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Petra Jurina. Bi. BIPOLAR DISORDER F.31. Definition. = manic-depressive illness bi - means two; pol/o means extreme - brain disorder that causes unusual shifts in a person’s moods, energy and ability to function - symptoms are severe - cycles last days, weeks, months
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Petra Jurina Bi BIPOLARDISORDER F.31.
Definition = manic-depressive illness bi- means two; pol/o means extreme - brain disorder that causes unusual shifts in a person’s moods, energy and ability to function - symptoms are severe - cycles last days, weeks, months - first manic or depressive episode usually inadolescence
Classification Bipolar I - classic manic-depressive - most severe - at least one manic or mixed episode Bipolar II - episodes of hypomania and severe depression - at least one hypomanic and one major depressive episode Cyclothymia /cyclothymic disorder – hypomania and mild depression - highs and downs aren’t so severe
Etiology no single cause - heredity - 2/3 of bipolar patients have family history of mental disorders - biological differences -abnormal levels of certain chemicals (dopamine) - enviromental factors - stress, abuse, significant loss or other traumatic experiences
Risk factors - having blood relatives (parent, sibling) with bipolar disorder - periods of high stress - drug or alcohol abuse - major life changes (death of a loved one) - being between 15 and 30 years old
Symptoms • Mania • - euphoria • - inflated self-esteem • - decreased need for sleep • excessive talkativeness • grandiosity • distractability • - pursuit of risky behaviors • or activities • - increased sociability • Depression • - loss of interest in activities • previously enjoyed • changes in appetite • (weight gain/loss ) • - changes in sleep patterns • (difficulty sleeping /oversleeping) • - agitation • loss of energy • trouble concentrating, thinking • - repeated thoughts of suicide,death
Diagnosis • medical history • physical exam • lab tests (blood& urine) • - pshycological examination • - mood charting
Treatment • hospitalization (suicidal behaviour/ • detachedfrom reality, psychotic) • - initial treatment • - continued treatment • - substance abuse treatment
Treatment - medications - lithium - anticonvulsans lamotrigine, valproate - antidepressants - tricyclics, MAO inhibitors - antipsychotics - olanzapine, risperidone - benzodiazepines - psychotherapy - cognitive behavioral therapy - education - family therapy - group therapy and other - Electroconvulsive Therapy (ECT)
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Reference http://en.wikipedia.org http://www.mayoclinic.com/