Mental Health- Quiz 3- Bipolar

• Low self-esteem
• Loss of intimate relationships
• Loss of job
• Family conflict
• Dependence on others
• Denial (of illness)

Patients go through an up-phase and believe they are better or aren't sick.

• Personal autonomy
• Adverse side effects
• Social stigma
• Drug and alcohol use
• Desire to experience mania

• Nature of illness
• Medications/effects
• Importance of maintaining social structure/routines.
• Precipitants of episodes
• Roles of professionals
• Keeping intimate relationships
• How to get help
• Alcohol and drugs

• Crisis
• Stabilization
• Remission

Maintaining flexibility and adjusting their interaction with client's based on their needs at a certain stage.

• Task-oriented interventions
• to help the patient return to normal functioning.

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)

• Inflated Self-esteem
• Grandiosity
• Decreased need for sleep
• Pressure of speech
• Flight of ideas
• Distractibility 
• Increased goal-directed activities
• Psycho-motor agitation
• Excessive pleasurable activities which could be dangerous

No hallucinations during the mood disturbance and none for at least 2 weeks without mood disturbance.

• Hypersomnia (increased sleep)
• Increased appetite
• psychomotor retardation
• (different than unipolar depression)

Diagnosis for the first manic episode

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.

• 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.

• Major Depressive episodes
• Hypomanic 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

• 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.

• Lithium
• Anti-Psychotic Drugs
• Anti-convulsive Drugs
• Sedatives

• Very effective in treating bipolar
• Basically just sea salt in high concentrations
• Can be dangerous for the liver

• Also very effective in treating bipolar
• Olanzapine (Zyprexa)
• Aripiparzole (Abilify)
• Risperidone (Risperdal)
• Ziprasidone (Geodon)
• Clozapine (Clorazil)

• Effective in treating manic episodes.
• Carbamzepine (Tegratol)
• Depkene and Depakote

• Useful for initiation of treatment in crisis phase. Tapered down as the manic episode subsides
• Kolnopin
• Ativan
• Haldol

• SSRI's can induce manic episodes because they increase seritonin (which is already high in mania).
• Other anti-depressants should be considered.