BiPolar Disorders Flashcards
What is the prevalence of Bipolar Disorder?
The prevalence rates in a given year for bipolar disorders are about 2.6% among the U.S. adult population, with 83% of these cases classified as “severe” in terms of symptomology
When is the typical on set of Bipolar?
Late teens or twenties and it is equal between men and women
What is bipolar disorder?
Bipolar disorders, historically referred to as manic-depressive disorder, are characterized by dramatic changes in general energy and activity levels and moods. These changes are so profound that, during a symptomatic phase, they can significantly affect an individual’s ability to function and carry out even basic day-to-day tasks.
What is bipolar I characteristics?
cyclical mood swings, which are atypical from a normal state, and episodes of mania and/or hypomania that alternate with a depressed mood. Manic or hypo-manic episodes are described as abnormally elevated “ups,” and depressive episodes are described as “lows” that may include low energy and irritableness
What are bipolar II characteristics?
Must have at least once met the criteria for a major depressive and a hypomanic episode.
bipolar II disorder there are no full-blown manic episodes. Instead, there is a pattern of depressive episodes and hypomanic episode
What is cyclothymia?
.Cyclothymia can be conceptualized as “subsyndromal” depressive and hypomanic states with symptoms that are too mild to meet formal diagnostic criteria for those conditions - cyclothymia should be regarded as a type of temperament and/or personality trait as opposed to an affective disorder
What is a manic episode? See page 123
During a manic episode, an individual may experience a sudden dramatic decrease in his or her need
for sleep, a rush of excessive energy, feelings of euphoria, extreme talkativeness, grandiosity, elevated libido, and an inability to concentrate.During a severe manic or depressive episode, some clients also experience psychotic delusions and
hallucinations. A lack of sleep can be especially triggering and incite psychotic symptoms, and a lack of sleep may serve to incite mania
What are common triggers for Bipolar disorder?
• Alcohol and drug use • Sleep deprivation or disruption • Diet • Lack of exercise • Changes in weather and seasons • Conflicts with other people, problems in intimate relationships • Altered routines • Traveling (especially with the time zone changes) • Grief/loss • Social isolation • Excessive external stimulation (e.g., clutter, crowds, noise, etc.) • Physical injury or illness • Medications (e.g., antidepressants)/Medication side effects
Counselor considerations with Bipolar
Constantly evaluate for suicide risk
be prepared for a wide range of emotions
provide support and referrals for family and caregivers
validate and offer hope to clients
Assist with Daily Routines
Beware of cultural differences
Beware of differences of Bipolar in genders
What is the prevalence of suicide in bipolar individuals?
Notably, the prevalence of attempted suicide in those with Bipolar I disorder is 36%, and in people with Bipolar II disorder it was found to be 32% (APA, 2013; Novick, Swartz, & Frank, 2010). Suicide risk is high in those who have Bipolar II, with approximately one-third of this population reporting a lifetime history of at least one suicide attempt
What is unipolar depression?
Unipolar depression is characterized by recurrent depressive episodes and is the most frequent misdiagnosis in individuals with bipolar disorder, especially with bipolar II since individuals do not experience an episode of mania
True or False: DMDD is a new diagnosis in DSM 5 to help early diagnosis of bipolar in children
True
What are some assessments for Bipolar?
Mood Disorder Questionnaire, Composite International Diagnostic Interview and the Structured Clinical interview
What are acute Interventions for Bipolar
Pharmacotherapy
Client Safety
Family Engagement
What are the phases of treatment in Bipolar
Acute, Stabilization and Maintenance
