Bipolar episode

Question 1

Definition

Answer 1

a. Fluctuations in mood with alternating episodes of mania and depression

b. Three types
i. Bipolar disorder I: intermittent manic and major depressive episodes

ii. Bipolar disorder II: intermittent hypomanic and major depressive episodes with no occurrence of manic episodes

iii. Cyclothymia

Question 2

Impact on function

Answer 2

• Suicidal thinking or behaviors that affect social relationships
• Intense emotional states that affect performance in school
• Episodes of drastic changes in mood and behaviors that affect relationships with others

Question 3

OT Tx plan

Answer 3

• Intervention must be geared toward pervasiveness and persistence of functional deficits.
• Self-esteem and self-concept are likely to be damaged by the chronic nature of the disorder.
  The practitioner helps clients identify strengths and weaknesses and likes and dislikes through exposure to a wide range of activities.
• Needed skills may have been lost or never acquired. The practitioner uses educational approaches, social skills training, and cognitive–behavioral approaches.

1. Improve self-esteem and increase motivation.
2. Provide opportunities for self-expression.
3. Provide outlets for different emotions.
4. Provide opportunities to focus on values, beliefs, spirituality, and emotional regulation