Bipolar disorder causes extreme shifts in mood from mania to depression. It is a chronic illness often diagnosed in adolescence that has high rates of suicide. While the causes are unknown, genetic and environmental factors likely contribute. Diagnosis involves meeting DSM-5 criteria for manic or hypomanic episodes. Treatment includes medication, psychotherapy, and lifestyle changes. Lithium and anticonvulsants are commonly used to stabilize moods, while antidepressants may be used for depression but carry risk for inducing mania. Long-term management focuses on preventing recurrences through medication adherence and monitoring for risky behaviors.
A presentation about depressive disorder. The presentation composed of the definition, causes, types, clinical feature, diagnosis, prognosis, treatment and prevention of depression
Schizophrenia is a chronic and severe mental disorder that affects how a person thinks, feels, and behaves. People with schizophrenia may seem like they have lost touch with reality. Although schizophrenia is not as common as other mental disorders, the symptoms can be very disabling.
Depression is the leading cause of disability world wide and is a major contributor to the overall global burden of diseases .At its worst depression can cause suicide .
There are effective psychological and pharmacological treatments for depression
hii guys this is my ongoing presentation from my speciality class i hope u guys lije that please so i hope it is been useful for u in ur specialities by getting little help with that
Adjustment disorders are commonly seen in primary care settings in which the 1-year prevalence varies from 11% to 18% of those with any clinical psychiatric disorder. [Casey PR et al., 1984]
A recent study [Maercker A et al., 2012] in the general population found the prevalence of adjustment disorder to be 0.9%,
Schizophrenia is a group of severe brain disorders in which people interpret reality abnormally. Schizophrenia may result in some combination of hallucinations, delusions, and disordered thinking and behaviour.
Contrary to some popular belief, schizophrenia is not split personality or multiple personality. The word “schizophrenia” does mean “split mind,” but it refers to a disruption of the usual balance of emotions and thinking (Mayo, 2013).
Schizophrenia is a chronic condition, requiring lifelong treatment.
This is a project for a high school AP psychology course. This is a fictionalized account of having a psychological ailment. For questions about this blog project or it’s content please email the teacher Chris Jocham: jocham@fultonschools.org.
A presentation about depressive disorder. The presentation composed of the definition, causes, types, clinical feature, diagnosis, prognosis, treatment and prevention of depression
Schizophrenia is a chronic and severe mental disorder that affects how a person thinks, feels, and behaves. People with schizophrenia may seem like they have lost touch with reality. Although schizophrenia is not as common as other mental disorders, the symptoms can be very disabling.
Depression is the leading cause of disability world wide and is a major contributor to the overall global burden of diseases .At its worst depression can cause suicide .
There are effective psychological and pharmacological treatments for depression
hii guys this is my ongoing presentation from my speciality class i hope u guys lije that please so i hope it is been useful for u in ur specialities by getting little help with that
Adjustment disorders are commonly seen in primary care settings in which the 1-year prevalence varies from 11% to 18% of those with any clinical psychiatric disorder. [Casey PR et al., 1984]
A recent study [Maercker A et al., 2012] in the general population found the prevalence of adjustment disorder to be 0.9%,
Schizophrenia is a group of severe brain disorders in which people interpret reality abnormally. Schizophrenia may result in some combination of hallucinations, delusions, and disordered thinking and behaviour.
Contrary to some popular belief, schizophrenia is not split personality or multiple personality. The word “schizophrenia” does mean “split mind,” but it refers to a disruption of the usual balance of emotions and thinking (Mayo, 2013).
Schizophrenia is a chronic condition, requiring lifelong treatment.
This is a project for a high school AP psychology course. This is a fictionalized account of having a psychological ailment. For questions about this blog project or it’s content please email the teacher Chris Jocham: jocham@fultonschools.org.
This a project for a high school AP Psychology course. This is a fictionalized account of having a psychological ailment. For questions about this blog project or its content please email the teacher, Laura Astorian: laura.astorian@cobbk12.org
This a project for a high school AP Psychology course. This is a fictionalized account of having a psychological ailment. For questions about this blog project or its content please email the teacher, Laura Astorian: laura.astorian@cobbk12.org
Bipolar disorder, also known as manic-
depressive illness, is a brain disorder that causes
unusual shifts in mood, energy, activity levels, and
the ability to carry out day-to-day tasks.
Disclaimer: This a project for a high school AP Psychology course. This is a fictionalized account of having a psychological ailment. For questions about this blog project or its content please email the teacher, Laura Astorian: laura.astorian@cobbk12.org
Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks.
This slide contains information regarding mood disorder and depression. This can be helpful for proficiency level and bachelor level nursing students. Your feedback is highly appreciated.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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2. Bipolar disorder
• Also known as manic depression, a mental illness that
causes a person’s moods to swing from extremely
happy and energized (mania) to extremely sad
(depression)
• Chronic illness; can be life-threatening
• Most often diagnosed in adolescence
3. Epidemiology
Mortality/Morbidity
Bipolar disorder has significant morbidity and mortality rates.
Approximately 25-50% of individuals with bipolar disorder attempt
suicide, and 11% actually commit suicide.
Race: No racial predilection exists.
Sex
Bipolar I disorder occurs equally in both sexes; rapid-cycling bipolar
disorder (4 or more episodes a year) is more common in women than
in men.
Incidence of bipolar II disorder is higher in females than in males.
4. Epidemiology
Age
The age of onset of bipolar disorder varies greatly.
The age range for both bipolar I and bipolar II is from childhood to
50 years, with a mean age of approximately 21 years,(15-19
years),(20-24 years).
Onset of mania in people older than 50 years should lead to an
investigation for medical or neurologic disorders such as
cerebrovascular disease.
