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CREST.BDBipolar Wellness Center Webinars
Connect. Learn. Engage.
2
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Physical
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BDCREST.BD
Physical
Featuring: Dr. Colin Depp
CREST.BD Mem...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Webinar focus
Physical health
•	 Exercise
•	 Diet and n...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Why physical health is important to your QoL
Your mind ...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
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Sylvia, L.G., Friedman, E.S., Kocsis, J. et al. (2013...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Regular physical exercise improves:
•	 weight and cardi...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Some nutrients may work with
regular medication treatme...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Substance use and BD
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Heffner, J.L., Strawn, J.R., Del...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Substance use and BD
Little research on optimal way to...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
“High risk” substance use:
•	 Use of alcohol or other ...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Sexual health and BD
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Dell’Osso, L., Carmassi, C., Ca...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Limited research about optimal ways to increase sexual...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
How you can take action: Exercise
Find activities you ...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
How you can take action: Diet/nutrition
Learn about th...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
How you can take action: Substance use
Many communitie...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
How you can take action: Smoking
To help quit smoking,...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
How you can take action: Sexual health
Protect your se...
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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
Resources
Food and Mood
This website, developed by the...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Mayo Clinic: Do all bipolar medications cause weight g...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Resources
Positive Coping with Health Conditions
This ...
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Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Resources
Canadian Physical Activity
Guidelines - Cana...
24
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Resources
Self-help strategies for cutting
down or sto...
25
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Resources
Healthy Place: Sexual Health and Bipolar Dis...
26
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Resources
Everyday Health Food and Fitness Journal
Fre...
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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 Physical Health & 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 physical health, bipolar disorder (BD) and quality of life (QoL), as well as pointing you to some tools and resources to help you flourish in your physical life.

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CREST.BD Physical Health & Bipolar Disorder Slides

