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BIPOLAR DISORDER

Extreme Mood swings from episodes of Mania to episodesof Depression.

Most of the time the first episode is at Depressed Phase sopatient may be diagnosed with Major Depression.

15% of bipolar patients were Risk for suicide. Young menearly course of their illness are the highest risk for suicide,

especially those with suicide attempts, alcohol abuse, as

wells as recently discharged at the hospital.

A person with bipolar disorder cycles between DEPRESSIONAND NORMAL BEHAVIORS (bipolar depressed) or MANIA

BEHAVIOR AND NORMAL BEHAVIOR (bipolar mania)

Equal to Man and Woman but more common in highlyEducated people because some people with bi polar illness

deny their mania.

Onset and Clinical Course:

Age: Mean age is early 20s, others at their adolescence, some

when they are older than 50.

Debate exist about whether some children diagnosed with

ADHD actually have a very early onset if bipolar disorder.

Manic Episodes typically begin suddenly with rapid escalation of

symptoms over a few days and last from few weeks to several

months.

Sign and Symptoms of DEPRESSED PHASE:

Mood behaviour and thought are same with peoplediagnosed with major depression.

Signs and Symptoms of DEPRESSED PHASE:

1 week of unusual and instantly heightened grandiose,agitated with 3 or more symptoms of the following:

Exaggerated self-esteem Pressured speech Flight of Ideas Reduced ability to filter extraneous stimuli Distractibility Increase activity with high energy Multiple grandiose involving poor judgement and sever

consequences

Clients do not understand their illness affects others,

They might stop taking medication because they may

like the euphoria and feel burdened by it side effects,

blood test and physicians visit need to maintain

treatment.

Types of Bipolar

1. Bipolar I- Manic Episodes with at least 1 depressiveepisodes.

2. Bipolar II- Recurrent Depressive episodes with atleast hypomania episodes

3. Bipolar Mixed- Cycles alternatMania, normal mood, Depres

Mania and So forth.

Treatment:

Lithium (Anti-Manic Drug) Action effects on ions as well as glucose

destroy catecholamine.

Anticonvulsant- helpful in stabiliziraises the brains threshold for de

This prevents people to get bomb

and internal stimuli. (Carbapentin

Acid [Depakote], Gabapentin [Ne

[Lamictal], Topiramate [Topamax]

[Iclonopin]

Psychotherapy