Bipolar disorder is a brain disorder characterized by unusual shifts in mood and ability to function. It is classified by the current mood state which can include mania, hypomania, mild or moderate depression, or severe depression, with or without psychotic features. The causes are thought to include neurochemical imbalances, genetic factors, and sleep disturbances. Symptoms include changes in appetite, energy, thoughts, and behavior. Treatment involves pharmacological interventions like mood stabilizers, antipsychotics, and antidepressants as well as non-pharmacological therapies like cognitive behavioral therapy and family therapy. Nursing care focuses on safety, monitoring for symptoms, providing education, and supporting treatment adherence.

1. Bipolar Mood
Disorder
B y
M r . A r j u n s o l a n k i
B s c N u r s i n g 3 r d y e a r

2. Definition
Bipolar disporder, 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.

3. ICD CLASSICIATION OF
BIPOLAR DIREASE
• F31.1 : bipolar affective disorder, current episode of hypamiaBipolar
• F31.2 : bipolar affective disorder, current episode mania without pyschotic symptoms
• F31.3 : bipolar affective disorder, current episode mania with pyschotic symptoms
• F31.4 : bipolar affective disorder, current episode mild or moderate depression
• F31.5 : bipolar affective disorder, current episode serve depression without psychotic
symptoms
• F31.6 : bipolar affective disorder, current episode serve depression with psychotic
symptoms

4. Etiology
1. Neurochemical :- there are many different kinds of
neurotransmitter chemical in the brain the neurotransmitter that
are implicated in bipolar illness, include dopamine nurepinephic
serotanine GABA (Gamma amirobutyrate) glutamate and
elycholine

5. 2. Sleep pattern :- bipolar disorder may affect sleep in many way for
Ex- it can lead to insomnia the inability to fall a sleep or remain a sleep
long feel restend.

6. 3. Genetic Factors:- Genetic Factors account for about 60 to 80% of the
cause of bipolar disorder that means if you have a family history of the
disorder you want definitely developing.

7. Clinical Manifestations
• Loss of appetite
• Flights of ideas
• Fatigue
• Rapid shifting throughts
• Suicidal preoccupation
• Substance abuse
• Low self esteem
• Decrease need of sleep
• Hopeless
• Rapid and excessive talking

8. Physical examination History taking
Mental status
examination
Psychiatric assessment
Mood charting
Blood test
diagnostic
Evaluation

9. Management
Non pharmacological management
• Cognitive therapy
• Family therapy
• Behavioral therapy

10. Management
Pharmacological management
• Haloperidol (antipsychotic drug)
• Lithium(antidepressant)
• Valporic acid(anticonvulsant)
• Carbamazepine(anticonvulsant)

11. Nursing
Management
• Obtain general history of the client including social education,
occupational, medical, surgical history
• Obtain family psychiatric history
• Performe physical examination
• Observe from environmental surrounding safety
• Assess the client negative statement

12. Nursing Diagnosis
• Risk for injury related to feeling of hopelessness loveliness
• Risk for self directed violence related to manic excitement delusion
thinking and hallucinations
• Impaired social interaction related to disturbed thought process by
patient labile mood
• Imbalance nutrition less then body requirements related to refused
as evidence by Wight loss
• Ineffective individual copying skill related to poor impulse control as
evidence by acting out behaviour

13. Health Education
• Get regular sleep greeting adequate sleeping can help stablize mood
• Eat a healthy diets certain food may affect your mood more than
others
• Exercise regularly
• Limited stress
• Take time for you
• Stay away from drugs and alcho

14. Conclusion
Bipolar disorder is a common psychiatric disorders characterized by
affective instability and cognitive deficits particular during mood
episode

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