Bipolar disorder
•Download as PPT, PDF•
1 like•415 views
Bipolar disorder is a chronic, recurrent biological condition characterized by alternating periods of mania, hypomania, depression, or a mix of symptoms. It has a lifetime prevalence of 5.1% in the United States and typically emerges between ages 18-30. Bipolar disorder is associated with substance abuse, anxiety disorders, and personality disorders. While its causes are biological in nature, psychological and environmental factors can trigger mood episodes. Treatment involves medication management, psychotherapy, and lifestyle changes to prevent relapse and limit the severity of future mood episodes.
Report
Share
Report
Share
Recommended
Diagnosis and Treatment of Psychosomatic Disorder (Educational Slides)
This is a standard presentation for teaching medical students and colleagues about psychosomatic disorder, its diagnosis and therapy. We hope by reading this slides, you will understand the nature of psychosomatic disorder and its current approach in therapy
Medically unexpalined symptoms
This document discusses psychosomatic medicine, which explores the relationships between social, psychological, and behavioral factors on physical health and quality of life. It addresses how patients often present somatic symptoms to doctors without an identifiable organic cause, which can be due to conditions like depression, anxiety, or functional somatic illnesses. The "problem" arises because patients experience symptoms differently than doctors expect to find a diagnosis. While doctors may dismiss symptoms as having nothing wrong, patients still experience distress. Assessing and treating any underlying mental health issues, having tolerance for diagnostic uncertainty, and taking a long-term view of improvements can help doctors in these situations.
Types of Psychosomatic Illness
Psychosomatic illnesses involve both mental and physical components. There are several types of psychosomatic conditions, including illnesses where a person has both a mental and medical condition, illnesses caused by medical interventions, and somatoform disorders where physical symptoms stem from psychiatric issues. Somatoform disorders include body dysmorphic disorder, conversion disorder, hypochondriasis, and somatization disorder.
CARING THE TERMINAL ILL
This document discusses counselling for those with terminal illnesses. It describes terminal illnesses as diseases that cannot be cured and will likely cause death within a few years. Common terminal illnesses include various cancers, heart disease, Alzheimer's, and ALS. The document outlines challenges of end-of-life care in hospitals, where death can be lonely and painful, and staff may experience burnout. It emphasizes the importance of counselling and support groups for terminally ill patients to help them process complex emotions surrounding their diagnosis and death. Counselling goals include informed consent, comfort, meaningful use of remaining time, and a timely, dignified death.
Emergency Psychiatry
The document discusses the assessment of a patient named Daniel who presented to the emergency department exhibiting signs of agitation and psychosis. Some key points:
- Daniel is highly agitated, kicking out at staff and saying he wants to die. His BAL is 0.12 and he has dilated pupils and tachycardia.
- The psychiatrist must consider Daniel's decision making capacity, duty of care, potential for harm, and criteria for involuntary treatment under the MHA 2014.
- Assessing capacity involves evaluating for psychiatric illness, its influence on judgment, and determining if treatment is refused. Capacity can be affected by factors like intoxication, mental illness, or stress.
- If capacity is
Somatoform disorder
This document defines and describes several somatoform disorders and related conditions, including: somatization disorder, pain disorder, conversion disorder, hypochondriasis, body dysmorphic disorder, factitious disorder, and malingering. These conditions are characterized by physical symptoms that cannot be fully explained by medical factors, and appear to be influenced by psychological issues. They involve preoccupations with health, pain experiences, or imagined physical defects that are distressing and disruptive to the individual.
Psychosomatic Illnesses
Dr. Maurice Prout is a psychologist and director of a respecialization program who has clinical interests including psychosomatics. Psychosomatic illnesses refer to physical symptoms or diseases caused by mental or emotional stress, which can result from serious mental issues or everyday stress. While psychosomatic disorders can impact any part of the body, they most commonly affect systems not controlled by the voluntary nervous system, with examples being chronic fatigue syndrome, panic attacks, and ulcers. Treatments include psychoanalysis, behavior therapy, medication, and for mild cases, stress management, but failing to address the underlying psychological causes often leads to recurring symptoms.
Psychosomatic for CME
This document is a collection of letters and notes written by Dr. Ashok Sharma, who works as the Chief Medical Officer of Vivek Vihar Dispensary in Delhi, India. The letters discuss various topics related to psychosomatic disorders and their treatment from a homeopathic perspective. They explore the relationship between the body and mind, different classifications of psychosomatic illnesses, and case studies. The document also examines concepts like stress, personality types, coping strategies, and defense mechanisms in understanding psychosomatic conditions.
Recommended
Diagnosis and Treatment of Psychosomatic Disorder (Educational Slides)
This is a standard presentation for teaching medical students and colleagues about psychosomatic disorder, its diagnosis and therapy. We hope by reading this slides, you will understand the nature of psychosomatic disorder and its current approach in therapy
Medically unexpalined symptoms
This document discusses psychosomatic medicine, which explores the relationships between social, psychological, and behavioral factors on physical health and quality of life. It addresses how patients often present somatic symptoms to doctors without an identifiable organic cause, which can be due to conditions like depression, anxiety, or functional somatic illnesses. The "problem" arises because patients experience symptoms differently than doctors expect to find a diagnosis. While doctors may dismiss symptoms as having nothing wrong, patients still experience distress. Assessing and treating any underlying mental health issues, having tolerance for diagnostic uncertainty, and taking a long-term view of improvements can help doctors in these situations.
