Ch 13 Bipolar Disorders

Question 1

What are the 3 classifications of bipolar

Answer 1

Bipolar 1- has at least 1 episode of mania alternating with depression
Bipolar 2- has 1 or more hypomanic episodes alternating with major depression
Cyclothymia- has at least 2 yrs of repeated hypomanic manifestations that do not meet the criteria for hypomanic episodes alternating with minor depressive episodes

Question 2

What comorbidities are assoc with bipolar

Answer 2

The client who has substance use disorder tends to experience more rapid cycling
Anxiety disorders
Eating disorders
ADHD

Question 3

What are meds for bipolar

Answer 3

MOOD STABILIZERS such as lithium carbonate
ANTICONVULSANTSthat act as mood stabilizers such as valproic acid ( depakote), clonazepam ( klonopin), lamotrigine ( lamictal), gabapentin ( neurontin) and topiramate ( topax)
BENZOs such as lorazepam ( Ativan) used on a short term basis for sleep impairment R/T mania.

Question 4

What behaviors are shown with bipolar disorder

Answer 4

Mania- abnormally elevated mood, expansive, irritable , requires hospitalization
Hypomania- less severe than mania that lasts at least 4 days accompanied by 3-4 findings of mania, less impaired
Mixed episode- manic episode and a episode of major depression
experienced simultaneously
Rapid cycling- 4 pr more episodes of acute mania within 1 yr