Bipolar (BP) depression is one of the main components of BP I and BP II. Both types of bipolar depression have similar symptoms, including sadness, anxiety, hopelessness, suicidal, tiredness along with issues of sleeping patterns and appetites. Most individuals who suffer from BP I and BP II are treated with pharmacological medications and psychotherapy. Interpersonal and social rhythm therapy (IPSRT) has been one of the several therapeutic approaches that have been used to treat BP depression by utilizing the Social Rhythm Metric-II self-report instrument. In previous studies, IPSRT has expanded the time length of bipolar episodes of depression and mania by focusing on interpersonal stressors, medication adherence and establishing daily routines …show more content…
The study consisted of a group of 31 patients that suffered from BP I and BP II. These individuals received pharmacological medications and were referred by their clinicians. The participants were engaged with IPSRT-G in a two week format that consisted of two 60 minute of individual sessions, six 60 minute IPSRT-G sessions, followed by a twelve week follow-up telephone call. The study was designed to measure the participants’ change in mood symptoms, functioning, and medication adherence at baseline, then after 2 weeks (after IPSRT-G) and at 12 weeks (Hoberg et al., 2013). The tools used to screen and measure the effectiveness and satisfaction of the treatment included the Inventory of Depressive Symptomatology-Clinician Rated, Young Mania Rating Scale, Sheehan Disability Scale, Clinical Global Impressions-Bipolar Version and Client Satisfaction Questionnaire. To interpret and compare results, the quantitative data was analyzed with statistical software (z statistic, two tailed) by the researchers (Hoberg et al.,
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,
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 depressive illness is a brain disorder that causes shifts in mood, energy, activity levels, and the ability to carry out everyday task (National Institute of Mental Health, 2016). Every year, 2.9% of the U.S population is diagnosed with bipolar disorder, with nearly 83% of causes being classified as severe (NAMI). According to Miller, Ghadiali, Larusso, Wahlen, Ani-Barron, Mittal, Greene (2015), bipolar disorder is the leading cause of disability worldwide. Most people that experience this disorder experience highs and lows of the illness. In this paper, various components of bipolar disorder will be discussed. The components include: population dynamics, physical illnesses that accompany the disorder, risk factors and social determinants, treatment, prevention, health promotion, and cultural differences found globally.
Bipolar disorder has been gaining more and more attention over the last few years. With shootings on the rise, or at least the publicity of them, people are often pointing their fingers at mental diseases including bipolar disorder. An ongoing issue regarding mental illnesses, however, is the population has failed to fully understand what they truly are, the symptoms, and how to treat them.
While the precise causes of bipolar disorder are not yet fully understood, we do know that
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
Psychiatric mood disorders of such as Bipolar are often complex to diagnosis. Bipolar I is differentiated from Bipolar II by a history of at least one manic episode in a person’s life, with Bipolar II being diagnosed and characterized by a history of major depression with at least one episode of hypomania (Sadock, Sadock, and Ruiz, 2015). Bipolar is often misdiagnosed as major depression, especially in the presence of a dual diagnosis of substance use disorders. Individuals with Bipolar often have a history of self-medicating their mood symptoms of mania and
When many hear the words Bipolar disorder, they immediately think someone is borderline psycho. Known originally as manic depression, Bipolar Disorder is a mental illness that creates mood swings that affect an individual’s behavior and emotions, which can result in a lot of pain. This disorder has two types: Type I and Type II with both having manic and depressive phases in each. These phases are episodes that have symptoms from one extreme high being mania or an extreme low being depressed. As with any other disorder, there are always threats and risks if one goes undiagnosed or gets misdiagnosed. The biggest risk of having Bipolar disorder is committing suicide.
The severe mood fluctuations of bipolar or manic-depressive disorders have been around since the 16-century and affect little more than 2% of the population in both sexes, all races, and all parts of the world (Harmon 3). Researchers think that the cause is genetic, but it is still unknown. The one fact of which we are painfully aware of is that bipolar disorder severely undermines its' victims ability to obtain and maintain social and occupational success. Because the symptoms of bipolar disorder are so debilitation, it is crucial that we search for possible treatments and cures.
There are many concerns when it comes to the mental health of individuals throughout the world. Mental health problems can manifest in a variety of different ways and range in severity from attention deficits to hallucinations. One of the most severe forms of disorders that can affect an individual is bipolar disorder. Bipolar disorder is a brain disorder that presents a wide variety of different symptoms that affect the ability of an individual to live a complete and satisfied life. By examining the overall prevalence of the ailment, its symptoms, and the forms of treatments available, a more complete understanding of bipolar disease can emerge.
Bipolar Disorder is a serious and complicated mood disorder characterized by abnormal fluctuations between an individual’s high and low moods. Mania, Depression, Hypomania and Mixed Episodes are the predominant moods that can be identified in the different forms of Bipolar Disorder (GlaxoSmithKlein, 2007). The etiology, symptomology, and treatment for each mood and form of Bipolar Disorder vary as well. Moods can be identified by a person’s level of happiness, sadness, outlook on life and how he may physically feel (Mondimore, 2006). Patients struggling with Bipolar Disorder have difficulty regulating the euphoric highs of mania, the “black hole” feelings of depression, the “softer side” of hypomania and the incessant cycling of Mixed
Manic-depressive illness disorder also known as bipolar disorder is a disorder of the brain that makes and abnormal change in moods, energy, activity level and the ability to carry out day to day activity. There are many symptoms of bipolar disorder which can be severe and are not the same as the regular ups and downs that people go through from time to time. It is a potentially deadly multisystem condition complicated by a variety of known comorbid conditions including both psychiatric and physical diagnoses but unfortunately most of these symptoms are undertreated and unrecognized (Manning,2015; NIMH, 2016; dmh.mo.gov).