  1. 1. 1 CREST.BDBipolar Wellness Center Webinars Connect. Learn. Engage.
  2. 2. 2 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Physical
  3. 3. 3 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BDCREST.BD Physical Featuring: Dr. Colin Depp CREST.BD Member, Associate Professor of Psychiatry University of California, San Diego and Associate Director, Research Education and Training Division, San Diego Clinical Translational Science Institute
  4. 4. 4 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Webinar focus Physical health • Exercise • Diet and nutrition • Substance misuse • Sexual health Why physical health is important to your QoL Physical health and BD How you can take action
  5. 5. 5 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Why physical health is important to your QoL Your mind and body are connected Taking good care of physical health is a gateway to protecting mental health
  6. 6. 6 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD 1 Sylvia, L.G., Friedman, E.S., Kocsis, J. et al. (2013). Association of exercise with QoL and mood symptoms in a comparative effectiveness study of BD. Journal of Affective Disorders, 151: 722-727. 2 De Almeida, K.M., Moreira, C.L., Lafer, B. (2012). Metabolic syndrome and BD: what should psychiatrists know? CNS Neuroscience and Therapeutics, 18: 160–166. Regular physical activity is particularly important for people with BD, as it can be associated with additional physical health challenges • e.g., people with BD have a higher risk of cardiovascular disease1 • BD medications can have side-effects that contribute to ‘metabolic syndrome’2 Exercise and BD
  7. 7. 7 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Regular physical exercise improves: • weight and cardiovascular health • mental health, especially depressed mood3 Exercise and BD 3 Harris, A.H.,Cronkite,R.,Moos,R. (2006). Physical activity, exercise coping, and depression in a 10 year cohort study of depressed patients. Journal of Affective Disorders, 93: 79–85.
  8. 8. 8 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Some nutrients may work with regular medication treatment to produce better health in people with BD • e.g., omega-3 fatty acids may help symptoms of BD • Omega-3 fatty acids may boost how your brain develops and works4 Diet/nutrition and BD 4 Sylvia, L.G., Peters, A.T., Deckersbach, T. et al. (2013). Nutrient-based therapies for BD: a systematic review. Psychotherapy and Psychosomatics, 82: 10-19.
  9. 9. 9 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Substance use and BD 5 Heffner, J.L., Strawn, J.R., DelBello, M.P., Strakowski, S.M., Anthenelli, R.M. (2011). The Co-occurrence of Cigarette Smoking and BD: Phenomenology and Treatment Considerations. Bipolar Disorders, 13(0): 439–453. 6 Salloum, I.M., Thase, M.E. (2000). Impact of substance abuse on the course and treatment of BD. Bipolar Disorders, 2: 269–280. People with BD are: • 3x more likely to drink too much alcohol • 7x more likely to struggle with substance misuse • 2-3x more likely to smoke cigarettes5 Combination of BD and substance misuse can lead to greatly reduced QoL and health6 Substance use and mood symptoms closely connected5
  10. 10. 10 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Substance use and BD Little research on optimal way to treat someone dealing with BD and substance misuse (‘dual diagnosis’) Mood stabilizing medications appear to work well even when substance misuse is occurring Psychological treatments (for example, CBT) for dual diagnosis may improve depressed mood and possibly substance misuse7,8 7 Weiss, R.D. (2004). Treating patients with BD and substance dependence: lessons learned. Journal of Substance Abuse Treatment, 27: 307-312. 8 Schmitz, J.M., Averill, P.M., Sayre, S.L. et al. (2002). Cognitive-behavioral treatment of BD and substance abuse: a preliminary randomized study. Addiction Disorders Treatment, 1: 17-24.
  11. 11. 11 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD “High risk” substance use: • Use of alcohol or other substances in a way that will have negative effects over the long-term and increase severity of symptoms Substance use and BD
  12. 12. 12 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Sexual health and BD 9 Dell’Osso, L., Carmassi, C., Carlini, M., et al. (2009). Sexual dysfunctions and suicidality in patients with BD and unipolar depression. Journal of Sexual Medicine, 6: 3063–3070. 10 Mazza, M., Harnic, D., Catalano, V., et al. (2010). Sexual behavior in women with BD. Journal of Affective Disorders, 131: 364-367. 11 McCandless, F., Sladen, C. (2003). Sexual health and women with BD. Journal of Advanced Nursing, 44: 42-48. 12 Bossini, L., Fagiolini, A., Valdagno, M. et al. (2007). Sexual disorders in subjects treated for mood and anxiety diseases. Journal of Clinical Psychopharmacology, 27: 310-312. People with conditions like BD can experience specific issues around sexuality9 : • sexual interest may be increased during mania10 • increased tendency to high risk sexual behavior11 • sexual desire often reduced during depression • antidepressant medications can have reduced libido as a side-effect12
  13. 13. 13 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Limited research about optimal ways to increase sexual safety during mania Educational and psychological treatments may be of benefit13 : • increased knowledge of sexual risks • greater use of condoms • increase ability to stand firm when refusing risky sexual contact • increased planning to protect safety in risky situations 13 Kaltenhaler, E., Pandor, A., Wong, R. (2014). The effectiveness of sexual health interventions for people with severe mental illness: a systematic review. Health Technology Assessment, 18 (1): 5. Sexual health and BD
  14. 14. 14 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD How you can take action: Exercise Find activities you enjoy Make exercise rewarding Set realistic goals • During a manic or hypomanic phase, people with BD are likely to set exercise goals that are too high and hard to keep (e.g., “work out for two hours every day”) • During depressive phases, set lower goals (e.g., “walk to refrigerator for snack”) Establish exercise routines Address negative thinking patterns around exercise
  15. 15. 15 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD How you can take action: Diet/nutrition Learn about the food guide Track daily food intake with a diet diary Set goals that are specific and achievable Explain your goals to a trusted support person Problem-solve around obstacles to maintaining a healthy diet Discuss possible side-effects with your healthcare provider See your doctor regularly for routine screening or monitoring of metabolic risk factors
  16. 16. 16 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD How you can take action: Substance use Many communities have programs for people dealing with substance use problems, including: • drug and alcohol counselors • detoxification facilities • residential treatment centers • support groups like Alcoholics Anonymous
  17. 17. 17 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD How you can take action: Smoking To help quit smoking, there are a range of potential medications and behavioural treatments (e.g., CBT)5 • Little research looking at the effectiveness of smoking cessation interventions in BD specifically 5 Heffner, J.L., Strawn, J.R., DelBello, M.P., Strakowski, S.M., Anthenelli, R.M. (2011). The Co-occurrence of Cigarette Smoking and BD: Phenomenology and Treatment Considerations. Bipolar Disorders, 13(0): 439–453.
  18. 18. 18 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD How you can take action: Sexual health Protect your sexual safety • Look at the risks of disinhibited sexual behaviour • Speak openly with a therapist or trusted friend about a history of risky sexuality during hypomania or mania • Make a plan for risky situations (e.g., bring a friend to look out for you, always carry condoms) • Discuss any medication side-effects with your healthcare provider • Talk with your intimate partner(s) about sexual problems/ concerns
  19. 19. 19 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Tools and Resources
  20. 20. 20 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Resources Food and Mood This website, developed by the Depression and Bipolar Support Alliance, gives sound advice regarding a balanced diet. It stresses the importance of tracking the effect of diet changes on your mood and getting medical advice before trying nutritional supplements or dramatic changes in diet. http://www.dbsalliance.org/pdfs/ foodmoode2.pdfmentalhealth2015. pdf
  21. 21. 21 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Mayo Clinic: Do all bipolar medications cause weight gain? This website provides a summary of current knowledge about the relationship between BD medications and weight gain. It’s produced by the Mayo Clinic, a highly trusted source of health knowledge. http://www.mayoclinic.com/health/bipolar-medications-and-weight-gain/ AN02062 Resources
  22. 22. 22 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Resources Positive Coping with Health Conditions This step-by-step self-care guide explains a series of “positive coping” skills, based on research, that will help you to make positive changes in exercise and diet. One section: ‘Applying the Positive Coping Skills’ (page 96), focuses on improving physical QoL. www.carmha.ca/pchc/
  23. 23. 23 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Resources Canadian Physical Activity Guidelines - Canadian Sedentary Behaviour Guidelines This booklet offers the dos and don’ts for physical activities across all age ranges. It includes real life examples of physical activity schedules and blank logs you can use to record daily activities throughout the week. http://www.csep.ca/CMFiles/ Guidelines/CSEP_Guidelines_ Handbook.pdf
  24. 24. 24 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Resources Self-help strategies for cutting down or stopping substance abuse: a guide This is a free downloadable guide for managing risky substance use, produced by the World Health Organization. http://whqlibdoc.who.int/ publications/2010/9789241599405_ eng.pdf?ua=1
  25. 25. 25 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Resources Healthy Place: Sexual Health and Bipolar Disorder Natasha Tracy discusses hypersexuality and the effects of depression and medication on sexual drive and activity for individuals with BD. http://www.healthyplace.com/blogs/breakingbipolar/2011/11/sexual-health- and-bipolar-disorder/
  26. 26. 26 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Resources Everyday Health Food and Fitness Journal Free online tracker for meals, calorie counter and fitness journal. http://www.everydayhealth.com/calorie-counter/
  27. 27. 27 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/
  28. 28. 28 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Acknowledgments

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