Types of Psychosomatic Illness
Psychosomatic illnesses involve both mental and physical components. There are several types of psychosomatic conditions, including illnesses where a person has both a mental and medical condition, illnesses caused by medical interventions, and somatoform disorders where physical symptoms stem from psychiatric issues. Somatoform disorders include body dysmorphic disorder, conversion disorder, hypochondriasis, and somatization disorder.
CARING THE TERMINAL ILL
This document discusses counselling for those with terminal illnesses. It describes terminal illnesses as diseases that cannot be cured and will likely cause death within a few years. Common terminal illnesses include various cancers, heart disease, Alzheimer's, and ALS. The document outlines challenges of end-of-life care in hospitals, where death can be lonely and painful, and staff may experience burnout. It emphasizes the importance of counselling and support groups for terminally ill patients to help them process complex emotions surrounding their diagnosis and death. Counselling goals include informed consent, comfort, meaningful use of remaining time, and a timely, dignified death.
Emergency Psychiatry
The document discusses the assessment of a patient named Daniel who presented to the emergency department exhibiting signs of agitation and psychosis. Some key points:
- Daniel is highly agitated, kicking out at staff and saying he wants to die. His BAL is 0.12 and he has dilated pupils and tachycardia.
- The psychiatrist must consider Daniel's decision making capacity, duty of care, potential for harm, and criteria for involuntary treatment under the MHA 2014.
- Assessing capacity involves evaluating for psychiatric illness, its influence on judgment, and determining if treatment is refused. Capacity can be affected by factors like intoxication, mental illness, or stress.
- If capacity is
Somatoform disorder
This document defines and describes several somatoform disorders and related conditions, including: somatization disorder, pain disorder, conversion disorder, hypochondriasis, body dysmorphic disorder, factitious disorder, and malingering. These conditions are characterized by physical symptoms that cannot be fully explained by medical factors, and appear to be influenced by psychological issues. They involve preoccupations with health, pain experiences, or imagined physical defects that are distressing and disruptive to the individual.
Psychosomatic Illnesses
Dr. Maurice Prout is a psychologist and director of a respecialization program who has clinical interests including psychosomatics. Psychosomatic illnesses refer to physical symptoms or diseases caused by mental or emotional stress, which can result from serious mental issues or everyday stress. While psychosomatic disorders can impact any part of the body, they most commonly affect systems not controlled by the voluntary nervous system, with examples being chronic fatigue syndrome, panic attacks, and ulcers. Treatments include psychoanalysis, behavior therapy, medication, and for mild cases, stress management, but failing to address the underlying psychological causes often leads to recurring symptoms.
Psychosomatic for CME
This document is a collection of letters and notes written by Dr. Ashok Sharma, who works as the Chief Medical Officer of Vivek Vihar Dispensary in Delhi, India. The letters discuss various topics related to psychosomatic disorders and their treatment from a homeopathic perspective. They explore the relationship between the body and mind, different classifications of psychosomatic illnesses, and case studies. The document also examines concepts like stress, personality types, coping strategies, and defense mechanisms in understanding psychosomatic conditions.
Psychiatric emergencies in adults
A psychiatric emergency requires immediate intervention and evaluating if the cause is medical or psychiatric. Patient safety is the top priority. Features that indicate a medical cause include acute onset, age, medical issues, or substance abuse. Specific situations like psychosis, depression, violence, and sexual abuse require modified approaches. Psychotherapy and pharmacotherapy like benzodiazepines or antipsychotics may be used. Restraints are only used if less restrictive options cannot control severe threats. Thorough documentation of all assessments, decisions, and interventions is important.
Jonathan pimm 011110
This document discusses medically unexplained symptoms and related psychiatric diagnoses. It summarizes that somatization disorder, hypochondriasis, and somatoform autonomic dysfunction are psychiatric diagnoses related to medically unexplained symptoms. It also discusses that symptoms of generalized anxiety disorder can include both cognitive symptoms like worry and physical symptoms like tremors or difficulty breathing. Differential diagnoses for physical symptoms include endocrine, cardiac, respiratory, and neurological conditions, as well as vitamin deficiencies and substance use. The outcomes of depression, medically unexplained symptoms, and unemployment are shown together over time.
Somatic symptom and dissociative disorders
This document discusses several somatic symptom and dissociative disorders including somatic symptom disorder, illness anxiety disorder, conversion disorder, and their diagnostic criteria and features. Somatic symptom disorder involves physical symptoms that cause significant distress or impairment, along with excessive thoughts about the symptoms. Illness anxiety disorder involves severe health anxiety without corresponding physical symptoms. Conversion disorder was historically called hysteria and involves neurological symptoms like paralysis that cannot be explained physically.
Psychiatric emergencies
This document discusses various psychiatric emergencies and their management. It describes conditions like suicidal threats, violence, panic attacks, catatonia, hysteria, transient situational disturbances, delirium tremens, epileptic furor, acute drug-induced movement disorders, and drug toxicity. For each condition, it outlines signs, potential causes, and recommended emergency treatment approaches such as reassurance, sedation, monitoring safety, fluid replacement, and stopping causative medications. The overall goal of management is to stabilize the patient, prevent harm, and address the underlying psychiatric condition.
