Bipolar Disorder

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What is it?:

What is it? mood disorder episodes of mania episodes of depression Roughly one percent of Canadians are affected

What’s its History?:

What’s its History? Explained as possession by supernatural or spiritual forces Was once called Manic-Depressive Disorder Term was originally conceptualized by Emily Kraeplin (1855-1926)

What Causes It?:

What Causes It? Primarily biology malfunction of the neurotransmitters Family history

But What Triggers it?:

But What Triggers it? health habits substance abuse hormonal problems

What else triggers it?:

What else triggers it? triggered unexpectedly life stressors

DIAGNOSTIC CRITERIA:

DIAGNOSTIC CRITERIA

How is it diagnosed?:

How is it diagnosed? DSM IV physical health examination Review of family history

What are the types?:

What are the types? Bipolar I disorder can be diagnosed based only on a person depicting one or more manic episodes, whether the depressive state coincides or is present at all or not.

What are the types?:

What are the types? Bipolar II disorder consists of both a hypomanic (less severe mania) state and a major depressive state occurring at least once in their lifetime.

What are the types?:

What are the types? Cyclothymia a chronic but less severe form of bipolar disorder

What’s depression? :

What’s depression? DSM-IV: “a period of at least 2 weeks during which there is either depressed mood or the loss of interest or pleasure in nearly all activities.”

What are the symptoms?:

What are the symptoms? A shortage of energy Sleep abnormalities Loss of interest in work, family and friends Change in eating habits Suicidal and occasional homicidal thoughts

What are the symptoms?:

What are the symptoms? Uneasiness when dealing with failures Loss of self esteem Feelings of fault Extreme concern about physical complaints Reduced sexual drive

So what’s a manic episode?:

So what’s a manic episode? at least a week of irritable, expansive or elevated mood in an individual

What are the symptoms?:

What are the symptoms? Short attention span Increase in goal oriented activities Racing thoughts

What are the symptoms?:

What are the symptoms? Decreased need for sleep Higher self esteem Increased talkativeness

What are the symptoms?:

What are the symptoms? Hypomania includes similar symptoms to mania but not as severe, and symptoms are only present for four days.

TREATMENT:

TREATMENT

What medication is it treated with?:

What medication is it treated with? medication creates high risk of relapse doesn’t address all issues Possible side effects

So what’s the best treatment?:

So what’s the best treatment? Family-Focused Therapy ( FFT) targets the psychosocial triggers of relapses and residual symptoms

What does FFT involve?:

What does FFT involve? Improving negative family interactions Teaching medication compliance Promoting healthy communication Educating family on illness

How does it work exactly?:

How does it work exactly? begins shortly after an acute manic, depressive, or mixed episode. usually involves the patient and one or more relatives ( eg . parents, spouse).

How does it work exactly?:

How does it work exactly?

How does it work exactly?:

How does it work exactly? Three separate phases: Psychoeducation Communication Enhancement Training Problem-solving Skills

What’s Psychoeducation?:

What’s Psychoeducation ? Consists of 7 sessions A discussion of symptoms, warning signs, prevention of relapse and medication compliance.

What’s Communication Enhancement Training ?:

What’s Communication Enhancement Training ? 7-10 sessions involves practicing effective speaking, listening and negotiating with the patient and family assigned ‘homework’

What does problem solving skills involve?:

What does problem solving skills involve? 4-5 sessions targets specific family problems and creates solutions also involves homework.

So why THIS treatment?:

So why THIS treatment? Specifically targets triggers Builds understanding within family

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