when the symptom is hypersexuality. definition: hypersexuality is a symptom of bipolar disorder. the...

De-escalation of a Mental Health Crisis

When the symptom is hypersexuality

Definition:Hypersexuality is a symptom of bipolar disorder. The person may: Have a change in sexual behavior and be more

focused on sex and sexual behavior than usual. Experience a constant need or pressure to say,

think, see, hear, taste, feel anything of a sexual nature.

Not be able to control this symptom of their illness and will engage in unhealthy and risky sexual behaviors.

What is Hypersexuality?

The Barbara Schneider Foundation, 2419 Nicollet Ave S., Minneapolis, MN 55404, (612) 801-8572

Hypersexuality occurs in 57% of people with bipolar disorder. (2007 text by Frederick K Goodwin, MD, and Kay Redfield Jamison, PhD)

Hypersexuality is listed as one of the primary symptoms of bipolar disorder in the DSM-IV. ( Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition)

Hypersexuality is generally associated with hypomania and mania.

The severity of hypersexuality runs the gamut just like all hypomanic/manic symptoms do.

Facts about Hypersexuality


Though hypersexuality may present itself as just one aspect in a constellation of problems, it is often themost destructive and challenging part of bipolar disorder – troubling families of young children suffering from juvenile hypersexuality, ruining marriages, and generating life threatening health problems.

People with hypersexuality are very vulnerable and could end up the victim of sexual assault because of their uncontrollable actions and they unknowingly place themselves in dangerous situations.


Dangers of Hypersexuality

Hypersexuality with bipolar disorder isn’t a separate condition or problemthat needs its own treatment- it is a symptom of bipolar disorder. Once the bipolar disorder is successfully treated and mood swings and symptoms are managed and stabilized, hypersexual feelings will dissipate.

You have to treat the illness, not the symptom.


Managing Hypersexuality

Recognize hypersexuality as a symptom of the manic phase of bipolar disorder.

Do not be judgmental about inappropriate language, dress, or actions.

Do not take suggestive or offensive talk personally.

Understand that the person does not usually act this way and is in a medical crisis (is not in control of actions, is very vulnerable and could end up getting hurt.)


De-escalation Response

Initial Contact

◦Mirror calm.◦Slow down and assess.◦Position yourself for safety.◦Be aware of your exits.◦Keep a safe physical distance.◦State your name and organization.◦Ask for the person in crisis’ name.◦What is your role. Be clear.


De-escalation Skills

BEHAVIORALCHANGE

TRUST INFLUENCE

RAPPORT

EMPATHY

ACTIVE LISTENING SKILLS

TIME

G. Dwayne Fuselier, Ph.D., is a Clinical Psychologist and a retired FBI Supervisor who was part of the Columbine Investigative Team Task Force. Adapted from “Lessons from Columbine: What Parents can do to get their teenagers to talk with them.”

Fuselier Behavioral Change Stairway


Separate person from problem (hypersexuality) Open ended questions- “Tell me more about what

happened here before I arrived. ” Don’t allow person to continue to steer

conversation back to sexual topics. Clarify your understanding of the person’s mental

and physical state:◦ Have you been drinking?◦ Are you taking any drugs or medications?◦ Have you been diagnosed with a mental illness?◦ Do you have a family member or friend I can contact?◦ Do you have a doctor or clinic I can call?


Active Listening

Be careful of what you say and how you say it so it is not misinterpreted. For example:◦ “ I understand how you feel.”◦ “Can I help you get what you need?”◦ “You can stop in any time you want.”◦ “Anything I can do to make you feel more

comfortable?” Set boundaries and give clear directions.

◦ “You are too close. You have to stand there.”◦ “Pace in this area if you must pace.”◦ “You have to go the hospital because I am concerned

about your health and safety.”


Empathy and Building Rapport

Questions?

Mark Anderson Barbara Schneider Foundation 2419 Nicollet Av Minneapolis, MN 55404 612 801 8572 [email protected] www.thebarbaraschneiderfoundation.org

The Barbara Schneider Foundation, 2419 Nicollet Avenue S., Minneapolis, MN 55404 (612) 801-8572

mailto:[email protected]

http://www.thebarbaraschneiderfoundation.org/

when the symptom is hypersexuality. definition: hypersexuality is a symptom of bipolar disorder. the...

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