Buddy King is a 28-year-old man, who has recently been encouraged to take steps to see a psychiatrist. Based off the DSM-5 he is diagnosed with bipolar I disorder. The section “Case Formulation Using the Integrative Model” discusses both biological and other factors contributing to the development of bipolar disorder. Diathesis refers to the biological vulnerability to develop a bipolar disorder. From research conducted thus far, there has been no conclusive evidence tying any one genetic or biological marker to bipolar disorder. From the research, bipolar disorder is attributed to an overactive neurological response to stressful life events. In the case of Buddy, his family has a long history of depression and potential bipolar disorder, and he also grew up in what was, to him, a stressful environment. Each of these factors could be classified as a component to developing bipolar disorder. One reasoning that researchers believe there is a biological component to bipolar disorder is based off findings found in research with twins. In the case of monozygotic twins, if one twin has bipolar disorder, the other has a 80% chance of the other twin having a mood disorder or bipolar disorder. In the case of dizygotic twins, if one twin has bipolar disorder, the other twin had a 16% percent chance of having a mood disorder. Another reasoning behind the idea of bipolar having a biological component is the relationship between bipolar disorder and sleep. People with bipolar disorder, and their children, are more sensitive to light at night, affecting their melatonin. Melatonin controls the biological clock, telling the body when it is time to sleep. Spells of insomnia can trigger manic episodes. These findings can determine a potential relationship between bipolar disorder and the disruption of circadian rhythm. When looking at non-biological factors, stressful life events have a strong relationship to the development of mood disorders. Stress causes the human body to release stress hormones, which affect the neurotransmitter systems. If the neurotransmitters stay activated, structural and chemical changes can occur in the brain. However, there has been no conclusive evidence supporting this from the research
(Müller-Oerlinghausen, Berghöfer & Bauer, 2002). More importantly, It should be noted that controversy has arisen over the exact reasons individuals suffer from bipolar disorder, where it still remains somewhat unclear (Leahy, 2007). Although ambiguous, researchers have established that bipolar disorder results from a multifaceted interaction of genetic and environmental factors (Demjaha, MacCabe & Murray, 2011) in sum, several things are said to be correlated with origin and maintenance of Bipolar disorder. This literature review will examine the biopsychosocial model approach. Examining biological, environmental and psychological under pinning’s in the diagnoses and classification of mental illness.
There is no known specific pathophysiology that is associated with Bipolar spectrum disorder, nonetheless, it’s thought that this disorder arises from many areas such as, genetic, physiological, environmental, epigenetics and psychosocial
Although everybody reacts emotionally to environmental factors to a certain extent, people who have bipolar disorder “can develop extreme moodiness in reaction to events in their environment.” (Miklowitz, 2010, p. 74). Furthermore, according to Miklowitz (2010), scientists still do not completely understand the importance environmental influences and stress, but
As the child grows up, bipolar disorder may affect the size, shape, and function of the brain. Experts believe bipolar disorder is partly caused when brain chemicals called neurotransmitters are unbalanced. Humans have three chemicals in their brain called noradrenaline, serotonin, and dopamine. Noradrenaline and serotonin have been known to link to psychiatric mood disorders such as depression and bipolar disorder. Dopamine has to do with the pleasure system of the brain. Disruption to the dopamine system is connected to psychosis and schizophrenia, two mental disorders characterized by distortions in reality and illogical thought patterns and behaviors.
Bipolar disorder is primarily a biological disorder that occurs in a specific area of the brain and is due to the dysfunction of certain neurotransmitters, or chemical messengers, in the brain. These chemicals may involve neurotransmitters like norepinephrine, serotonin and probably many others. As a biological disorder, it may lie dormant and be activated on its own or it may be triggered by external factors such as psychological stress and social circumstances. And even though the exact cause of bipolar disorder is unknown there are a few factors that seems to be involved in causing and triggering bipolar episodes.
Currently effecting between 2-4% of the overall population and as one of the leading causes of homelessness, suicide, and hospitalization, bipolar disorder is yet, still one of the most perplexing, as well as the most misunderstood mental disorders out there. With this particular disorder, the complexity arises given one’s predisposition, diversity, and non-specific range of hazards for said disorder; thusly, making a cure, or at best, prevention, difficult, if not impossible, if not for appropriate early intervention. Bipolar not only puts a strain on the economic condition of our country, but on the individual, as well as society as a whole; given, its propensity to bring about financial difficulties, employment difficulties, and poor self-esteem and this is simply three examples, out of quite possible a largely finite numeral of disparities realized within the afflicted, as well as the overall populace. Nothing left of what we deem normal will be left untainted, and with limited governmental funding and a lack of knowledge, mankind’s naïve, uncaring nature will only bring about less than desirable responses to treatment, medicinally or otherwise; given, the disorder is far more difficult to treat later in life. With the proximal factors of which occur within one 's own environment, such as acute
Bipolar Disorder is a serious mental illness. Individuals with this disorder experience common emotions that become intense and often unpredictable. Individuals with bipolar disorder are known to quickly switch from extremes of happiness, displaying energy and clarity, to sadness, feeling fatigue and confusion. All people with bipolar disorder have manic episodes; irritable moods that abnormally elevate and last at least a week and that cause damaging functioning. Although they all face mood swings, not all individuals with this disorder become depressed. The shifts in their moods can be devastating and traumatic. With the extremity of them, individuals may choose suicide to stop them all together (Kazdin, A. 2000).
Bipolar disorder, according to the National Institute of Mental Health (NIMH), is “a brain disorder that causes unusual shifts in mood, energy, and activity levels,” and
Because Bipolar Disorder is a mood disorder, the causes are unknown. (Bipolar Disorder) Even though they don’t know the root of the illness, doctors have found reasons that could have contribution. One of these would be genetics and its most common with people who have relatives that have already been diagnosed with Bipolar Disorder. Also, after research doctors have discovered that patients with bipolar disorder seem to have physical deviations with their brains. Another factor could be a chemical imbalance with neurotransmitters. They also have discovered that stress, alcohol, and drugs could also initiate the first manic episode. (Mayo Clinic)
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.
Causes of bipolar disorder are not clearly defined. There are possible genetic connections to the disorder. Probable occurrence of and excessive calcium buildup in the cells and also dopamine and other neurochemical transmitter seemed to be implicated in bipolar disorder.
Where and how bipolar disorder is caused is still a bit of a mystery. Some information is known but nothing concrete, and a lot of dead ends. Genetic predisposition is one possible cause for bipolar disorder. The disease usually can be seen throughout a family tree of an affected individual. Twin studies have been conducted to see if there is a higher chance of identical twins, who have the same genetic make up, both getting the disease. These have shown that there is an increased likely hood of one twin to have bipolar disorder if the other has it, but it is not a certainty. The gene for bipolarity has mainly been traced to chromosome 18 as well as some others. It is uncertain which is responsible because it has been found in some cases that chromosome 18 is unaffected in bipolar patients. It is most likely that bipolar disorder is linked