Bipolar disorder

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