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Similar to Bipolar disorder
Bipolar disorder
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- 2. BIPOLAR DISORDER Bipolar disorder is characterizedby mood swings from profound depression to extreme euphoria(mania) with intervening period of normalcy
- 3. DEFINITION • BPAD ischaracterized by recurrent episodes of mania and depression in the same patient at different times .Typically the patient experiences extreme heights (mania/hypomania) alternating with extreme lows (depression), Interspersed between the heights and lows are the periods of normal mood.
- 4. CLASSIFICATION • F31.0- BPAD,current episode mania • F31.1- BPAD, current episode mania without psychotic symptoms • 31.2- BPAD, current episode mania with psychotic symptoms • F31.3- BPAD, current episode mild or moderate depression • F31.4- BPAD, current episode severe depression without psychotic symptoms • F31.5- BPAD, current episode severe depression with psychotic symptoms • F31.6- BPAD, current episode mixed.
- 5. ETIOLOGY • Etiology ofBipolar depression – Biological theories • Genetics • Biochemical influences • Neuro endocrine disturbances • Physiological influences
- 6. Etiology of Bipolardepression • Psychosocial theories – Psychoanalytic Theory – Behavioral theory – Sociological theory – Cognitive theory
- 7. ETIOLOGY OF BIPOLARMANIA • Biological theories • Psychosocial theories
- 8. BIPOLAR DISORDER MIXED •symptom presentation includes rapidly alternating moods - sadness , irritability , euphoria, accompanied by symptoms associated with depression and mania. • This disturbance is severe enough to cause marked impairment in social and occupational functioning .Require hospitalization • Psychotic features present .
- 9. BIPOLAR 1 DISORDER •Manic and depressive episodes
- 10. BIPOLAR 2 DISORDER •Hypo manic and depressed
- 11. CYCLOTHYMIC DISORDER • Characterizedby short periods of mild depression alternating with short periods of hypomania; between the manic and depressive episode there will be brief periods of normal mood occur. • Manic and depressive episode is short and less severe than those in bipolar 1 and bipolar 2 disorder.
- 12. CLINICAL FEATURES • BIPOLARMANIA Elevated mood : 4 stages Expansive mood: unceasing and unselective Irritable mood Psychomotor activity Speech and thought Attention
- 13. CLINICAL FEATURES • BIPOLARDEPRESSION – DEPRESSED MOOD – DEPRESSIVE COGNITIONS • Hopelessness • Helplessness • Worthlessness • Unreasonable guilty feeling • Self blame
- 14. BIPOLAR DEPRESSION • SUICIDALTHOUGHTS: • PSYCHOMOTOR ACTIVITY: – Psychomotor retardation – Thinks, walks and acts slowly – Monotonous – Delay in answering questions
- 15. BIPOLAR DEPRESSION • Somaticsymptoms – Significant decrease in appetite or weight – Early morning awakening – Pervasive lack of interest and lack of reactivity to pleasurable stimuli – Posture is stooped – Reddened eyes from crying – Persons look 10 years older than their chronological age. – Constipation and anorexia – dry mouth, headache, sleep disturbance, fatigue and lowered libido
- 16. DIAGNOSIS • ICD 10diagnostic criteria • Based on signs and symptoms
- 17. COURSE OF ILLNESS •Average manic episode lasts for 3-4 months and a depressive episode lasts for 4-9 months.
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