MOOD DISORDER

1. BIOPOLAR MOOD
DISORDER
MR.DISHAL.R.PATEL
M. SC. NURSING
KJIN,VADASMA

2. DEFINITION
“Bipolar disorder it is characterized by
mood swings, from profound depression
to extreme euphoria (mania) with
intervening period of normalcy. “
“It is charactrized by recent episode of
Mania and Depression in same patient at
different time.”

3. CLASSIFICATION OF MOOD
DISORDERS-ICD-10
• F31.0 : Bipolar affective disorder current episode hypomania
• F31.1 : Bipolar affective disorder current episode mania without
symptoms
• F31.2 : Bipolar affective disorder current episode mania with
symptoms
• F31.3: Bipolar affective disorder current episode Mild or
modrate depression
• F31.4 : Bipolar affective disorder current episode severe
depression without psychotic symptoms
• F31.5 : Bipolar affective disorder current episode severe
depression with psychotic symptoms

4. EPIDEMIOLOGY
 Incidence- 1.2/100 men, 1.8/100 women
 Sex- slightly higher in women
 Age- 30 mean age in men and women.
 Families- 20-25% risk for 1st degree
relative. 50% of patient have parents with
bipolar disorder.
 Genetics- child with one bipolar parent-
25% risk.

5. ETIOLOGY
 Cuses -unknown
1.Biological factors-
Biochemical- excess of serotonin, nor
epinephrine, dopamine.
Genetic.
2. psychosocial-
Psychoanalytical
Life events
Family disruption

6. DIAGNOSIS
• Histroy talking
• Mental status examination
• Based on sign and symptoms
• ICD-10 criteria

7. TREATMENT
DRUGS:
 Mood stabilzers
- Lithium
- Sodium valporate
- Carbamazapine
 Anti Depressants drugs
 Anti Psychotic drugs

8. Nursing management
• Nursing diagnosis-
• Risk for violence self directed or directed at
others related to aggressiveness, abusiveness.
• Risk for injury related excited stage.
• Altered thought processes related to disease
condition.
• Impaired social interaction related to expensive,
irritable mood impaired judgment.