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CREST.BDBipolar Wellness Center Webinars
Connect. Learn. Engage.
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Mood
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BDCREST.BD
Featuring: Dr. Steven Barnes
CREST.BD Network D...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Webinar focus
Why mood is important to your QoL
Definin...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
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Zhang, H., Wisniewski, S.R., Bauer, M.S., et al. (200...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Defining mood
Mood - a diffuse feeling state that lasts...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Depression:
•	 low mood and/or feeling flat
•	 changes ...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Mania
Hypomania
Normal
Depression
Severe Depression
Def...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Mania:
•	 elevated or irritable mood and hyperactivity
...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Mania
Hypomania
Normal
Depression
Severe Depression
De...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Hypomania:
•	 imagine this as “mania-lite”
•	 includes...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Mania
Hypomania
Normal
Depression
Severe Depression
De...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
1. monitor your mood and well-being daily for changes
...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
paper-and-pencil
pc-based
mobile app
Mood Monitoring
T...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Changes of season 			 Changes in sleep
Triggers
There ...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Changes at work 				 Relationship stress
Triggers
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Pregnancy/childbirth 		 Grief and loss
Triggers
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Drugs and alcohol		 		 Holidays
Triggers
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Life Charting
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Zeschel, E., Correll, C.U., Haussleiter, I.S., Kruger-...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Zeschel, E., Correll, C.U., Haussleiter, I.S., Kruger-...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Zeschel, E., Correll, C.U., Haussleiter, I.S., Kruger-...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Card Sorting Exercise
Early
Middle Late
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Lam, D.H., Jones, S.H., Hayward, P. (2010). Cognitive ...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
from http://www.cci.health.wa.gov.au/docs/KYB-4%20Beha...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Dealing with depression
Watch out for depressive think...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Managing mood in BD
Questioning your thinking before y...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Cook, J.A., Copeland, M.E., Hamilton, M.M., Jonikas, J...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Tools and Resources
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
paper-and-pencil
Mood Monitoring
from http://www.cci.h...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
pc-based											
Mood Monitoring
from https://www.f...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
mobile apps
imoodjournal emoods T2Tracker
Mood Monitor...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
from http://www.cci.health.wa.gov.au/docs/KYB-3-Self%2...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
For more information and resources,
visit our Bipolar ...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Acknowledgments
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CREST.BD Mood & Bipolar Disorder Slides

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A warm welcome to CREST.BD’s Bipolar Wellness Centre webinar series! These webinar slides provide a summary of current research evidence on the relationship between mood, bipolar disorder (BD) and quality of life (QoL), as well as pointing you to some tools and resources to help you optimally manage your mood.

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CREST.BD Mood & Bipolar Disorder Slides

