Bipolar Disorders And Its Effects On Everyday Life

“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.

and having carefully analyzed the text, I am leaning towards a diagnosis of, major depressive disorder. The observed symptoms, which the protagonist seems to line up with the following symptoms listed in for Major depressive disorder in the DSM-5 checklist provided in the book (Comer, 2014). In the short story, the protagonist has mentioned and expressed with her actions feeling: in a depressed mood for most of the day, Daily diminished interest or pleasure in almost all activates for most of the day, Decrease in daily appetite, experiencing hypersomnia, daily fatigue or loss of energy (Comer, 2014). These things mentioned are symptoms that are categorized as being

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.

A major depressive episode is not a disorder in itself, but rather more of a description or symptoms of part of a disorder most often depressive disorder or bipolar. A person suffering from a major depressive episode must have a depressed mood or a loss of interest in daily activities consistently for a minimum of a two-week time span (Psych Central, 2013). In diagnosing the mood must reflect a change from the person’s normal mood. A person’s daily activities and functions, such as work, social routines and friends, education, family, and relationships must also have been negatively impacted by the change in their mood. A major depressive episode is also identified by presence of five or more of the following symptoms. The patient can show signs of significant weight loss or weight gain even not dieting or trying to lose or gain weight. The patient will also display a change in appetite almost everyday, either with an increase or a decrease in their normal eating habits. The weight change is typically set at an increase or decrease in weight of more than 5% per month. The patient will display a depressed mood almost the entire day and this sadness, emptiness, loneliness, crying, and distant is observed by others or indicted by the patient, is typically

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,

Based on the DSM-V (2013) diagnostic criteria Keisha experiences Persistent Depressive Disorder 300.4 (F34.1), recurrent, moderate, with early onset. The client experiences the following symptoms: depressed mood for most of the day, for more days than not, as indicated by either subjective accounts (e.g., feels sad, worthless and hopeless) or observation by others (e.g. appears sad, cries), for at least one year (she is an adolescent). In addition, while depressed, there is a presence of the following symptoms: the client experiences poor appetite, she is eating one or two meals per day and lost ten pounds in one year. Keisha also experiences hypersomnia nearly every day by sleeping twelve or more hours per night. The client reports low energy/fatigue very often, even though she is sleeping well during the night. During the one year period of disturbance, the individual has never been without the symptoms in criteria A and B for more than two months at a time. In addition, the criteria for a major depressive disorder has been continuously present for one year. There has never been a manic episode or a hypomanic episode, and criteria have never been met for cyclothymic disorder. Furthermore, the disturbance is not better explained by a persistent schizoaffective disorder, schizophrenia, delusional disorder, or other specified or

This source gives the readers an in-depth overview of Bipolar Disorder and the causes of having the mental health issue. There’s a great distinction between the ups and downs people experience and bipolar disorder. Due to the ups and downs teens and children experience, bipolar disorder is hard to diagnose during those early years. The National Center of Biotechnology Information’s research program is run by Senior Investigators, Tenure Track Investigators, Staff Scientists, and Postdoctoral Fellows which makes the source credible. The source contained

After looking at all the symptoms and emotional set backs it is concluded that Jessica as Major Depression Disorder. I came to this diagnosis because of her emotional and physical changes. Jessica is no longer excited about life. She is withdrawn from all the things that she used to be interested. Her whole disposition has changed she feels worthless, like life has little to offer her or she just can not make the cut feeling sad and moody most of the time. The only difficulties with coming to this conclusion is she may also have a alcohol and substance abuse problem, but by her late activity of staying in bed and not wanting to be involved with anyone but herself she as also withdrawn from drinking and partying.

Rationale: Jennifer has been presenting with symptoms for unspecified amount of time. Jennifer meets six of the criteria for symptoms being present during the same 2-week period and represents a change from previous functioning. Jennifer is depressed most of the day, nearly every day, has diminished interest in all or almost all activities most of the days, nearly every day, has fatigue or loss of energy nearly every day, feelings of worthlessness, and diminished ability to think or concentrate, is having recurrent thoughts of death, recurrent suicidal ideation without a specific plan. The symptoms have cause clinically significant distress or impairment in social, occupational, and other functioning areas. There is no know substance or medical condition and occurrence is not better explained by Schizophrenia Spectrum or Psychotic Disorders. Jennifer has never had a manic episode or a hypomanic episode. Possible family history of depression - mother.

