BIPOLAR DISORDER Insert name of instructor, title, and contact information

What is Bipolar Disorder A brain disorder that causes unusual shifts in mood, energy, activity levels and can interfere with the ability to carry out day-to-day tasks.

Types of Bipolar Disorder Bipolar I Disorder Manic or mixed episodes that last seven days, or by symptoms that are so severe the person needs immediate hospital care. Usually, depressive episodes occur as well. Bipolar II Disorder A pattern of depressive episodes and hypomanic episodes, but no full blown manic or mixed episodes.

Types of Bipolar Disorder (cont.) Unspecified Bipolar Disorder diagnosed when symptoms of the illness exist but do not meet the diagnostic criteria for either bipolar I or II symptoms are clearly out of a person’s normal rage of behavior Cyclothymic Disorder can be thought of as a mild form of bipolar disorder live at least half their lives in either very good mood or very bad mood which can cause distress but is not as severe as bipolar I, bipolar II, or major depression

Symptoms of Bipolar Disorder Increased energy or over activity Elevated, expansive, or extremely irritable mood (mood lasts for days, not hours) Can be easily irritated or angered Lack of inhibitions Hypersexual Excessive involvement in destructive behaviors Grandiose thinking and delusions Need for less sleep Rapid thinking

Risk Factors For Bipolar Disorder Genetic family history is strongest and most consistent risk factor Environmental risk factors, common triggers for episodes: bipolar disorder is more seen more in divorced and separated people than single people drug or alcohol abuse bipolar is more prevalent in countries with higher incomes as opposed to lower income countries Co-occurring conditions anxiety disorders, eating disorders, ADHD, other health problems

Treatments For Bipolar Disorder Prescribed Medications Mood stabilizers such as: Lithium, Lamictal (for bipolar depression), Tegretol, Zyprexa, and Depakote

Treatments For Bipolar Disorder Prescribed Medications Antipsychotics such as : Risperidone, Olanzapine, Quetiapine, and Asenapine

Treatments For Bipolar Disorder Prescribed Medications Antidepressants (generally used simultaneously with mood stabilizers), such as: Trazodone, Zoloft, Paxil, and Wellbutrin

Treatments For Bipolar Disorder Therapy Cognitive Behavioral Therapy: Patient learns to change harmful or negative thoughts and behaviors. Psychoeducation: Patient is educated on living with bipolar disorder and how it is treated so that they can recognize warning signs of an episode so that they can get help.

Treatments For Bipolar Disorder Family Focused Therapy Patient and family members learn how to cope with and recognize signs an impending episode so that they can help work through together Interpersonal and social rhythm therapy Patient learns to manage relationships and day to day living hoping to “normalize” their daily routine also striving for a strong sleep schedule helps protect against manic episodes

In Conclusion Safety First!!! Use the information you have gained to try and de-escalate the situation and build rapport but consider all risk factors Remember that someone living with bipolar disorder often lives with the stigma of mental illness and officers should use the above information to help break that cycle Connecting someone to resources may change that persons life and reduce future contacts with police

Questions? Instructors contact information here