory House is defined as having a
cruel sense of humor as well as narcissistic attitude. Individuals that are dealing with manic
happen to be very emotionally unstable, and these people are not sensitive to the
inappropriateness of their behavior.
It is firmly believed that bipolar disorders tend to have a complex genetic basis involving
interactions among several genes. Gregory House lacks any evidence of a family history
revolving around mental illness as he does not know his biological father whereas his mother
was never said to have any disorders. The character is more than willing to put himself through
very risky medical experiments, for example, the use of illicit drugs, deep brain stimulation, as
GREGORY HOUSE AND BIPOLAR I DISORDER
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well as putting himself into comas. There are so many imaging studies that confirm that brain
irregularities are common in people with bipolar disorder.
Other psychological factors that highly influenced the diagnosis of Gregory House
revolved around his drug usage. He has been recognized to abuse nitroglycerin, methadone,
LSD, Vicodin, Ketamine as well as cocaine. Studies indicate that men with bipolar are prone to
coexisting substance-use disorder. The colleagues of Gregory define him as enigmatic and also
narcissistic. It is worth noting that these self-focused thinking patterns, self-criticism as well as
perfectionism are predictive of manic episodes (Kawa, et al., 2005). As a child, Gregory was
subjected to strict nature of his father which might be yet another trigger for his depression and
the bipolar symptoms. It is proper to note that social factors that attributed to bipolar I disorder of
Gregory House comprise of his troubled childhood and to a great extent the lack of a positive
role model in his life. Levels of expressed emotions and also negative life events highly predict
bipolar symptoms.
Gregory House could potentially have Asperger’s Disorder as he meets the five major
characteristics of this disorder. The first characteristic that revolves around impairment in social
interaction is shown by Gregory in the sense that he lacks developed friendships. The other
characteristic is based on restricted and repetitive patterns of interests, behavior, and also
activities, and this is expressed by Gregory in that he is so obsessed with diagnosing his patients
even beyond what other doctors say the cause of death is. The other characteristic is that the
disorder causes significant impairment in social areas (Macintosh, & Dissanayake, 2004). The
colleagues of Gregory House find him difficult to carry out their daily duties with. He has a very
good vocabulary, and he is very knowledgeable despite what he lacks, and it is proper to realize
that he does not display any delay when it comes to cognitive development.
GREGORY HOUSE AND BIPOLAR I DISORDER
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As seen earlier, Gregory House could be diagnosed with Substance Abuse Disorder. This
is primarily because he has admitted to utilizing multiple drugs and it turns out that he has
become dependent on Vicodin which was initially prescribed for his leg pain. There are several
other drugs that he has exposed his body through experiments such as Ketamine, LSD, and
methadone among many others. He is potentially suicidal as he keeps on taking risky and near
death experiments. This character could also be diagnosed with depression that began during his
childhood and throughout his lifetime; Gregory has never had to experience steady relationships.
When it comes to the treatment for Gregory, this would be complicated. Gregory has
been voluntary admitted to what is known as Mayfield Psychiatric Hospital before as a result of
multiple mental illnesses. It is worth noting that simple treatments when it comes to antidepressants medication, as well as psychotherapy, have failed in the past. Immediately after
being released from the mental hospital, it clicked on Gregory that medical mysteries were the
only proper way to handle his physical as well as emotional pain. In case any form of medication
was considered, it would be appropriate to monitor Gregory based on his history of abuse of
medication, and also alleged suicide attempts. According to DSM-V, it would be of great
significance to offer social support as the means to improve his mental condition (Goodwin, &
Jamison, 2007). This is because Gregory lacks many relationships apart from his colleagues and
superiors. If Gregory House desires to improve his mental state and ensure that he keeps his
relationships, it would be necessary for him to be willing to undergo therapy, be prepared to
change, and also be very committed to improving.
For more solid diagnosis of Gregory House, it would be very helpful to consider or in
other words focus on having a medical history for him and his family. The lack of knowledge
about the biological father of Gregory leaves a wide gap of information missing from his case.
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This is because according to DSM-V, biological factors play a tremendous role when it comes to
the development of bipolar disorders than when dealing with depressive disorders. If it occurs
that his mother or father suffered or had to experience any other mental illness, what were they?
Looking back at the history and determining whether any traumatic events transpired in his
childhood or even in his high school education that could highly predispose him toward mental
illness will help in handling the situation of Gregory (Sue, et al., 2013). In our case, having brain
scans as well as multiple psychiatric evaluations would make it easy to craft what is recognized
as a more compact analysis. If we were in the position to access more information based on his
past, then we would have had to reconsider his original as well as dual disorders.
Conclusion
It is, therefore, apparent that there are a number of TV shows, movies as well as books
that give quite an accurate description and portrayal of different mental illnesses while ensuring
that they maintain their entertainment value. Gregory House fits the Diagnostic and Statistical
Manual of Mental Disorders depiction of Bipolar I Disorder according to or in other words
because of the different symptoms he shows. Having a proper picture of the bipolar disorder
experienced by Gregory would require also being aware the medical history for him and his
family.
GREGORY HOUSE AND BIPOLAR I DISORDER
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References
Goodwin, F. K., & Jamison, K. R. (2007). Manic-depressive illness: bipolar disorders and
recurrent depression (Vol. 1). Oxford University Press.
Jonason, P. K., Webster, G. D., Schmitt, D. P., Li, N. P., & Crysel, L. (2012). The antihero in
popular culture: Life history theory and the dark triad personality traits. Review of
General Psychology, 16(2), 192.
Kawa, I., Carter, J. D., Joyce, P. R., Doughty, C. J., Frampton, C. M., Elisabeth Wells, J., … &
Olds, R. J. (2005). Gender differences in bipolar disorder: age of onset, course,
comorbidity, and symptom presentation. Bipolar disorders, 7(2), 119-125.
Keller, R. M., & Galgay, C. E. (2010). Microaggressive experiences of people with
disabilities. Microaggressions and marginality: Manifestation, dynamics, and impact,
241-268.
Macintosh, K. E., & Dissanayake, C. (2004). Annotation: the similarities and differences
between autistic disorder and Asperger’s disorder: a review of the empirical
evidence. Journal of Child Psychology and Psychiatry, 45(3), 421-434.
MacQueen, G. M., & Young, L. T. (2001). Bipolar II disorder: symptoms, course, and response
to treatment. Psychiatric Services, 52(3), 358-361.
Oquendo, M. A., Currier, D., Liu, S., Hasin, D., Grant, B., & Blanco, C. (2010). Increased risk
for suicidal behavior in comorbid bipolar disorder and alcohol use disorders. The Journal
of clinical psychiatry, 71(7), 902.
GREGORY HOUSE AND BIPOLAR I DISORDER
Sue, D., Sue, D. W., Sue, D. M., & Sue, S. (2013). Essentials of understanding abnormal
behavior. Cengage Learning.
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