Somatoform disorder & psychosomatic disorder
D, a 10-year-old boy, presented with deteriorating vision but no medical cause was found. During the consultation, it was revealed he lived with a stepfather he did not like and had family relationship issues. After discussing his difficult family situation, D reported that his vision had returned to normal. This suggests he may have been experiencing a somatoform disorder where psychological or emotional factors were affecting his physical symptoms.
Somatoform Disorders
The document discusses somatoform disorders, which are characterized by physical symptoms that cannot be fully explained by a medical condition. Patients express psychological conflicts through bodily symptoms unconsciously. Common somatoform disorders include conversion disorder, pain disorder, hypochondriasis, and body dysmorphic disorder. Treatment involves developing coping skills, increasing awareness of emotional factors, relaxation techniques, medication for comorbid conditions, and focusing on functioning rather than physical symptoms.
Somatic symptom and related disorder
This document discusses somatic symptom and related disorders. It defines psychological factors that can affect medical conditions by exacerbating symptoms or interfering with treatment. It provides qualifiers to describe the severity of these psychological influences. The key features and differential diagnosis of various somatic symptom disorders are outlined, including somatic symptom disorder, illness anxiety disorder, and factitious disorders. Screening tools like the PHQ-15 and SSS-8 are presented. Treatment approaches are emphasized, including scheduling regular appointments, educating patients, evaluating somatic symptoms, treating comorbid conditions, and using cognitive behavioral therapy and medication.
Somatoform and dissociatives disorders
This document discusses somatoform and dissociative disorders as defined in the DSM-IV. Somatoform disorders involve physical symptoms that cannot be fully explained by medical factors and are thought to be linked to psychological issues. Dissociative disorders involve disruptions or breakdowns in consciousness, memory, identity or perception. The document provides overviews of specific disorders including their defining features, causes, prevalence and treatment approaches. These include conversion disorder, pain disorder, hypochondriasis and dissociative disorders like dissociative identity disorder.
Anxiety and Psychosomatic
Presentasi ini dipresentasikan di acara Seminar Ansietas di Hotel Papandayan, Bandung tanggal 23 Jan 2016.
Medically unexplained symptoms by dr ajay nihalani
Medically Unexplained Symptoms (MUS) refers to medical symptoms that are not fully explained by physical illness. They can be caused by somatoform disorders like somatization disorder, conversion disorder, and hypochondriasis, which involve the person experiencing physical symptoms that cannot be attributed to medical conditions. MUS can also be linked to mental health issues like depression and anxiety, or be factitious in nature where physical symptoms are intentionally feigned or exaggerated. Somatoform disorders involve the person experiencing real physical symptoms, but their symptoms are considered to be linked to their psychological state rather than a physical disease.
Understanding psychiatric emergencies
This document discusses psychiatric emergencies commonly encountered in prehospital care. It begins by defining psychiatric disorders and outlining the DSM-IV-TR system for categorizing mental disorders. It then provides case studies demonstrating schizophrenia, mood disorders like depression and bipolar disorder, anxiety disorders, and other conditions. It aims to familiarize emergency personnel with identifying and assessing patients experiencing psychiatric crises.
Somatoform disorders
Somatoform disorders are characterized by physical symptoms that cannot be explained medically despite the individual's belief that the symptoms are real. They include somatization disorder, conversion disorder, pain disorder, and hypochondriasis. Diagnosis involves ruling out physical causes through medical evaluation. Treatment focuses on psychotherapy to help express emotions verbally rather than physically, establish adaptive behaviors, and restructure beliefs. Medication may be used for comorbid mood disorders but not the somatoform symptoms themselves.
Somatoform disorders (psychophysical problems)
somatoform disorders are characterized by persistent requests for medical attention because of physical complaints that cannot be sufficiently explained by medical causes.
medically unexplained physical symptoms
This document discusses medically unexplained physical symptoms (MUPS) and somatic symptom disorder. It defines MUPS as physical symptoms that exist without objective medical findings or explanations. Somatic symptom disorder is characterized by physical symptoms caused by psychological or emotional distress. The document reviews the epidemiology, risk factors, clinical features, diagnostic criteria, cultural influences, and approaches for evaluating and treating patients with somatic symptom disorder.
Medically Unexplained Symptoms
Medically unexplained symptoms are ‘persistent bodily complaints for which adequate examination does not reveal sufficient explanatory structural or other specified pathology’.
These patients are challenge to medical professionals
Psychiatric emergencies
Psychiatric emergencies are acute changes in behavior that negatively impact a patient's ability to function in his or her environment. ... The screening assessment also involves a psychiatric safety check to explore for suicidal ideation, homicidal ideation, or patients' inability to care for themselves.
Somatoform Disorders
This document discusses somatoform disorders, which involve physical symptoms that cannot be fully explained by medical issues and interfere with daily life. It defines somatization, somatoform disorders, and specific types like somatization disorder, conversion disorder, hypochondriasis, and pain disorder. The causes are uncertain but may involve factors like female gender, childhood illness, and medical knowledge. Case studies are presented illustrating different somatoform disorders. Key terms like repression and primary and secondary gain are also defined.
