Bi

BIPOLAR DISORDER F.31.

= manic-depressive illnessbi- means two; pol/o means extreme- brain disorder that causes unusual shifts in

a person’s moods, energy and ability to function

- symptoms are severe- cycles last days, weeks, months

- first manic or depressive episode usually in adolescence

Bipolar I- classic manic-depressive- most severe- at least one manic or mixed episode

Bipolar II- episodes of hypomania and severe depression- at least one hypomanic and one major

depressive episode

Cyclothymia /cyclothymic disorder– hypomania and mild depression- highs and downs aren’t so severe

no single cause- heredity - 2/3 of bipolar patients have family

history of mental disorders

- biological differences - abnormal levels of certain chemicals (dopamine)

- enviromental factors - stress, abuse, significant loss or other traumatic experiences

- having blood relatives (parent, sibling) with bipolar disorder

- periods of high stress- drug or alcohol abuse- major life changes (death of a loved one)- being between 15 and 30 years old

Mania

- euphoria- inflated self-esteem - decreased need for sleep - excessive talkativeness - grandiosity- distractability - pursuit of risky behaviors or activities- increased sociability

Depression

- loss of interest in activities previously enjoyed - changes in appetite (weight gain/loss )- changes in sleep patterns (difficulty sleeping /oversleeping) - agitation - loss of energy - trouble concentrating, thinking - repeated thoughts of suicide,death

- medical history- physical exam- lab tests (blood & urine)- pshycological examination- mood charting

-hospitalization (suicidal behaviour/ detached from reality, psychotic)

- initial treatment- continued treatment- substance abuse treatment

- medications - lithium - anticonvulsans lamotrigine, valproate - antidepressants - tricyclics, MAO inhibitors - antipsychotics - olanzapine, risperidone - benzodiazepines

- psychotherapy - cognitive behavioral therapy - education - family therapy - group therapy and other

- Electroconvulsive Therapy (ECT)

Vincent Van Gogh

Ludwig van Beethoven

Edgar Allen PoeHonors de Balzac

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Isaac Newton

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Ben Stiller

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