[2015] Dylan Somero: Bipolar Disorder

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[2015] Dylan Somero: Bipolar Disorder

Mood Disorder


Bipolar Disorder

"Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks. Symptoms of bipolar disorder are severe. They are different from the normal ups and downs that everyone goes through from time to time. Bipolar disorder symptoms can result in damaged relationships, poor job or school performance, and even suicide. But bipolar disorder can be treated, and people with this illness can lead full and productive lives."-National Institue of Mental Health

What is it?

1. With Bipolar disorder, the immediate treatment goal is to stabalize the patients mental status. If it is identified that the patient is either manic or depressed, Medications will be started immediately. The most common medication used for treatment in Bipolar disorder is Lithium, as it has been extensively researched with great success (Comer, 278).2. The secondary treatment utilized with Bipolar disorder is cognitive behavioral therapy. CBT utilizes a traditional provider-patient interview setting, where the practitioner and the client discuss events which trigger negavite emotions or behaviors. Then how to isolate those behaviors in the moment, and react in a positive way. This is the most sucessful therapy used with this population (Comer, 281)3. A final approach to treatment of disorders involving mania or major depression is Electro-convulsive therapy. ECT is performed with the patient under anesthesia, and shocks are sent through the patients cranium to produce a "Reset" type effect on the individual. This procedure is usually done either while hospitalized in a psychiatric facility, or can be performed outpatient. (Mohr, 350)

The Pathophysiology behind Bipolar Disorder


1. When assessing the client for Bipolar disoder, one of the first interests is their current state of health, and family or personal history of psychiatric disorders or symptoms. The duration of symptoms and severity should be noted. The client should be interviewed for Suicidal or Homocidal Ideation. 2. Once checked into the clinical setting, the client will usually be asked to change into paper scrubs, and given a one to one staff member to ensure safety, if suicidal or homocidal ideation is present. Normal bloodwork and uring tests are done to note the presence of any drugs, or abnormal physiologial results which could be causing this change in behavior/ mood.3. The individual would speak with a mental-health clinician who would interview the client about their situation, with special reguards to; symptopms, coping mechanisms for altered behavior, presence DSM-IV criteria, and maladaptive behaviors due to issues for the change in mental status. (Mohr, 572)

Resources:Mohr, W. (2013). Psychiatric-mental health nursing: Evidence-based concepts, skills, and practices (8th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.Comer, R. (2013). Abnormal psychology (8th ed.). New York: Worth.http://www.nimh.nih.gov/health/topics/bipolar-disorder/index.shtml

Manic Episodes1. A period of abnormally and persistenly elevated, expansive, or irritable mood, lasting at least one week.2. Persistence of at leas three of the following: Inflated self esteem, decreased need for sleep, pressured speech, racing thoughts, distractibility, increase in activity or psychomotor agitation, ecxessive risk taking behavior in search for pleasure.3. Significant distress or impairmentBipolar I Disorder1. The presence of a manic, hypomanic, or major depressive episode.2.If currently in a hypomanic or major depressive episode, history of a manic episode.3. Significant distress or impairmentBipolar II Disorder1. The presence of a manic, hypomanic, or major depressive episode.2.If currently in a major depressive episode, history of a hypomanic episode. If currenly in a hypomanic state, history of a major depressive episode. No history of a manic state.3. Significant distress or impairment(Comer, 245)

Diagnostic Criteria

Links for Video & Visuals:https://cdn.psychologytoday.com/sites/default/files/blogs/89816/2012/06/98951-96374.jpghttp://www.geronguide.com/gallery/var/albums/Bipolar-Disorder/bipolar-disorder-12.jpg?m=1293833759https://youtu.be/CDK50WQEOJc


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