Bipolar And Related Disorders Are Separated From The Depressive Disorders Essay

Bipolar disorder is a mood disorder known for severe persistent mood instabilities between mania and depression, . It causes unusual changes in mood, energy, and activity levels which makes ability to perform daily tasks very hard. (Concepts Advisory Panel [CAP], 2015). BPD affects more than 2.3 million adult Americans, or 1% of the population. (Guo, Patel, Li, & Keck 2010). There are four basic types of bipolar spectrum; All of them involve clear change in the mood energy, and activity levels (CAP,2015). These mood incidences’ ranges from periods of extremely high and energized behavior known as Manic episodes to very sad, or hopeless periods known as depressive episodes. Bipolar I disorder, the client has at least one episode of manic followed by major depression. Bipolar II disorder, the client has one or more hypomanic and major depressive episodes, the other not so severe and less diagnoses type of Bipolar is chronic mood disorder that lasts more two years with combination of hypomania and dysthymia. (CAP,2015). This paper will go into, Bipolar I, Manic episodes, the pathophysiology, Sign and symptoms, treatments, comorbidity, nursing intervention and nursing and patient therapeutic relationship.

Approximately 0.5-1 percent of Americans will develop bipolar II disorder in their lifetime, worldwide the prevalence is 0.4 percent (Rosenberg & Kosslyn, 2011). Bipolar disorder is one of the main causes of disability, because of its cognitive and functional impairment, the high rate of medical and psychiatric comorbidity, and the relevant suicide risk (Dell 'Osso, et al., 2016). Bipolar II disorder is one of the two most commonly diagnosed subtypes of Bipolar disorder, which are distinguished by the amount of burden the depression causes, the number, frequency, duration, and severity of the depressive episodes, and the occurrence of specific sub threshold episodes (Dell 'Osso, et al., 2016). Although bipolar II disorder diagnosis are on the rise we lack extensive research on the features and treatments of this disorder (Datto, Pottorf, Feeley, Laporte, & Liss, 2016). Bipolar II disorder is now recognized in the latest Diagnostic and Statistical Manual of Mental Disorders (DSM-5) under a new chapter dedicated specifically to bipolar disorders. Which proves that bipolar disorders are their own set of disorders in terms of symptomatology, family history, and genetics (Möller, et al., 2014). This allows an enhancement in the accuracy of diagnosis, which in turn leads to earlier treatment. In the DSM-5 it states that bipolar II disorder can lead to effects such as disability, comorbidity, mortality, and an impact on the quality of life (Datto, Pottorf,

People with bipolar I disorder have full manic and major depressive episodes. Most of them experience an alternation of the episodes; for example, weeks of mania may be followed by a period of wellness, followed, in turn, by an episode of depression. Some, however, have mixed episodes, in which they display both manic and depressive symptoms within the same episode—for example, having racing thoughts amidst feelings of extreme sadness. In bipolar II disorder, hypomanic—that is, mildy manic—episodes alternate with major depressive episodes over the course of time. When a person experiences numerous periods of hypomanic symptoms and mild depressive symptoms, but not full-blown episodes, DSM-5 assigns a diagnosis of cyclothymic disorder. The symptoms of this milder form of bipolar disorder continue for two or more years, interrupted occasionally by normal moods that may last for only days or weeks.

Despite the similarities, there are more common symptoms in bipolar depression than it is in regular depression. For example, bipolar depression has individuals feeling guilty, hopeless, sad, empty, unpredictable mood swings, and feelings of restlessness. People with bipolar depression also tend to move very slow, gain weight, and sleep a lot (Hatchett). On the other hand the hypomania state has led observers to feel that bipolar patients are "addicted" to their mania. Paranoia or irritable characteristics begin to manifest in this stage. Hyperactive behavior can sometimes lead to violence and speech becomes very rapid (Hirschfeld, 1995). A mixed episode is when you have both manic and depressive symptoms at the same time. According to Hirschfield, “Those afflicted are a special risk because there is a combination of hopelessness, agitation, and anxiety that makes them feel like they,” “could jump out of their skin” (Hirschfeld, 1995). Up to 50% of all patients with mania have a mixture of depressed moods. This episode is considered very dangerous because individuals feel as if they could commit suicide.