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).

296.32 (F33.1) Major Depressive Disorder, recurrent episode, moderate severity, with anxious distress. Ms. Client meets eight of the nine diagnostic criteria for Major Depressive Disorder (MDD). Specifically, during several periods of time she experienced depressed mood, diminished interest in things she enjoyed to do, hypersomnia, psychomotor agitation, fatigue, feelings of worthlessness, decreased concentration, and suicidal thoughts without intent. Additionally, as Ms. Client expressed, these symptoms are source of continuing distress and interfere with her academics and social functioning. Also, her symptoms started four years prior to the psychological assessment and persisted intermittently since then, lasting for several weeks to several months, with the most recent period of extended length (enduring two weeks) approximately one year ago. Since the last episode she has experienced these symptoms for two to three days at a time. Although the last episode that met the criterion of two weeks duration occurred approximately a year ago, the symptoms have not disappeared, but they occur periodically since then and when they do, they cause considerable distress and impairment in functioning. Thus, the disorder cannot be coded as ‘in partial or full remission’. The specifier ‘with anxious distress’ was given, because Ms. Client reports feelings of difficulty in concentration because of worry and restlessness.

Bipolar disorder is a mental disorder characterized by an alternating or shift in moods of elevation and depression. It is also known as manic depression. This mental illness is that brings severe high and low moods, it can cause changes in sleep, energy, thinking, and behavior. “Bi” which means two or alternating between two, explains the two common episodic moods that occur in individuals with this disorder; mania and depression. According to the DSM there are multiple forms of bipolar disorder, coming in four major forms; bipolar I, bipolar II, bipolar disorder and Cyclothymia. Bipolar II which is a “major depressive episodes alternate with hypomanic episodes rather than full manic episodes.”(Barlow et al., 2014). Individual with bipolar I are similar, “except the individual experiences a full manic episode.” (Barlow et al., 2014). Lastly Cyclothymia is just a mild form of bipolar disorder. Mania episodes take into account the high elevated moods; where an individual’s is extremely energetic, excited, may partake in usually activities, for example excessive spending, promiscuity or dangerous behavior. On the other hand, there are depressive episodes, which are mark by similar symptoms as the common disorder of depression, such as extreme sadness, lack of motivation, constant fatigue and irritable. More prevalent in women, although it can occur in children and older adults, this disorder is seen to suddenly develop in ages ranging from 18 to 24. Although similar men and

Before I truly understood Bipolar disorder, it was still a fairly common word in my vocabulary. Anytime I thought someone was being moody or fluctuating between emotions, I joked by claiming that person to be bipolar. Several incidents of this involved one of my roommates who seemed to be happy one day, and quite the polar opposite the next. However, it was not until my clinical experience on the psychiatric unit that I realized what true bipolar disorder was, and that she did not fit the criteria. Even though I always thought my roommate was bipolar, I quickly found after being exposed to a diagnosed bipolar patient that my roommate was instead just moody. I decided to write this paper on bipolar disorder, not because I have struggle with it or know a friend or family member with this disease, but because I had several misconceptions about what it entailed.

People of all ages, backgrounds, and walks of life have felt depressed and unhappy at some time in their lives. These periods of sadness usually pass after a short time, but for some people, this feeling can remain for weeks, months, and even years. (1) This prolonged state of unhappiness is called major (or clinical) depression and is characterized by a persistent sad or "empty" mood, loss of interest in favorite activities, difficulty concentrating, and many other symptoms. It is not simply a mental state but an illness that interferes with the way people feel, function, and think.(2)

There is no indication she has had a manic or hypomanic episode. Her depression may be complicated by grief due to her father’s death one year ago. Her symptoms seem to get worse after his passing.