Mental health problems effects on nursing work
Mental health problems can negatively affect nursing work in several ways. Nurses may experience depression, sleeplessness, or weakness from caring for patients with various mental illnesses like anxiety, mood disorders, psychotic disorders, and more. To stay safe, nurses should communicate their whereabouts, thoroughly exchange information with others, avoid isolated areas, keep security nearby, use de-escalation techniques, and be prepared to escape if needed. They must also carefully monitor patients in seclusion or restraints due to behavioral issues. Overall, psychiatric nurses must be vigilant since patients' conditions can change rapidly.
Somatic symptom disorder
Somatic Symptom Disorder is a mental disorder characterized by persistent and clinically significant somatic complaints coupled with excessive thoughts, feelings, and behaviors about the symptoms. There are four types of somatic symptom disorders including complex somatic symptom disorder, factitious disorder, conversion disorder, and somatic symptoms not otherwise specified. Diagnosis requires one or more somatic symptoms as well as excessive somatic concerns. Common somatic symptoms include headaches, stomach aches, and in rare cases, blindness or inability to walk. Somatic Symptom Disorder prevalence ranges from 1.5-21% depending on age, with stress and trauma as potential biological and environmental contributors. Treatment involves psychotherapy and cognitive-behavioral therapy, though convincing patients the symptoms are mental not physical can be challenging.
Phsychosomatic disorders
The term “psychosomatic disorder” is mainly used to mean “a physical disease that is thought to be caused, or made worse, by mental factors.” ... For example, chest pain may be caused by stress and no physical disease can be found.
Hypomania and mania_tenille_2011 (3)
Hypomania is a milder form of mania characterized by less severe symptoms that do not significantly impair functioning or require hospitalization. Symptoms include inflated self-esteem, decreased need for sleep, rapid speech, distractibility, increased goal-directed activities and involvement in pleasurable activities with high risk of negative consequences. Mania is characterized by persistent elevated or irritable mood, increased activity, and poor judgment. Pharmacological treatment involves mood stabilizers like lithium to reduce elevated mood along with antipsychotics or benzodiazepines to calm symptoms until the mood stabilizer takes effect. Psychological treatments and monitoring medication adherence are also important to prevent relapse and support functioning.
Mood Disorder and Suicide
This document provides an overview of mood disorders including major depressive disorder and bipolar disorder. It discusses categories of mood disorders, symptoms, treatment, nursing assessments, nursing diagnoses, outcomes, interventions, and evaluations. Special populations such as the elderly are also addressed. Suicide is described in terms of risk factors and the nurse's role in prevention and response.
More Related Content
What's hot
Psychiatric emergencies in adults
A psychiatric emergency requires immediate intervention and evaluating if the cause is medical or psychiatric. Patient safety is the top priority. Features that indicate a medical cause include acute onset, age, medical issues, or substance abuse. Specific situations like psychosis, depression, violence, and sexual abuse require modified approaches. Psychotherapy and pharmacotherapy like benzodiazepines or antipsychotics may be used. Restraints are only used if less restrictive options cannot control severe threats. Thorough documentation of all assessments, decisions, and interventions is important.
Jonathan pimm 011110
This document discusses medically unexplained symptoms and related psychiatric diagnoses. It summarizes that somatization disorder, hypochondriasis, and somatoform autonomic dysfunction are psychiatric diagnoses related to medically unexplained symptoms. It also discusses that symptoms of generalized anxiety disorder can include both cognitive symptoms like worry and physical symptoms like tremors or difficulty breathing. Differential diagnoses for physical symptoms include endocrine, cardiac, respiratory, and neurological conditions, as well as vitamin deficiencies and substance use. The outcomes of depression, medically unexplained symptoms, and unemployment are shown together over time.
Somatic symptom and dissociative disorders
This document discusses several somatic symptom and dissociative disorders including somatic symptom disorder, illness anxiety disorder, conversion disorder, and their diagnostic criteria and features. Somatic symptom disorder involves physical symptoms that cause significant distress or impairment, along with excessive thoughts about the symptoms. Illness anxiety disorder involves severe health anxiety without corresponding physical symptoms. Conversion disorder was historically called hysteria and involves neurological symptoms like paralysis that cannot be explained physically.
Psychiatric emergencies
This document discusses various psychiatric emergencies and their management. It describes conditions like suicidal threats, violence, panic attacks, catatonia, hysteria, transient situational disturbances, delirium tremens, epileptic furor, acute drug-induced movement disorders, and drug toxicity. For each condition, it outlines signs, potential causes, and recommended emergency treatment approaches such as reassurance, sedation, monitoring safety, fluid replacement, and stopping causative medications. The overall goal of management is to stabilize the patient, prevent harm, and address the underlying psychiatric condition.
Somatoform disorder & psychosomatic disorder
D, a 10-year-old boy, presented with deteriorating vision but no medical cause was found. During the consultation, it was revealed he lived with a stepfather he did not like and had family relationship issues. After discussing his difficult family situation, D reported that his vision had returned to normal. This suggests he may have been experiencing a somatoform disorder where psychological or emotional factors were affecting his physical symptoms.
