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    Module2 Module2 Presentation Transcript

    • +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 >