Bipolar disorder most commonly develops in a person’s early adult or late teen years. According to the article, What Is Bipolar Disorder, at least half of all bipolar cases start before a person reaches the young age of twenty-five. There are four main types of bipolar: Bipolar 1 Disorder, Bipolar 2 Disorder, Bipolar Disorder Not Otherwise Specified, and then there is Cyclothymic Disorder. Bipolar 1 Disorder is easily defined by manic or mixed episodes occurring at a minimum of seven days and then depressive episodes which can last about two weeks. Sometimes the episodes can be so severe that the person may need to be hospitalized. Bipolar 2 Disorder is described as a pattern of hypomanic and depressive behavior episodes without the full blown manic episodes. Bipolar Disorder Not Otherwise Specified, also known as BP-NOS, is used as a diagnosis when a person displays symptoms of the illness but does not fit the criteria for a diagnosis of Bipolar 1 or Bipolar 2. Now the Cyclothymia Disorder is a very mild form of Bipolar. There are hypomania and mild depressive episodes for a minimum of two

The terms ‘manic–depressive illness’ and ‘bipolar disorder’ are comparatively recent, and date back from the 1950s and 1980s respectively. The term ‘bipolar disorder’ (or ‘bipolar affective disorder’) is thought to be less stigmatizing than the older term ‘manic–depressive illness’, and so the former has largely superseded the latter. However, some psychiatrists and some people with bipolar disorder still prefer the term ‘manic–depressive illness’ because they feel that it reflects thenature of the disorder more accurately.

Bipolar Disorder The aspect of bipolar disorder has been a mystery since the 16th century. It was rumored that Vincent Van Gough suffered from bipolar disorder. There is a large group of people suffering from this disorder, however there are no causes or cures for it. Bipolar disorder impairs one’s ability to obtain and sustain social and occupational success. The journey for even a cause will continue for many years to come.

Bipolar disorder is characterized by unusual and sudden changes in mood, energy, activity levels affecting the ability to perform everyday tasks, impacting negatively relationships, professional life and often leading to suicide. Bipolar disorder usually show signs in adolescence or early adulthood and is a long term condition that must be appropriately treated in order to improve the life quality of the patient. Often people suffering from bipolar disorder also suffer addiction to drugs and alcohol and one of the reasons is that people with bipolar disorder sometimes try to self treat their symptoms with alcohol and drugs, which make bipolar symptoms worse. The causes of bipolar disorder are unknown, however most scientist agree that a

Bipolar disorder, also known as, "manic-depressive illness," is a brain disorder that results in unusual shifts in a person's mood, energy, and ability to function. More than two million American adults (or, about one per cent of the population aged eighteen and older in any given year) are afflicted by this affective disorder (1). Yet, because it cannot be revealed by a blood test or other physiological means, patients may suffer for years before it is properly diagnosed and treated. Fortunately, once one is diagnosed with bipolar disorder, the acute symptoms of the disease can be effectively mitigated by lithium and certain anticonvulsant drugs, the most popular being Depakote (also known as

Client reported that he is currently attending to a psychiatric session once a month due to his bipolar disorder and that it is very helpful for him. He also stated that was prescribe Seroquel 30 mg once a day for the bipolar disorder, Luvox 30 mg for anxiety and depression once a day as well and one B12 for energy. He has been taking Seroquel and Luvox for more that tree yeas since he was diagnose with bipolar disorder and the B12 since he had the bypass surgery.

Bipolar Disorder or manic-depressive disorder is a disorder characterized by highs, manias, and lows, depressions, and can therefore be easily distinguished from unipolar depression, a major depressive disorder in DSM-5, by the presence of manic or hypomanic episodes (Miklowitz & Gitlin, 2014). Bipolar disorder is generally an episodic, lifelong illness with a variable course (American Psychiatric Association, 2010). There are two classifications of bipolar disorder; bipolar I disorder and bipolar II disorder. If the episodes are primarily manic but there has been at least one depressive episode, the diagnosis is bipolar I disorder (Early, 2009). If the episodes are primarily depressed but there has been at least one episode of hypomania, increased mood that is more euphoric than normal but not quite manic, the diagnosis is bipolar II disorder (Early, 2009).

Bipolar disorder is diagnosed as a psychological mood disorder. Genetic factors and social environment are both believed to be the possible causes in developing the disorder. The average age of onset is 25 years old, however, symptoms can first start appearing in the late teen years and into the young adult years, however 75% of first episodes occur between 12 and 30 years old. Bipolar disorder affects 2.6 percent of American adults. Children who have an immediate family member such as a sibling or a parent with the disorder will have a higher risk of acquiring the disorder. In addition, adults who suffered emotional abuse in childhood also have an increased risk. (Glynn Ph.D., Kangas & Pickett, Ph.D., 2014; O 'Connell, 2016; Troubled childhood may boost bipolar risk: Study, 2016).

some form of depression (NIMH, 2001). Bipolar disorder is a mental illness involving one or

Bipolar Disorder is one of many depressive disorders which affect the way your brain functions. Depressive disorders are very common in fact, about 1 out of 7 people are diagnosed with a depressive disorder each year. So chances are that you know someone that has it whether it is a family member, friend, or coworker. Bipolar disorder goes by many different names, but they are all the same disorder. Some of these include: manic depressive-disorder, bipolar mood disorder, and bipolar affective disorder.