Somatoform Disorders
The document discusses somatoform disorders, which are characterized by physical symptoms that cannot be fully explained by a medical condition. Patients express psychological conflicts through bodily symptoms unconsciously. Common somatoform disorders include conversion disorder, pain disorder, hypochondriasis, and body dysmorphic disorder. Treatment involves developing coping skills, increasing awareness of emotional factors, relaxation techniques, medication for comorbid conditions, and focusing on functioning rather than physical symptoms.
Somatic symptom and related disorder
This document discusses somatic symptom and related disorders. It defines psychological factors that can affect medical conditions by exacerbating symptoms or interfering with treatment. It provides qualifiers to describe the severity of these psychological influences. The key features and differential diagnosis of various somatic symptom disorders are outlined, including somatic symptom disorder, illness anxiety disorder, and factitious disorders. Screening tools like the PHQ-15 and SSS-8 are presented. Treatment approaches are emphasized, including scheduling regular appointments, educating patients, evaluating somatic symptoms, treating comorbid conditions, and using cognitive behavioral therapy and medication.
Somatoform and dissociatives disorders
This document discusses somatoform and dissociative disorders as defined in the DSM-IV. Somatoform disorders involve physical symptoms that cannot be fully explained by medical factors and are thought to be linked to psychological issues. Dissociative disorders involve disruptions or breakdowns in consciousness, memory, identity or perception. The document provides overviews of specific disorders including their defining features, causes, prevalence and treatment approaches. These include conversion disorder, pain disorder, hypochondriasis and dissociative disorders like dissociative identity disorder.
Anxiety and Psychosomatic
Presentasi ini dipresentasikan di acara Seminar Ansietas di Hotel Papandayan, Bandung tanggal 23 Jan 2016.
Medically unexplained symptoms by dr ajay nihalani
Medically Unexplained Symptoms (MUS) refers to medical symptoms that are not fully explained by physical illness. They can be caused by somatoform disorders like somatization disorder, conversion disorder, and hypochondriasis, which involve the person experiencing physical symptoms that cannot be attributed to medical conditions. MUS can also be linked to mental health issues like depression and anxiety, or be factitious in nature where physical symptoms are intentionally feigned or exaggerated. Somatoform disorders involve the person experiencing real physical symptoms, but their symptoms are considered to be linked to their psychological state rather than a physical disease.
Understanding psychiatric emergencies
This document discusses psychiatric emergencies commonly encountered in prehospital care. It begins by defining psychiatric disorders and outlining the DSM-IV-TR system for categorizing mental disorders. It then provides case studies demonstrating schizophrenia, mood disorders like depression and bipolar disorder, anxiety disorders, and other conditions. It aims to familiarize emergency personnel with identifying and assessing patients experiencing psychiatric crises.
Somatoform disorders
Somatoform disorders are characterized by physical symptoms that cannot be explained medically despite the individual's belief that the symptoms are real. They include somatization disorder, conversion disorder, pain disorder, and hypochondriasis. Diagnosis involves ruling out physical causes through medical evaluation. Treatment focuses on psychotherapy to help express emotions verbally rather than physically, establish adaptive behaviors, and restructure beliefs. Medication may be used for comorbid mood disorders but not the somatoform symptoms themselves.
Somatoform disorders (psychophysical problems)
somatoform disorders are characterized by persistent requests for medical attention because of physical complaints that cannot be sufficiently explained by medical causes.
medically unexplained physical symptoms
This document discusses medically unexplained physical symptoms (MUPS) and somatic symptom disorder. It defines MUPS as physical symptoms that exist without objective medical findings or explanations. Somatic symptom disorder is characterized by physical symptoms caused by psychological or emotional distress. The document reviews the epidemiology, risk factors, clinical features, diagnostic criteria, cultural influences, and approaches for evaluating and treating patients with somatic symptom disorder.
Medically Unexplained Symptoms
Medically unexplained symptoms are ‘persistent bodily complaints for which adequate examination does not reveal sufficient explanatory structural or other specified pathology’.
These patients are challenge to medical professionals
Psychiatric emergencies
Psychiatric emergencies are acute changes in behavior that negatively impact a patient's ability to function in his or her environment. ... The screening assessment also involves a psychiatric safety check to explore for suicidal ideation, homicidal ideation, or patients' inability to care for themselves.
Somatoform Disorders
This document discusses somatoform disorders, which involve physical symptoms that cannot be fully explained by medical issues and interfere with daily life. It defines somatization, somatoform disorders, and specific types like somatization disorder, conversion disorder, hypochondriasis, and pain disorder. The causes are uncertain but may involve factors like female gender, childhood illness, and medical knowledge. Case studies are presented illustrating different somatoform disorders. Key terms like repression and primary and secondary gain are also defined.
Mental health problems effects on nursing work
Mental health problems can negatively affect nursing work in several ways. Nurses may experience depression, sleeplessness, or weakness from caring for patients with various mental illnesses like anxiety, mood disorders, psychotic disorders, and more. To stay safe, nurses should communicate their whereabouts, thoroughly exchange information with others, avoid isolated areas, keep security nearby, use de-escalation techniques, and be prepared to escape if needed. They must also carefully monitor patients in seclusion or restraints due to behavioral issues. Overall, psychiatric nurses must be vigilant since patients' conditions can change rapidly.
