1. Bi
BIPOLAR DISORDER
F.31.
Petra Jurina

2. Definition = manic-depressive illness
bi- means two; pol/o means extreme
- brain disorder that causes unusual shifts in a person’s moods, energy and ability to function
- symptoms are severe
- cycles last days, weeks, months
- first manic or depressive episode usually
in adolescence

3. Classification
Bipolar I - classic manic-depressive - most severe - at least one manic or mixed episode Bipolar II - episodes of hypomania and severe depression - at least one hypomanic and one major depressive episode Cyclothymia /cyclothymic disorder – hypomania and mild depression - highs and downs aren’t so severe

4. Etiology no single cause
- heredity - 2/3 of bipolar patients have family history of mental disorders
- biological differences - abnormal levels of certain chemicals (dopamine)
- enviromental factors - stress, abuse, significant loss or other traumatic experiences

5. Risk factors
- having blood relatives (parent, sibling) with bipolar disorder - periods of high stress - drug or alcohol abuse - major life changes (death of a loved one) - being between 15 and 30 years old

6. Symptoms Mania Depression - euphoria - inflated self-esteem
- decreased need for sleep
excessive talkativeness
grandiosity
distractability
- pursuit of risky behaviors
or activities
- increased sociability
Depression
- loss of interest in activities
previously enjoyed
changes in appetite
(weight gain/loss )
- changes in sleep patterns
(difficulty sleeping /oversleeping)
- agitation
loss of energy
trouble concentrating, thinking
- repeated thoughts of suicide,death

7. Symptoms

8. Diagnosis medical history physical exam lab tests (blood & urine)
- pshycological examination
- mood charting

9. Treatment hospitalization (suicidal behaviour/
detached from reality, psychotic)
- initial treatment
- continued treatment
- substance abuse treatment

10. Treatment - medications - lithium
- anticonvulsans lamotrigine, valproate
- antidepressants - tricyclics, MAO inhibitors
- antipsychotics - olanzapine, risperidone
- benzodiazepines
- psychotherapy - cognitive behavioral therapy
- education
- family therapy
- group therapy and other
- Electroconvulsive Therapy (ECT)

11. Edgar Allen Poe
Honors de Balzac
Mark Twain
Virginia Woolf
Winston Churchill
Theodore Roosevelt
Robin Williams
Vincent Van Gogh
Jim Carey
Jean-Claude Van Damme
Robert Downey Jr.
Isaac Newton
Ozzy Osbourne
Florence Nightingale
Jim Morrison
Hans Christian Anderson
Ludwig van Beethoven
Ben Stiller

12. Reference