  1. 1. CREST.BDBipolar Wellness Center Webinars Connect. Learn. Engage. 1
  2. 2. 2 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Mood
  3. 3. 3 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BDCREST.BD Featuring: Dr. Steven Barnes CREST.BD Network Deputy and Instructor, Department of Psychology, University of British Columbia Mood
  4. 4. 4 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Webinar focus Why mood is important to your QoL Defining mood How you can take action Mood and BD Tools and resources
  5. 5. 5 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD 1 Zhang, H., Wisniewski, S.R., Bauer, M.S., et al. (2006). Comparisons of perceived QoL across clinical states in BD: data from the first 2000 STEP-BD participants. Compr Psychiatry, 47:161-8. 2 Michalak, E.E., Torres, I., Bond, D., et al. (2013). The relationship between clinical outcomes and QoL in first-episode mania: a longitudinal analysis. Bipolar Disorders, 15: 188-98. Mood is fundamental to QoL (for people with or without BD) Mood symptoms – particularly symptoms of depression – are a strong determinant of QoL in people with BD1, 2 Learning to manage mood states is one of the most powerful things you can do to optimise your health and QoL Why is mood important to QoL?
  6. 6. 6 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Defining mood Mood - a diffuse feeling state that lasts for a few hours or days Emotions - more immediate experiences, they normally have a particular target (“I feel excited about…”) and are typically brief (seconds or minutes) and more intense than moods3 3 Ekman, P., Davidson, R.J. (1994). The nature of emotion: Fundamental questions. Series in affective science. Oxford University Press.
  7. 7. 7 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Depression: • low mood and/or feeling flat • changes in sleep, energy, concentration and/or body weight • feelings of worthlessness or guilt • suicidal ideation • sometimes accompanied by unrealistic beliefs and perceptions in severe cases • symptoms last at least 2 weeks American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing. Defining mood: mood states in BD
  8. 8. 8 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Mania Hypomania Normal Depression Severe Depression Defining mood: mood states in BD
  9. 9. 9 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Mania: • elevated or irritable mood and hyperactivity • increased self-esteem, racing thoughts, distractibility, decreased need for sleep and engaging in risky activities (such as those involving money or sex) • unrealistic beliefs and perceptions can arise in extreme cases • lasts at least one week and is so severe that it affects normal functioning American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing. Defining mood: mood states in BD
  10. 10. 10 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Mania Hypomania Normal Depression Severe Depression Defining mood: mood states in BD
  11. 11. 11 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Hypomania: • imagine this as “mania-lite” • includes all of the symptoms of mania, but doesn’t cause significant lifestyle problems • lasts at least 4 days American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing. Defining mood: mood states in BD
  12. 12. 12 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Mania Hypomania Normal Depression Severe Depression Defining mood: mood states in BD
  13. 13. 13 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD 1. monitor your mood and well-being daily for changes 2. watch for triggers 3. watch for early warning signs (and respond if you are sliding into an episode) How you can take action Three steps to minimising downwards and upwards mood swings:
  14. 14. 14 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD paper-and-pencil pc-based mobile app Mood Monitoring There are many ways to do this, including:
  15. 15. 15 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Changes of season Changes in sleep Triggers There are also certain triggers that seem to be important for many people with BD, including:
  16. 16. 16 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Changes at work Relationship stress Triggers
  17. 17. 17 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Pregnancy/childbirth Grief and loss Triggers
  18. 18. 18 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Drugs and alcohol Holidays Triggers
  19. 19. 19 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Life Charting
  20. 20. 20 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Zeschel, E., Correll, C.U., Haussleiter, I.S., Kruger-Ozgurdal, S., Leopold, K., Pfennig, A., Bechdolf, A., Bauer, M., Juckel, G. (2013). The BD prodrome revisited: Is there a symptomatic pattern? Journal of Affective Disorders, 151: 551-60. Lam, D.H., Jones, S.H., Hayward, P. (2010). Cognitive therapy for BD: A therapist’s guide to concepts, methods and practice (2nd ed.). Wiley-Blackwell, West Sussex, UK. Early warning signs Growing evidence that early warning signs (‘prodromes’) often occur in the early stages of extreme mood shifts. Watch for early warning signs
  21. 21. 21 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Zeschel, E., Correll, C.U., Haussleiter, I.S., Kruger-Ozgurdal, S., Leopold, K., Pfennig, A., Bechdolf, A., Bauer, M., Juckel, G. (2013). The BD prodrome revisited: Is there a symptomatic pattern? Journal of Affective Disorders, 151: 551-60. Lam, D.H., Jones, S.H., Hayward, P. (2010). Cognitive therapy for BD: A therapist’s guide to concepts, methods and practice (2nd ed.). Wiley-Blackwell, West Sussex, UK. Watch for early warning signs Common early warning signs for depression: • low energy, feeling tired, difficulty concentrating • intrusive negative thoughts (unwanted thoughts that keep coming back) • wanting to be alone • feeling irritable • sleeping too much or too little • feeling sad or wanting to cry • feeling flat • feeling anxious • feeling guilty
  22. 22. 22 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Zeschel, E., Correll, C.U., Haussleiter, I.S., Kruger-Ozgurdal, S., Leopold, K., Pfennig, A., Bechdolf, A., Bauer, M., Juckel, G. (2013). The BD prodrome revisited: Is there a symptomatic pattern? Journal of Affective Disorders, 151: 551-60. Lam, D.H., Jones, S.H., Hayward, P. (2010). Cognitive therapy for BD: A therapist’s guide to concepts, methods and practice (2nd ed.). Wiley-Blackwell, West Sussex, UK. Common early warning signs for hypomania or mania: • feeling emotionally high • ideas flowing too fast • senses seeming sharper • colours seeming brighter • feeling especially creative • feeling irritable • increased interest in sex • difficulties falling asleep, feeling self-important and making lots of plans Watch for early warning signs
  23. 23. 23 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Card Sorting Exercise Early Middle Late
  24. 24. 24 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Lam, D.H., Jones, S.H., Hayward, P. (2010). Cognitive therapy for BD: A therapist’s guide to concepts, methods and practice (2nd ed.). Wiley-Blackwell, West Sussex, UK. Recognising how we think and behave can have a big impact on our moods Thinking MoodBehaviours Managing mood in BD
  25. 25. 25 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD from http://www.cci.health.wa.gov.au/docs/KYB-4%20Behavioural%20Strategies%20for%20Depression.pdf Dealing with depression Try activity scheduling - pre-planning your week’s activities: hour-by-hour, for each waking hour of the day
  26. 26. 26 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Dealing with depression Watch out for depressive thinking patterns: • All or nothing thinking • Catastrophizing or fortune-telling • Mind reading • Overgeneralising
  27. 27. 27 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Managing mood in BD Questioning your thinking before you act can help with manic moods Give yourself some time before making a decision
  28. 28. 28 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Cook, J.A., Copeland, M.E., Hamilton, M.M., Jonikas, J.A., Razzano, L.A., Floyd, C.B., Hudson, W.B., Macfarlane, R.T., Grey, D.D. (2009). Initial outcomes of a mental illness self-management program based on wellness recovery action planning. Psychiatric services, 60: 246-249. Fukui, S., Starnino, V.R., Susana, M., Davidson, L.J., Cook, K., Rapp, C.A., Gowdy, E.A. (2011). Effect of Wellness Recovery Action Plan (WRAP) participation on psychiatric symptoms, sense of hope, and recovery. Psychiatric Rehabilitation Journal, 34: 214-222. Managing mood in BD Have a plan for if the mood episode gets serious from http://www.cci.health.wa.gov.au/docs/KYB-3-Self%20Monitoring.pdf
  29. 29. 29 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Tools and Resources
  30. 30. 30 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD paper-and-pencil Mood Monitoring from http://www.cci.health.wa.gov.au/docs/KYB-3-Self%20Monitoring.pdf
  31. 31. 31 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD pc-based Mood Monitoring from https://www.facingus.org/tour/tracker
  32. 32. 32 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD mobile apps imoodjournal emoods T2Tracker Mood Monitoring
  33. 33. 33 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD from http://www.cci.health.wa.gov.au/docs/KYB-3-Self%20Monitoring.pdf Resources Identify early warning signs of mania
  34. 34. 34 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD For more information and resources, visit our Bipolar Wellness Center at: http://www.bdwellness.com/ To assess your quality of life, visit our QoL tool at: http://www.bdqol.com/
  35. 35. 35 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Acknowledgments

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