1. BIPOLAR DISORDER
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2. 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.

3. 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.

4. 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

5. 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

6. 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

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

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

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

10. 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.

11. 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

12. 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

13. Questions?
Instructors contact information here