Somatic symptom disorder
Somatic Symptom Disorder is a mental disorder characterized by persistent and clinically significant somatic complaints coupled with excessive thoughts, feelings, and behaviors about the symptoms. There are four types of somatic symptom disorders including complex somatic symptom disorder, factitious disorder, conversion disorder, and somatic symptoms not otherwise specified. Diagnosis requires one or more somatic symptoms as well as excessive somatic concerns. Common somatic symptoms include headaches, stomach aches, and in rare cases, blindness or inability to walk. Somatic Symptom Disorder prevalence ranges from 1.5-21% depending on age, with stress and trauma as potential biological and environmental contributors. Treatment involves psychotherapy and cognitive-behavioral therapy, though convincing patients the symptoms are mental not physical can be challenging.
Phsychosomatic disorders
The term “psychosomatic disorder” is mainly used to mean “a physical disease that is thought to be caused, or made worse, by mental factors.” ... For example, chest pain may be caused by stress and no physical disease can be found.
What's hot (20)
Medically unexplained symptoms by dr ajay nihalani
Medically unexplained symptoms by dr ajay nihalani
Similar to Bipolar disorder
Hypomania and mania_tenille_2011 (3)
Hypomania is a milder form of mania characterized by less severe symptoms that do not significantly impair functioning or require hospitalization. Symptoms include inflated self-esteem, decreased need for sleep, rapid speech, distractibility, increased goal-directed activities and involvement in pleasurable activities with high risk of negative consequences. Mania is characterized by persistent elevated or irritable mood, increased activity, and poor judgment. Pharmacological treatment involves mood stabilizers like lithium to reduce elevated mood along with antipsychotics or benzodiazepines to calm symptoms until the mood stabilizer takes effect. Psychological treatments and monitoring medication adherence are also important to prevent relapse and support functioning.
Mood Disorder and Suicide
This document provides an overview of mood disorders including major depressive disorder and bipolar disorder. It discusses categories of mood disorders, symptoms, treatment, nursing assessments, nursing diagnoses, outcomes, interventions, and evaluations. Special populations such as the elderly are also addressed. Suicide is described in terms of risk factors and the nurse's role in prevention and response.
adjustment disorders and distress in Palliative care
Psychosocial disorders are very common in patients with advanced malignancies with the commonest being anxiety and depression. Early identification and treatment will help in improving the quality of life of patients and their families and increasing compliance towards treatment and self care,
Mood disorders:major depressive and bipolar disorder
a basic description about mood disorders mainly MDD and bipolar disorder. Can be made useful in presentations and theory exams. Subject was imbibed from different presentations and DSM IV manual. Thanks for viewing.
BEATING THE BLUES: PRACTICAL SOLUTIONS FOR A COMMON HEALTH PROBLEM
Lecture on depression, including information about causes, symptoms, and treatment. Learn to distinguish depression from feeling down. Find out how practical techniques can help improve short-term and long-term blue moods, sadness, and depression.
bipolar affective disorder
Bipolar disorder is characterized by recurrent episodes of mania and depression. It was previously known as manic depressive psychosis. Bipolar I involves severe mania and depression while Bipolar II involves hypomania and severe depression. The causes are genetic factors, neurochemical imbalances, and environmental stressors. Treatment involves mood stabilizing drugs like lithium, antipsychotics, psychotherapy, and lifestyle management to reduce symptoms and prevent recurrence.
Mood disorders
This document discusses mood disorders like depression and bipolar disorder. It defines key terms like emotion, affect, and mood. Mood disorders are characterized by episodes of depressed, manic, or mixed moods that impair functioning. Symptoms include emotional, cognitive, somatic, and behavioral changes. Depression is more common in women and bipolar disorder has onset typically between ages 28-33. Treatment involves psychotherapy, medication, and in severe cases ECT. Around 15-20% of those with mood disorders attempt or commit suicide, which is a major risk that requires crisis intervention and support.
Anxiety disorder
This document discusses anxiety disorders. It defines anxiety and pathological anxiety, and notes that anxiety disorders are associated with neurotransmitter imbalances involving serotonin, noradrenaline, and GABA. It then describes several types of anxiety disorders including panic disorder, separation anxiety disorder, specific phobia, social anxiety disorder, and generalized anxiety disorder. The document outlines biological and medical causes of anxiety disorders and lists common symptoms. It concludes with a discussion of assessment, management through pharmacotherapy and psychotherapy, and medications used to treat different anxiety disorders.
Seminar on approach to schizophrenia.pptx
This document summarizes a seminar on the approach to schizophrenia. It begins with an outline of the topics to be covered, including introduction, definition, clinical diagnosis, and management principles. It then provides details on the introduction, definition, clinical manifestations, outcome, etiology, diagnosis, and management of schizophrenia. Key points include that schizophrenia is a chronic and disabling mental illness characterized by positive symptoms like hallucinations and delusions, negative symptoms, cognitive impairment, and mood symptoms. Treatment involves acute stabilization with antipsychotic medication followed by long-term management to prevent relapse.
