Acute Manic Episode in Depressed Adult Female Cementing Diagnosis of Bipolar Disorder I in the Presence of an Arachnoid Cyst
Preceptor: Dr. Olga Abduakhadov, MD
Bayonne Medical Center
Psychiatric Rotation
1/5/15 – 1/30/15
Marie Pereira
KCOM OMS III
January 20, 2015 ABSTRACT
Bipolar disorder is a mood disorder that is characterized by episodes of mania, hypomania, or major depression [1]. It affects approximately 5.7 million adult Americans, or about 2.6% of the U.S. population over 18 yearly. The median age of onset for bipolar disorder is 25 years old though individuals can be diagnosed in early childhood or as late as fifty. The incidence of Bipolar disorder is equal between men and women though women undergo cycles of balanced mood, mania, hypomania, and depression three times as frequently as men [2]. This disorder is suspected to have a genetic component as more than 66% of individuals diagnosed have at least one close relative with the illness or with unipolar major depression [3]. There are two subtypes of Bipolar disorder. Patients diagnosed with Bipolar I experience manic episodes and nearly always experience major depressive and hypomanic episodes. Individuals with Bipolar II disorder have at least one hypomanic episode and one major depressive episode in the absence of manic episodes [1].
Bipolar disorder, like any psychiatric disorder, is a diagnosis of exclusion. For a patient to be diagnosed they must first be medically cleared with blood work and any
“Bipolar disorder, also commonly known as manic depression, is defined as a serious mental illness in which common emotions become intensely and often unpredictably magnified. Individuals with bipolar disorder can quickly alternate from extremes of happiness, energy and clarity to sadness, fatigue and confusion. All people with bipolar disorder have manic episodes abnormally elevated or irritable moods that last at least a week and impair functioning. But not all become depressed ” (American Psychological Association, 2015). Bipolar disorder can vary in each individual. The symptoms fluctuate in pattern, severity and rate of recurrence. Some people are more susceptible to either mania or depression, while others change proportionately between the two types of episodes. Some have frequent mood disruptions, while others live through a few throughout their lifetime.
The symptoms of bipolar disorder are numerous and vary depending on the individual, as well as the specific type of the disorder. The generalized
Bipolar I disorder is defined as ”manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks” (NIMH.org 2015). Symptoms need to last 7 days or have manic symptoms so severe that the person needs
Bipolar Disorder is a brain disorder that is characterized by abnormal changes in mood, energy and activity levels (“National Institute of Mental Health”). Manic-depressive illness is also another name that bipolar disorder is commonly referred to as (“National Institute of Mental Health”). This disorder has four basic types including, bipolar I, bipolar II, cyclothymic, and any other which do not perfectly fit the first three. All four of the types have episodes of extreme highs, manic periods, and extreme lows, depressive periods. Symptoms can range greatly and depend on what type of episode the affected is having. Manic episodes can include, but are not limited to: having extraordinarily high amounts of energy, activity,
Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks (National Institutes of Health, Bipolar Disorder). Bipolar disorder symptoms can result in damaged relationships, poor job or school performance, and even suicide (National Institutes of Health, Bipolar Disorder). Doctors diagnose bipolar disorder using guidelines from the Diagnostic and Statistical Manual of Mental Disorders (DSM); to be diagnosed with bipolar disorder, the symptoms must be a major change from your normal mood or behavior (National Institutes of Health, Bipolar Disorder in Adults). There are four basic types of bipolar disorder: Bipolar I Disorder, Bipolar II Disorder, Bipolar Disorder Not Otherwise Specified (BP-NOS), and Cyclothymic Disorder, or Cyclothymia.
Bipolar disorder also known as manic depression has always been a mystery since the 16th century. History has shown that it can appear in almost everyone. Bipolar disorder causes mood swings in energy, thinking, and other behavior. Having a bipolar disorder can be very disabling (Kapczinski). A study was evaluated and about 1.3% of the U.S population of people suffers from bipolar disorder. Stressors and environmental influences can trigger and cause a person to go through numerous episodes. Bipolar disorder is characterized according to the severity of the stages. According to Kapczinski, there are four different stages that a person with bipolar disorder can experience. The prognosis of a disorder is different in each particular patient
Mental illness has plagued human kind for as long as we have been on this earth. The science of psychology has made great strides in past century. The stigma of being mentally ill has begun to fall away and people are finally starting to get the help that they need to recover. Bipolar disorder is one illness that we have come to more fully understand. Through assistance from a psychiatrist, family and medication a patient with bipolar disorder can enter remission and live a normal life.
Bipolar is a disorder that has a severe impact on everyone that is around the person diagnosed. While the individual may suffer from the disorder the most, others are right there with them. As of yet most scientists tend to agree that there’s no single cause for the bipolar disorder to form in an individual. There are many different types of bipolar and each type has different symptoms.
The symptoms presented by the client are characteristic of Bipolar I disorder with single manic episode. The defining features of this diagnosis are a single manic episode with no history of major depressive episodes. The manic episode is characterized by a distinct and persistent period of abnormal mood that is elevated and expansive that lasts for at least one week. The most prominent features of the manic episode presented by the client include a sense of grandiosity, decreased need for sleep, increased talkativeness, and an increase in behavior that is goal directed. This manic episode has caused disruption in the client's professional life, and the symptoms are not a result of physiological effects from any
Bipolar Disorder is a mental illness in which a person's mood alternates between extreme mania and depression. Bipolar disorder is also called manic-depressive illness. In a related disorder called cyclothymic disorder (sometimes called Bipolar III), a person's mood alternates between mild depression and mild mania. Some people with cyclothymic disorder later develop full-blown bipolar disorder. Rates of bipolar disorder are similar throughout the world. At least fifteen percent of people with bipolar disorder commit suicide. Bipolar disorder is much less common than depression. Many people with bipolar disorder function normally between episodes. Medications known as "mood stabilizers" are usually prescribed by
Bipolar I, also know as manic depression to some, is a mood disorder that affects emotion. The disorder is categorized by a persons erratic mood shift. Bipolar I disorder was given its name because of the emotional episodic mood shifts that a person with the disorder goes through. The mood shifts are categorized by having a depressive low to a manic high. To be diagnosed with Bipolar I disorder the person needs to have at least one manic episode and at least one depressive episode in their life time. Even if the person only has one manic episode and then was in a continuous depressive episode the rest of their life, they will still classify as having Bipolar I disorder since the manic episode is a big decider on the classification of the disorder.
When considering the effects of a bipolar disorder on human life, one will realize that it is no simple disorder. In fact, bipolar disorder is immensely complex and bewildering even through a large amount of research and time has been spent studying it. Although there is a lot of information not known about bipolar disorders, it is important to recognize the current knowledge. Thus, the goal of this paper is to provide an analysis of current knowledge of bipolar disorder, including explaining the effects, causation, and incidence of the disorder.