Clinical Picture Of Bipolar Disorders Chapter 13,24 PDF

Chapter 13 & Chapter 24  Clinical Picture D Bipolar 1 Disorder /shifts of mood, energy , Fabilityofa · - most severe form rate of the three...

Chapter 13 & Chapter 24  Clinical Picture D Bipolar 1 Disorder /shifts of mood, energy , Fabilityofa · - most severe form rate of the three - highest mortality (their either low or - at least I maniac episodelhallucination i delusion high * Bipolar II Disorder - at leastI hypomanic disorder (1 days or longer w/3 behaviors Mania outside of norms but no hallucinations at least I disorder - major depressive * Cyclothymic Disorder alternate col - symptoms of mile to moderate depression for at least - 2yrsladult) - rapid cycling possible Hypomania ↳ low level and less dramatic mania tends to be euphoris and often increases functioning Lusually accompanied by excessive activity and energy #Bipolar 1 Disorder nearly all anxiety disorders are associated wl bipolar I, · about 75 % wh this disorder affecting panic attacks , social disorder, phobias - anxiety - substance abuse is present Other Disorders may complicate clinical presentation · - ADHD All disruptive ,impulse control conduct disorders - or - Bipolar 11 Disorder · 75 % of individuals rol bipolar II have comorbid disorders anxiety Eating disorders , particularly binge-eating · disorder · Substance use disorders  Assessment Bipolar lives more in a depressive · Mood State than Schizophrenia Altman's Self-Rating Mania Scale - Benarior · Can be manipulative' demanding - for staff Splitting : need unity - · Thought Processes and speech patterns · speech is pressured , circumstantial , tangential , flight of ideas content Thought · delusions · Grandiose delusions persecutory , Cognitive Dysfunction · Cognitive Deficit · Discomfort is common  Assessment Guidelines Danger to self or others · Need for protection from uninhibited behaviors need for hospitalization · MedicalStatus · coexisting · medical conditions Acute Phase ↑ Maniainence Phase  Implementation : Depressive vs. Mania Episodes Depressive Episodes - Hospitalization for suicidal , psychotic , or catatonic signs - Medication concerns about bringing on a manic phase Maniac Episodes - Hospitalization for acute mania (bipolar 1 disorder) and Communicating challenges strategies - - Provid Safety Communication Techniques - use firm i calm approach - use short , concise explanations identify expectations in simple , concrete term - - hear act on legitimate complications within Pharmacotherapy maniac episodesmoda ↳ safeevere caffient void over the counter medeNSAD , avoid excessive of appetite , dizziness , Ls/E2 headaches , N/vI diawhea , change hand tremors , dry mouth Turination , Thirst Anticonvulsants Valproate (Depakote) · CarbamazepineLEquety) · Lamotrigine (Lamictal) · Second-Generation Antipsychotics (Short term) (Acute Psychosis · Olanzapine Disperidone · · Quetiapine · ziprasidone ·Aripipra · Cariprazine  Integrative Therapy Omega-3 fatty acids · - cod liver oil Fish oil - mania no evidence to support use in treating · · improve depressive symptoms Brain Stimulation Therapies orectroconvulsive Teraby (ECT) Repetitive Transcramal Magnetic Stimulation (rAMs) ~ Psychological Therapies Cognitive-Behavioral Therapy · (CBT) Interpersonal Social Rhythm Therapy · and Family · - Focused Therapy S  Chapter 21 Personality Disorders vocab Cluster A : - Paranoi dilong standing distrust of others , they don't want help, need psychotherapy not group ; nurse; avoid being overly friendly - Schizoidilite long pattern of social withdrawal; expressionless, emotion , don't socially interact well, introvert range of no Schizotypal ; don't blend in strange, odd beliefs , anxiety - Cluster B : Cluster (a severe -Borderlinemost challenging , Avoidantilow sefesteem , shy impairment dysfunction ! - myeopse-Depend a - Obsessive-compulsive ; - seeking rigidity , goal , strict of empath Narcissisticilac - standards - Histronicidrama queens, exotert , attention seeking pattemofdi s regardforthenightset Antisocial challenging m ost -