Schizoaffective Disorders
This case presentation discusses a 50-year-old African American female patient admitted to the hospital for schizoaffective disorder, manic episode. The patient has a history of schizoaffective disorder and has been living in a nursing home. The goals of hospitalization are to decrease restlessness, irritability, worry, anxiety and increase self-control and medication compliance. Interventions include medication management with Lamictal and Invega, nursing care, social work support, and education. The presentation provides context on schizoaffective disorder, symptoms, course, and treatment goals for managing the manic episode.
somatic symptom disorder.ppt
The document discusses several somatoform and somatic symptom disorders from the DSM-IV and DSM-V. It summarizes the key disorders including: somatic symptom disorder, which involves preoccupation with physical symptoms and their severity; conversion disorder, where neurological or sensory symptoms cannot be explained medically and may be psychological in origin; and illness anxiety disorder, previously known as hypochondriasis, involving severe anxiety and worry about having a serious illness. It provides details on diagnostic criteria, epidemiology, clinical features, etiology, course, and treatment approaches for these disorders.
Somatoform disorders
somatoform disorders and its spectrum
a case presentation
risk factors and aetiology
best approach
management
Role of physicians and psychologists
Depression
Dr. Sujit Kumar Kar discusses depression, including its causes, symptoms, diagnosis and treatment. Some key points include:
- Depression is one of the most common psychiatric illnesses worldwide, affecting people of all ages, races and genders. It causes significant psychological distress and reduces quality of life.
- Symptoms include sadness, loss of interest, low energy, changes in appetite or sleep, feelings of worthlessness, difficulty concentrating and recurrent thoughts of death.
- Depression has biological causes like changes in brain chemistry and genetics, as well as psychosocial factors like stressful life events, substance abuse and medical illnesses.
- Treatment involves medication like antidepressants, psychotherapy, and lifestyle changes. Proper treatment
Differential diagnosis
1) The document outlines the steps of differential diagnosis, beginning with determining if the presenting symptom is valid, ruling out substance use and medical causes, and determining the specific primary disorder.
2) Many disorders share common symptoms, making differential diagnosis challenging. Temporality, atypicality of symptoms, and comparing the full clinical picture to disorder criteria are important guides.
3) Ruling out alternative explanations is crucial before making a diagnosis, as psychiatric symptoms can be caused by various non-psychiatric factors. A thorough evaluation is needed.
Psychiatry and palliative care medicine
This document discusses psychiatry and palliative care. It begins with an overview of the relationship between the mind, body, and psychiatry. It then covers several topics related to what occurs inside the mind, including learning, motivation, memory, perception, thought, personality, emotion, and stress. The document also discusses palliative care in psychiatry, noting that psychiatric patients often have unmet palliative needs. Key challenges include different disease presentations than other populations and a lack of training for both psychiatric and palliative care teams. However, both fields also share similarities like person-centered care and a focus on quality of life. The document argues for greater integration and cross-training between psychiatry and palliative care to better address patient
Mental disorder and treatment.pptx
This document discusses types of mental illness and modalities of treatment. It outlines the objectives of identifying, screening, and treating common mental disorders like depressive disorders, anxiety disorders, and somatization disorder, as well as severe mental disorders and substance use disorders. It then describes the common mental disorders in more detail, including their clinical features and differential diagnoses. It provides guidelines for treatment of common mental disorders focusing on pharmacological interventions like SSRIs, SNRIs, and TCAs. The document emphasizes screening patients for mental illness, identifying the disorder, providing appropriate treatment, and knowing when to refer to a higher level of care.
Depression- Diagnosis, Causes, Treatments
Depression, Global and Indian Scenario, Cognitive Behavior Therapy, Aetiology of depression,Treatment, Diathesis Stress Theory, Genetic theories, Biochemical Theory, Suicide, DSM-V, cognitive distortions.
Assessment and management of generalized anxiety disorder
generalized anxiety disorder is very common in primary health care settings .patients usually have somatic complaints and they do not attribute these symptoms to anxiety.the doctor needs to have a high index of suspicion to be able help the patients.
Understanding depresssion
This document provides an overview of depression, including its signs and symptoms, classification, diagnosis, and treatment. It defines depression as a common psychiatric disorder characterized by depressed mood and loss of interest. It discusses the history of understanding depression and classifies types according to the DSM-IV, including major depressive disorder, dysthymia, and bipolar disorder. The document also explores biological and psychological theories of causation and outlines methods of diagnosis and treatment options like psychotherapy, pharmacotherapy, electroconvulsive therapy, and antidepressants.
BIPOLAR DISORDER
Bipolar disorder is a mood disorder characterized by episodes of mania and depression. It can cause shifts in mood, energy levels, and ability to function. The document discusses the diagnostic criteria for bipolar disorder according to the DSM-V, including symptoms of mania, hypomania, psychosis and depression. It also covers the prevalence of bipolar disorder, potential causes, evaluation process, treatment options including mood stabilizers, psychotherapy and alternatives if monotherapy fails. Treatment trends are discussed for children, adolescents, and the elderly population.
