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Bipolar Disorder
5
Definition
Massive shifts in mood swings
Depressive
Manic
Definition
Related, but separate from Schizophrenia and Depressive Disorders
"..their place is a bridge between the two diagnostic classes in terms of symptomatology, family history, and genetics." (DSM-5)
In-Class Reading of DSM-V
Open up Bipolar I Class Reading.pdf
In-Class Reading of DSM-V
Causes
Biological/Genetic
Family history
10-15%
Physiological to the brain
Environmental
Causes
More common in high-income countries (1.4 vs .7%)
Types
Bipolar I Disorder
Bipolar I Disorder
- Meets classification of at least one manic episode
- Manic and depressive states are not explained by schizophrenia
psychiatrist
Observation
Reporting
self, family/friend
Coding/classifying symptoms
Additional Specifiers
Current/most Recent Manic/Depressed state
- Rapid Cycling
- Catatonia
Mild
- Seasonal Pattern
Moderate
Severe
- Congruent/non-congruent psychotic features
Bipolar II Disorder
Bipolar II Disorder
Characterized by "hypomania"
hypo- under
"A distinct period of abnormally and persisently elevated, expansive, or irritable mood and abnormally and persistently increased activity or energy, lasting at least 4 consecutive days and present most of the day, nearly every day." (DSM-5, 132)
Cyclothymic Disorder
Cyclothymic Disorder
For a period of 2 years (1 year for < 18) there are "numerous periods" where symptomps of hypomanic and major depression are present but do not meet criteria for diagnosis
During 2 years:
- Symptoms present for at least half the time
- Symptoms present themselves at least every 2 months
- Symptoms are not a result of a schizophrenia spectrum disorder.
- Symptoms are not a result of the physicological effects of substance/drug abuse
Treatment
Mood stabailizers
Treatment
Depression
Lithium
theraputic level: 3-5 weeks
stabalize/prevent swings
Mania
Calcium Channel Blockers
Controls oxeyn to the heart
Non-Pharmaceutical Therapy
Non-Pharmaceutical Therapy
Counseling
Cognitive Behavior Therapy
Accepting your diagnosis
Monitoring your mood
Undergoing cognitive restructuring
Problem-solving frequently
Enhancing your social skills
Stabilizing your routine
Societal Impact
Societal Impact
Disruption to family and social connections
Financial loss
Disruption to success in economy
Leave career
Can't hold a job
Pharamceutical costs
...billions?
Self-medication
Crash Course
Case Study
Anime Pharma Study Video
Discussion
Dicussion
Why is Bipolar hard to diagnose early?
What are some things you learned that changed your understanding of Bi-polar disorder?
When does hypomania become mania?
Find a Pharma
Find a Pharma
- When did it start to be used?
- What does it do?
Row 1: lithium
Row 2: carbamazepine
Row 3: lamotrigine
Row 4: valproate
Lowers: asenapine
- What are the side effects?
- How much does it cost?