Bipolar Disorder Joel Currie
What is PBD? <ul><li>Pediatric Bipolar Disorder </li></ul><ul><li>Previously known as “Manic Depression” </li></ul><ul><li...
History of PBD <ul><li>Recorded as early as 2 A.D. </li></ul><ul><ul><li>Aretaeus of Cappadocia </li></ul></ul><ul><ul><li...
History of PBD <ul><li>1902 </li></ul><ul><ul><li>Emil Kraepelin notes symptom-free periods in between manic episodes </li...
How it Works <ul><li>Found in all age groups </li></ul><ul><li>Children and Adolescents – school age </li></ul><ul><ul><li...
Diagnosis <ul><li>Extremely difficult </li></ul><ul><ul><li>Symptoms shared with other disorders </li></ul></ul><ul><li>Di...
Common Symptoms <ul><li>Manic </li></ul><ul><li>Mood changes </li></ul><ul><li>Inflated self-esteem </li></ul><ul><li>Incr...
Cure <ul><li>Bipolar disorder “has no cure; rather, it is a recurring illness requiring long-term treatment.” </li></ul><u...
Dealing With PBD - Teachers <ul><li>Dealing with medication </li></ul><ul><ul><li>Preparation for side-effects </li></ul><...
Dealing With PBD - Teachers <ul><li>Reduce amount of reading to minimize effect of vision blurring </li></ul><ul><li>Becom...
Sources <ul><li>Nielsen, Brattland.  Brief Reference of Student Disabilities . Corwin Press, 2009. </li></ul>
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Bipolar disorder

  1. 1. Bipolar Disorder Joel Currie
  2. 2. What is PBD? <ul><li>Pediatric Bipolar Disorder </li></ul><ul><li>Previously known as “Manic Depression” </li></ul><ul><li>Mood disorder associated with “recurrent episodes of mania and depression marked by…changes in mood, energy and behavior in children” </li></ul>
  3. 3. History of PBD <ul><li>Recorded as early as 2 A.D. </li></ul><ul><ul><li>Aretaeus of Cappadocia </li></ul></ul><ul><ul><li>Believed cause was a mix of black and yellow bile </li></ul></ul><ul><li>1650 </li></ul><ul><ul><li>Richard Burton writes Anatomy of Melancholia </li></ul></ul><ul><li>1850s </li></ul><ul><ul><li>Jules Falret coins term bipolar disorder </li></ul></ul>
  4. 4. History of PBD <ul><li>1902 </li></ul><ul><ul><li>Emil Kraepelin notes symptom-free periods in between manic episodes </li></ul></ul><ul><ul><li>Coins term manic-depressive psychosis </li></ul></ul><ul><ul><li>Father of modern psychiatry </li></ul></ul><ul><li>1958 </li></ul><ul><ul><li>Term bipolar disorder coined </li></ul></ul>
  5. 5. How it Works <ul><li>Found in all age groups </li></ul><ul><li>Children and Adolescents – school age </li></ul><ul><ul><li>Manic stage: </li></ul></ul><ul><ul><ul><li>Paranoia and delusions of grandeur </li></ul></ul></ul><ul><ul><ul><li>Irritable and destructive </li></ul></ul></ul><ul><ul><ul><li>Complain of physical discomfort </li></ul></ul></ul><ul><ul><li>Depressed stage </li></ul></ul><ul><ul><ul><li>Sadness and hopelessness, sensation of being a burden </li></ul></ul></ul><ul><ul><ul><li>Tiredness and appetite fluctuate greatly </li></ul></ul></ul>
  6. 6. Diagnosis <ul><li>Extremely difficult </li></ul><ul><ul><li>Symptoms shared with other disorders </li></ul></ul><ul><li>Different types of bipolar disorder </li></ul><ul><ul><li>BP-I </li></ul></ul><ul><ul><li>BP-II </li></ul></ul><ul><ul><li>BP-NOS </li></ul></ul><ul><li>Currently no standard criteria to diagnose children with bipolar disorder </li></ul>
  7. 7. Common Symptoms <ul><li>Manic </li></ul><ul><li>Mood changes </li></ul><ul><li>Inflated self-esteem </li></ul><ul><li>Increased energy </li></ul><ul><li>Less need for sleep </li></ul><ul><li>Talkativeness </li></ul><ul><li>Easily distracted </li></ul><ul><li>Hypersexuality </li></ul><ul><li>Physical agitation </li></ul><ul><li>Disregard of risk </li></ul><ul><li>Depressive </li></ul><ul><li>Sad </li></ul><ul><li>Irritable </li></ul><ul><li>Loss of interest in activity </li></ul><ul><li>Change in appetite </li></ul><ul><li>Oversleeping </li></ul><ul><li>Slowing </li></ul><ul><li>Feeling of worthlessness </li></ul><ul><li>Difficulty concentrating </li></ul><ul><li>Suicidal/morbid </li></ul>
  8. 8. Cure <ul><li>Bipolar disorder “has no cure; rather, it is a recurring illness requiring long-term treatment.” </li></ul><ul><ul><li>Better managed with continuous treatment </li></ul></ul><ul><ul><li>Medications from other disorders often prescribed to manage PBD </li></ul></ul><ul><ul><li>PBD medications currently in development stage </li></ul></ul>
  9. 9. Dealing With PBD - Teachers <ul><li>Dealing with medication </li></ul><ul><ul><li>Preparation for side-effects </li></ul></ul><ul><li>Develop pre-arranged signal with affected student in order to manage gastrointestinal and urological side effects of PBD </li></ul>
  10. 10. Dealing With PBD - Teachers <ul><li>Reduce amount of reading to minimize effect of vision blurring </li></ul><ul><li>Become less demanding as medication wears off </li></ul><ul><li>Daily checklists should be maintained with student </li></ul><ul><li>All staff should be alerted to presence of PBD in order to manage the case efficiently </li></ul>
  11. 11. Sources <ul><li>Nielsen, Brattland. Brief Reference of Student Disabilities . Corwin Press, 2009. </li></ul>
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