Similar to Bipolar disorder (20)
adjustment disorders and distress in Palliative care
adjustment disorders and distress in Palliative care
Mood disorders:major depressive and bipolar disorder
Mood disorders:major depressive and bipolar disorder
BEATING THE BLUES: PRACTICAL SOLUTIONS FOR A COMMON HEALTH PROBLEM
BEATING THE BLUES: PRACTICAL SOLUTIONS FOR A COMMON HEALTH PROBLEM
Assessment and management of generalized anxiety disorder
Assessment and management of generalized anxiety disorder
Recently uploaded
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Pharmacology of 5-hydroxytryptamine and Antagonist
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
Efficacy of Avartana Sneha in Ayurveda
Avartana Sneha is a unique method of Preparation of Sneha Kalpana in Ayurveda, mainly it is indicated for the Vataja rogas.
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
It includes regulation of combination products and medical devices. FDA and industry liaisons.
Acute Gout Care & Urate Lowering Therapy .pdf
In this document , the management of acute gout attacks and a description of urate lowering therapy is mentioned.
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.Histololgy of Female Reproductive System.pptx
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Do you have abnormal smell after periods? It may be vaginitis. Do not worry, herbal medicine Fuyan Pill can help you get a cure.
The Nervous and Chemical Regulation of Respiration
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
DECLARATION OF HELSINKI - History and principles
This SlideShare presentation provides a comprehensive overview of the Declaration of Helsinki, a foundational document outlining ethical guidelines for conducting medical research involving human subjects.
MERCURY GROUP.BHMS.MATERIA MEDICA.HOMOEOPATHY
Mercurius is named after the roman god mercurius, the god of trade and science. The planet mercurius is named after the same god. Mercurius is sometimes called hydrargyrum, means ‘watery silver’. Its shine and colour are very similar to silver, but mercury is a fluid at room temperatures. The name quick silver is a translation of hydrargyrum, where the word quick describes its tendency to scatter away in all directions.
The droplets have a tendency to conglomerate to one big mass, but on being shaken they fall apart into countless little droplets again. It is used to ignite explosives, like mercury fulminate, the explosive character is one of its general themes.
Recently uploaded (20)
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
Pharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and Antagonist
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Outbreak management including quarantine, isolation, contact.pptx
Outbreak management including quarantine, isolation, contact.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
The Nervous and Chemical Regulation of Respiration
The Nervous and Chemical Regulation of Respiration
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
Tests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptx
Bipolar disorder
- 2. What It IsWhat It Is • Biological origin, Psychological experiences • Chronic, and recurrent • Lifetime management • Alternating mood episodes – Mania – Hypomania – Depression – Concurrent mania and depression • Periods of normal function alternate w/ periods of illness
- 3. PrevalencePrevalence • Lifetime prevalence in US: 5.1% • Emerge between ages 18 – 30 • Bipolar I: males ↑, Bipolar II: females ↑ • 1st Episode: – Males: more likely manic – Females: more likely depressed • Episodes ↑ in # & severity with aging • Cyclothymia: – Usually begins in adolescence/early adulthood – 15% - 50% risk of developing Bipolar I or II
- 4. ComorbidityComorbidity • Substance abuse disorders- very high • Personality disorders (Borderline)- poorer outcomes • Anxiety disorders (Panic attacks, phobias) • Oppositional Defiant Disorder • SAD • Physical disorders
- 5. TheoryTheory • Biological Theories – Genetics (chromosomes 13 &15) – Neurobiological – Neuroendocrine • Psychological Influences – Triggered by an event perceived as stressful • Environmental Factors
- 6. AssessmentAssessment • Level of Mood • Behavior • Thought Processes & Speech Patterns • Cognitive Function • Self-Assessment
- 7. Nursing DiagnosisNursing Diagnosis • Risk for injury • See Table14-1, p. 289 • Remember to choose nursing diagnoses that fit the symptoms
- 8. Outcome CriteriaOutcome Criteria • Based on which phase of illness client’s in • Acute – Prevent injury • Continuation of Treatment – Relapse prevention: • Client/family psychoeducation • Support groups/Therapy • Communication & Problem-solving skills • Maintenance Treatment – Focus on preventing relapse and limiting severity & duration of future episodes
- 9. PlanningPlanning • Acute – Medical stabilization – Safety – Self-care needs • Continuation – Maintain medication compliance – Prevent relapse • Maintenance – Prevent relapse – Limit severity and duration of future episodes
- 10. InterventionsInterventions • Acute – Hospitalization, Firm & calm – Short, concise, neutral, and consistent limits, remain neutral – Re-direct to positive activities – Medication management – ECT – Milieu therapy: Seclusion • Continuation – Health teaching: Psychoeducation • Maintenance – Psychotherapeutic approaches – Support groups • See Table 14-2 (pp. 291-292)
- 11. PsychopharmacologyPsychopharmacology • Mood Stabilizers – Lithium – Anticonvulsants: Depakote (Divalproex, Valproic acid), Lamictal (Lamotrigine), Tegretol (Carbamazepine), Topamax (Topiramate), Neurontin (Gabapentin) • Anxiolytics – Ativan (Lorazepam), Klonopin (Clonazepam) • Atypical Antipsychotics – Zyprexa (Olanzapine), Seroquel (Quetiapine), Abilify (Aripiprazole)
- 12. EvaluationEvaluation • Were outcome criteria met? • If not, Why? • Re-assess • Revise the plan