Bipolar Disorder 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.

Bipolar disorder otherwise known as, manic-depression illness of the brain that causes two different types of bipolar. According to which disorder, each has the opposite effects both includes; extreme mood swings highs and lows. Symptoms for Bipolar I or rather Manic Bipolar, are little need for sleep, constantly hyper, too talkative, and mind races. Other times one diagnosed with this disorder may feel extremely sad, empty, worthless, and unsure of one’s self. Bipolar disorder II, known as depressant bipolar, the person may feel an unbearable

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,

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,

And episodes are noticeably stronger, especially when depressed. For people who have bipolar and are feeling down many symptoms are similar to those that are depressed and every thought is consumed in sadness; they have feelings of worthlessness, excessive guilt, fatigue, inability to concentrate, abnormal weight gain or weight loss, insomnia or abnormally oversleeping and they may even have thoughts of suicide. When flipped to the other side maniac displaced feelings of extreme energy, restlessness and irritability they 're overly confident themselves talking fast and erratic. They have high energy and excess need for activity you need much less sleepy early, 3 hours would be more than enough. They have no self-control and spend money recklessly and they 're easily irritated when things don 't go their way. People with bipolar will display different abnormal mood changes on various intervals, for example they could be depressed for 3 to 4 months and return to their normal selves for a few months and maniac for a couple of months and then back to their normal self again. It 's not necessarily that the occurrence of both moods will take place one after the other it could be depressed normal depressed again normal again and then manic or manic first and then depressed after that. Bipolar disorder can affect anyone of any gender, age or profession, but it is most commonly found in 16 to

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

The common symptoms for a manic depressive episode consist of elated, expansive, irritable or hyperactive mood. Their speech becomes hard to understand, they have ideas racing through their head, they have incredibly high self esteem, they rarely feel tired and they are often involved in activities that could possibly harm them. “Rarest symptoms were periods of loss of all interest and retardation or agitation” (Weisman, 1991). As the National Depressive and Manic Depressive Association (MDMDA) has demonstrated, bipolar disorder can participate in developmental delays, marital and family problems, loss of jobs and an inability to keep a steady income.

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.

During a manic episode a person can experience psychotic symptoms such as hallucinations, delusions, confusion and paranoia which will require immediate medical attention and treatment.

Because of this, there are two main types of bipolar disorder, bipolar I disorder and bipolar II disorder. Bipolar I disorder is the most common type out of the two disorders. As it states in the textbook Abnormal Psychology: Clinical and Scientific Perspectives (2014), the main difference between the two disorders is that bipolar I has the occurrence of a manic episode throughout the course of the disorder. A manic episode can be described as the person be very talkative at a fast pace, easily distracted, reckless behavior and lack of self control, little need for sleep, and elated. A person with bipolar I disorder can have a lack of self-control which can lead to a very dangerous sex life by engaging in unprotected sexual activity with multiple partners, or even obtaining a drug addiction. On the other end of the spectrum, there are occurrences of depressed episodes that are experienced by people with both bipolar I disorder and bipolar II disorder. Depressed episodes can be characterized by the person being in a bad mood or experiencing sadness daily. Feeling fatigued, having difficulty concentrating, not remembering things easily, and eating problems can stem from depressed episodes. Individuals may also experience a sense of hopelessness that can potentially lead to the attempt or even carrying out suicide. Hypomanic episodes are also experienced by individuals with both bipolar I disorder and bipolar II disorder. These

A manic episode is characterized by an abnormality of mood that is euphoric, expansive, and elevated or irritable with increased energy, along with signs and symptoms such as inflated self-esteem or grandiosity, decreased need for sleep. Pressure of speech or being extremely talkative, racing thoughts or flight of ideas, distractibility, an increase in goal-directed behavior, agitation, poor judgment and impulsive decision making are more signs and symptoms of a manic episode. A manic episode can result in unwise and potentially dangerous behavior. Destructive behaviors can often occur with spending money, sexual

Bipolar disorder is defined as a mood disorder that causes drastic emotional changes and mood swings. These mood swings can range from manic highs, to depressive lows. It is also characterized by severe changes in mood. Bipolar