Mental Health- Quiz 3- Bipolar
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Mental Health- Quiz 3- Bipolar
mental health bipolar
Material for Dr.Mason's mental health class, quiz 3.
Common problems caused by bipolar disorder (LLL & FDD)
Loss of intimate relationships
Loss of job
Dependence on others
Denial (of illness)
Causes for denial and quitting medication
Patients go through an up-phase and believe they are better or aren't sick.
Reasons why patients don't comply with meds (PASDD)
Adverse side effects
Drug and alcohol use
Desire to experience mania
Client and family education includes (NIMP HAKR)
Nature of illness
Importance of maintaining social structure/routines.
Precipitants of episodes
Roles of professionals
Keeping intimate relationships
How to get help
Alcohol and drugs
3 Stages of Bipolar disorder (CSR)
How should case workers accommodate for these stages?
Maintaining flexibility and adjusting their interaction with client's based on their needs at a certain stage.
What type of interventions are needed in the stabilization stage?
to help the patient return to normal functioning.
What type of contact would be required in the remission stage?
Just follow-up about every other to check on meds or monitoring.
At least 1 week of abnormal mood; usually a persistently elevated mood expansive or irritable mood.
Manic episode and a major depressive episode.
Must be experiencing first manic episode to be diagnosed (depression can make it hard to tell)
Mood disturbance should have 3 of these symptoms (IGDPFDIPE):
Decreased need for sleep
Pressure of speech
Flight of ideas
Increased goal-directed activities
Excessive pleasurable activities which could be dangerous
Bi Polar Hallucinations
No hallucinations during the mood disturbance and none for at least 2 weeks without mood disturbance.
Bipolar (young) patients are more likely to exhibit what symptoms during depression:
Hypersomnia (increased sleep)
(different than unipolar depression)
Bipolar I disorder (single manic episode)
Diagnosis for the first manic episode
Bipolar I disorder (recurrent)
Is diagnosed of manic episodes are separated by at least 2 months w/o significant symptoms.
A feature of Bipolar I disorder when there are 4 episodes of mood disturbance over a 12 month period.
More common among females.
Not common, but can happen over a week or a day.
Bipolar II Disorder
Major depressive episodes and hypomanic episodes.
elevated mood lasting 4 days and is different than usual non-depressed mood.
3 or more manic symptoms for 4 days.
Similar to a manic episodes, but less sever and less frequent than manic episodes.
Characteristics of Biploar II
Major Depressive episodes
Not severe enough to cause significant impairment in functioning
Is noticed by others that client is not themselves
Sub effective disorder
Chronic mood disturbance for at least 2 yrs.
Hypomania and Depression
Does not meet the criteria for manic or depressive episodes
Dx id not made if there is mania or depression for the first 2 years of the disorder
Disputes about Cyclothima
Considered a mild form of Bipolar
Some think that it is psychological not neurological
May persist even after client has returned to normal functioning
May cause clients to stop therapy and/or go off meds.
Pharmalogical Treatments- Bipolar
Very effective in treating bipolar
Basically just sea salt in high concentrations
Can be dangerous for the liver
Anti-Psychotic Drugs (Bipolar)
Also very effective in treating bipolar
Anti-convulsive Drugs (Bipolar)
Effective in treating manic episodes.
Depkene and Depakote
Useful for initiation of treatment in crisis phase. Tapered down as the manic episode subsides
Why should SSRI's not be given to those suffering from Bipolar?
SSRI's can induce manic episodes because they increase seritonin (which is already high in mania).
Other anti-depressants should be considered.