Bipolar Flashcards
Mania
an observable alteration in mood
elevated, flight of ideas, rapid speech, hyperfixated, distractible
Mania
SX
inflated self esteem
decrease sleep
talkative
flight ideas
distracted
intense goal-directed activity
Hypomania
Euphoric, change for person/observable, not severe enough for hospitalization
NO PSYCHOSIS
Bipolar
mood swing from profound depression to extreme euphoria
Bipolar -
Bipolar I
full syndrome of manic symptoms
Psychosis possible
Alternate with depression
CM - Anxiety / Suicide
Bipolar -
Bipolar II
major depression with hypomania
never full manic episode
CM - anxiety, substance use
Bipolar -
Cyclothymic Disoder
hypomania with mild-depression
CM - substance use, sleep dx
Bipolar -
Genetic risk factors
HEREDITARY IMPLICATIONS
Bipolar -
Biochemical risk factors
Excess Norepi/dopamine
Low serotonin
Bipolar -
Brain Structure
grey matter loss
(prefrontal, hippo, amy)
neuroendocrine
(hypothalamic, thyroid)
Bipolar-
For psychotherapy to be effective the patient…
needs to be stabilized with meds first!
Bipolar-
Nursing interventions: Mania
maintain safety of client and others
calm attitude
monitor behavior
DISTRACTION
