bipolar and related disorders Flashcards
bipolar 1 disorder
- Most severe form
- Highest mortality rate of the three
- At least 1 manic episode
- big shifts
- admiited for severe mania
bipolar 2 disorder
- at least 1 hypomanic episode- less severe scale
- at least 1 major depressive episode
- productive at work, trying to do a lot of things at once
cyclothymic disorder
- Alternate with symptoms of mild to moderate depression for at least 2 years (adults)
- Rapid cycling possible- at least four mood episodes in a 12-month period
- hypomania
assessment of mania
mood behavior thought processes and speech patterns thought content cognitive functioning
mood assessment for mania
mania: expansive mood, elevated,
and unrestrained emotional expressiveness,
euphoric, irritability, labile
behavior assessment for mania
- Hypomania: love social engagement, spending,
And activity, and indiscriminate sexual activity,
May not sleep for several days (first indication something wrong), less severe - Mania: give away money, prized possessions,
And expensive gifts, distractibility, grandiose (larger then life),
manipulative
thought content assessment for mania
- Grandiose delusions: highly inflated self-regard
- Persecutory delusions: believing that one is being singled out for harm
pressured speech
fast, ranging from rapid to frantic that conveys an inappropriate sense of urgency.
circumstantial speech
adding unnecessary details when communicating with others. The person eventually gets to the point
tangential speech
similar to circumstantial speech, main difference is that the person loses their point that they were trying to make and never find it again.
loose associations
thoughts are only loosely connected to each other in the person’s conversation.
flight of ideas
continuous flow of accelerated speech with abrupt changes from topic to topic.
clang associations
stringing together of words because of their rhyming sounds, without regard to their meaning.
assessment: depressive state
- Mood: depressed mood, anhedonia
- Affect: flat, blunted, constricted
- Behavior: anergia, vegetative signs of depression
- Thought processes: difficulty with problem solving, difficulty thinking clearly, poor judgement, indecisiveness, poor memory and concentration,
- Cognitive changes: helplessness, difficulty completing simple tasks, hopelessness, suicidal ideation, anger, irritability, low self-esteem, worthlessness
manic patient
self assessment
Manic patient
- Manipulative
- Demanding
- Splitting
Staff member actions
- Frequent staff meetings to deal with patient behavior and staff response
Set limits consistently
