+Bipolar DisorderTypesSymptoms& Treatment A condition in which people alternate between periods of a very good or irritable mood and depression.
+ Table of Contents Types of Bipolar Disorder Symptoms Treatment References
+ Types of Bipolar Disorder Type I At least one manic episode and periods of major depression Was once called manic depression Type II Never had full mania Have periods of high energy levels and impulsiveness, not as extreme as mania (called hypomania) Alternate with periods of depression
+ Types of Bipolar Disorder Cyclothymia Mild form Involves less severe mood swings People alternate between hypomania and mild mild depression People with Type II or Cyclothymia may be wrongly diagnosed as having depression.
+ Types of Bipolar Disorders Review Questions Which type has the least amount of mood swings? Which type has combinations of high energy with impulses Are they as extreme as mania? What was Type I known as in the past? Do people diagnosed as Type I suffer from major depression? What periods do people with cyclothymia alternate between?
+ Symptoms of Bipolar Disorder Manic phases can last from days to months. Their symptoms include: Easily Distraced Very elevated mood Excess activity Little need for sleep Increased energy racing thoughts Poor judgement Talking a lot Very high self-esteem Poor temper control Very involved in activities Reckless behavior Binge eating, drinking, and/or drug Very upset use Sex with many partners Occur with bipolar disorder I. Spending sprees People with Type II have similar symptoms, but less severe.
+ Symptoms of Bipolar Disorder Daily low mood or sadness Loss of pleasure in activities once enjoyed Difficulty concentrating, remembering, or Loss of self esteem making decisions Thoughts of death and suicide Eating problems Loss of appetite and weight loss Trouble sleeping or sleeping too Overreacting and weight gain much Fatigue or lack of energy Pulling away from friends Feeling worthless, hopeless, guilty
+ Symptoms of Bipolar Disorder Review Questions How long do manic phases last? Are the symptoms for people with Type II more severe than mania? What are 3 symptoms experienced during the depressed phase of both types? What are 3 examples of reckless behavior seen in mania behavior? Do the symptoms of mania also occur in those with Type I?
+ Treatments for Bipolar Disorder Main goals in treatment are to: Avoid moving from one phase to the other Avoid need for hospital stay Help patient function as well as possible between episodes Prevent self-injury and suicide Make the episodes less severe Periods of depression of mania return in most even with treatment.
+ Treatments for Bipolar Disorder The following drugs (mood Electroconvulsive therapy stabilizers) are usually used (ECT) is used when there’s no response to medication first: Carbamazepine Transcranial magnetic Lamotrigine stimulation (TMS) Lithium High-frequency magnetic pulses to target affected areas of brain. Valproate Most often used after ECT Carbamazepine Others Include: Lamotrigine Antipsychotic drugs and anti- Lithium anxiety drugs Valproate Antidepressants
+ Treatments of Bipolar Disorder Review Questions What drugs are generally used first in treating bipolar disorder? What are two main goals of treatment? What does ECT stand for? What is it used for? What does TMS stand for? What is TMS? When is it usually used?
+ Resources “An Integrated Approach to the Management of Bipolar Disorder: An Alliance of Science and Medicine.” Medscape. 28 July 2003. 7 July 2011 < www.medscape.org/viewarticle/459327_1 > United States. National Center for Biotechnology, U.S. National Library of Medicine. PubMed Health. Bipolar Disorder. 29 March 2011. 7 July 2011 < www.ncbi.nlm.nih.gove/pubmedhealth/PMH00019247 >