5. Contributing factors
Evidence is mounting of the contribution of glutamate to both bipolar
and major depressions
catecholamine hypothesis, which holds that an increase in epinephrine and
norepinephrine causes mania and a decrease in epinephrine and
norepinephrine causes depression.
Hormonal imbalances and disruptions of the hypothalamic-pituitary-
adrenal axis involved in homeostasis and the stress response may also
contribute to the clinical picture of bipolar disorder.
Biochemical causes
6. Contributing factors
Mania serves as a defense against the feelings of
depression
Psychodynamic
Environmental
External stresses or the external pressures may serve to
exacerbate some underlying genetic or biochemical
predisposition.
Pregnancy is a particular stress for women with a manic-
depressive illness history and increases the possibility of
postpartum psychosis
7.
8. Mania-Clinical symptoms
• Inflated self-esteem or grandiosity.
• Decreased need for sleep
• More talkative than usual
• Flight of ideas or subjective experience that
thoughts are racing.
• Distractibility
• Increase in goal-directed activity or
psychomotor agitation.
• Excessive involvement in pleasurable
activities that have a high potential for painful
consequences
9. Depression- Clinical symptoms
• Depressed mood
• Diminished interest or pleasure in all, or almost all, activities
• Decreased or increased appetite
• Significant weight loss or gain
• Insomnia or hypersomnia
• Psychomotor agitation or retardation
• Fatigue or loss of energy
• Feelings of worthlessness or excessive or inappropriate guilt
• Diminished ability to think or concentrate
• Recurrent thoughts of death
• Recurrent suicidal ideation or attempts
10.
11.
12.
13. Akiskal's Schema of Bipolar
Subtypes
Bipolar I: full-blown mania
Bipolar I ½: depression with protracted hypomania
Bipolar II: depression with hypomanic episodes
Bipolar II ½: cyclothymic disorder
Bipolar III: hypomania due to antidepressant drugs
Bipolar III ½: hypomania and/or depression associated with substance use
Bipolar IV: depression associated with hyperthymic temperament
Bipolar V: recurrent depressions that are admixed with dysphoric
hypomania
Bipolar VI: late onset depression with mixed mood features, progressing to
a dementia-like syndrome Psychiatric Clinics of North America 22:3, September 1999;
Medscape Family Medicine, 2005;7[1]
14. Bipolar Disorder Diagnosis
• The Diagnostic and Statistical Manual of Mental Health
Disorders (DSM) is published by the American Psychiatric
Association (APA) and is the guideline by which the medical
community diagnoses mental health issues.
• The term “bipolar disorder” made its debut in the third edition
of the DSM (DSM-III), published in 1980. This term replaced
“manic depressive disorders,” and better represented the
polarity between moods of mania and depression.
• The DSM-5, published in May 2013, has also seen some changes
in regard to bipolar disorder.
15. DSM-5 criteria
Bipolar I
Manic episodes lasting at least a week, or by symptoms of
mania so severe that a person requires immediate
hospitalization. A person will also normally experience a
depressive episode of about two weeks. For a bipolar I
diagnosis, a person’s manic and depressive symptoms
must deviate from their normal behavior.
Bipolar II
Cycle of depressive episodes shifting back and forth with
hypomanic episodes, without experiencing full-blown
manic or mixed episodes.
16. DSM-5 criteria
Other Specified
Bipolar and Related
Disorder (previously
called Bipolar Not
Otherwise Specified)
Those with a past history of a major depressive
disorder who meet all the requirements for
hypomania except the duration of their episodes.
This can also include those exhibit too few
symptoms of hypomania to be diagnosed with
Bipolar II, though the duration of their episodes is
4 days or more.
Cyclothymia
At least 2 years of hypomanic episodes shifting
back and forth with episodes of mild depression.
This diagnosis is considered a mild form of bipolar
disorder because the symptoms do not meet the
requirements for other types of bipolar disorder.
20. Basic principles to handle
bipolar patients
• Take extra time to listen and communicate with patients and their
families
• Encourage peer to peer support
Create and foster a therapeutic alliance
Offer education about the diagnosis and treatment
• Educate patient and family about the seriousness of the illness
and benefits of appropriate therapy
• Provide the patient with patient education materials
21. Basic principles to handle
bipolar patients
• Educate the patient and family about medication treatment
options, therapeutic effects, possible adverse effects, and the
likely need for long term medication
• Encourage the patient and family to express their treatment
preferences
Enhance adherence with treatment
22. Monitorand manage symptoms and risk
• Encourage the patient to permit ongoing involvement of one or more
trusted family members or friends in the patient's treatment
• Solicit information from family and other third parties when assessing
risk, especially suicide risk, substance use, and social isolation
• Encourage open discussion about risky behavior
• During times the patient is well, engage the patient and family (or
partner) to develop interventions that target reckless behavior during
future illness episodes
• Encourage self monitoring of mood and medication use
• Encourage regularity of sleep, daily activities, and medication use
23. Pharmacological treatment
For the depressive phase of this illness, anti-depressant
medications can relieve depressed feelings, restore normal
sleep patterns and appetite, and reduce anxiety.
Anti-depressant medications are not addictive.
They slowly return the balance of neurotransmitters in the
brain, taking one to four weeks to achieve their positive
effects.
24. Pharmacological treatment
During acute or severe episodes of mania, several different
medications are used.
Some are used to calm the person’s manic excitement; others
help to stabilize the person’s mood.
Some medications are also used as preventive measures as
they help to control mood swings and reduce the frequency
and severity of depressive and manic phases.
Long term medication may be required to prevent recurrent
episodes.