If assessments showed that Meredith had a substance use disorder and depressive or bipolar disorder, the first treatment strategy would be to find a substance abuse treatment center that treated co-occurring disorders. Assisting Meredith in becoming sober first, will aid in clearing her mind to better support therapy for her mental health disorder.
To treat the depressive or bipolar disorder, a therapy containing components from Cognitive Behavioral Therapy (CBT), psychoeducation, Family-Focused, and Interpersonal-Rhythms Therapy would be done. A therapy that educates the patient on their illness and medications, addresses relapses and skills of how to identify and deal with it; includes family at every possible level; and focuses on regular
There are some treatments for bipolar disorder. The main treatments are medications and psychotherapy. The types of medication used to treat the disorder are antidepressants, atypical antipsychotics, and mood stabilizers (NIMH, 2015). Some other treatments that are helpful in dealing with the symptoms of bipolar disorder are sleeping medications, herbal supplements, and electroconvulsive therapy (NIMH,
Bipolar I is identified by the length and severity of the manic and depressive episodes. The manic episodes must last for at least seven days or they must be so severe that a person requires immediate hospitalization. The depressive episodes last around two weeks. These episodes, both manic and depressive, must be an extreme, major alteration from the person’s normal behavior. An effective treatment plan for bipolar I includes medication and psychotherapy. The medication helps with stabilizing a person’s mood and the psychotherapy is for the prevention of relapse and the reduction of symptom severity. Many people with bipolar I take combination medicine treatment. The treatment includes a mood stabilizer; sometimes an anticonvulsant other times a non anticonvulsant, and an antidepressant, to help reduce depression episodes. Doctors prescribe both an anticonvulsant and an
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.
Thankfully, there are various treatments and therapies, which can help manage bipolar disorder in an individual. Since all patents are different, experimenting with multiple treatments is always a good idea, to help figure out what will work best for them. Medication is a main and most popular route, including mood stabilizers, antipsychotics, and antidepressants (“National Institute of Mental Health”). Unfortunately, medications can have their downsides and often getting the patient to regularly take their medication is one of the biggest challenges. Another option for the patient to consider is psychotherapy. This includes different kinds of verbal therapy such as cognitive and behavioral therapy (“Bipolar Disorder”). Therapy is not only helpful for the affected person but also can help the family cope. Lifestyle changes such as healthier lifestyle, organized schedule, and the limitation of alcohol and drug consumption, can contribute to managing this disorder. Overall though, this disorder affects everyone differently, and the patent needs to consult a doctor and psychiatrist to figure out what will help them handle their symptoms the most
• Cognitive behavioral therapy in bipolar disorder: Based on the thought that what we imagine influences our outlooks and
According to Thomas Wheaton the author of “Bipolar Disorder: Agony and the Ecstasy”, having Bipolar disorder is a medical condition which in tales an extra amount of strength and hard work. Bipolar disorder is dealing with the ups and downs of depression and mania all at once. Bipolar disorder can be broken down into three types. First, Bipolar 1, Second, Bipolar 2, Third, Cyclothymic disorder. Bipolar disorder affects over five million people. These three types of Bipolar disorders are found in the DSM4 reference manual. Dealing with bipolar disorder, a person must endure a great deal of medication which can also have side effects. To help cope with these a person can do the following; see a therapist and a psychiatrist. However, to a person
Currently the best treatment for bipolar disorder is a combination of medical medicine along with therapy and counseling. The medicines used to treat bipolar disorder are grouped together in three categories: Anticonvulsants, Antidepressants, and Antipsychotics. Each medicine is prescribed to the patient according to the symptoms the individual is experiencing. Each bipolar disorder case is different and it is important to diagnose the patient properly in terms of medicine and counseling for better recovery results from the
Bipolar disorder is a mental disease that causes a rapid shift in mood, usually between mania and depression. The manic episode of bipolar disorder usually results in an abnormally large dosage of energy. During manic depression, an individual may go on an unnecessary shopping spree or even quit their job. Mania is usually followed by an episode of depression, which could lead to suicide if not properly treated. Bipolar disorder is usually treated through medication. Medication for bipolar disorder usually includes a mood stabilizer, such as Lithium, with an anti-psychotic drug, such as Zyprexa (Bipolar Disorder, n.d.). While medicine is the more popular remedy for leveling the mood of a bipolar disorder patient, meditation has also been
There are three kinds of drugs to decrease the symptoms of depression MAO inhibitors, tricyclic and SSRIs. Clinicians use what “maintenance therapy” where the patient are on the drugs for around five months after depression symptoms go away (Comer, 2014). For substance abuse treatment, for example, the methadone program works for many people. Looking for behavioral therapist to help with different approaches to help depressed client connect pleasure and happiness to creating activities to personally reward themselves and not keep people at a distance anymore. Psychodynamic treatments has the same procedures for depressed clients as they would with others. The free interpretation of individual’s information obtained through therapy as basis for free association. The use of cognitive therapy helps depressed individuals to practice various behavioral techniques. The sociocultural view shows that interpersonal psychotherapy is important in all areas such role transition, couples therapy and other life changing events in which need treatment. In substance abuse, learning to become a productive member of society changes addiction and recovery happens. Bipolar treatment includes mood stabilizers, like lithium, the drugs shape synaptic activity in the brain. In any mood or substance disorder, those who are suicidal may need to be in a treatment center for observation. Teaching learning
In life people go through experiences that cause their moods to change for the better or for the worse. The purpose of this paper is to discuss the operational definition of bipolar disorder, identify the additional specifiers, comorbidity, prevalence and discuss the cost of treating the disorder. Also, a detailed explanation will be provided about the population most impacted by the selected disorder and evidence-based approaches to assessing the disorder will be presented. In addition, evidence-based treatment approaches to address the disorder will be displayed. Last, a summary will be shared by relating an intervention from the evidence-based treatment approach to each of the themes of School of Social Work Advocacy, Empowerment and transformation.
There are not nearly as many treatments for bipolar disorder. In fact, there is only one treatment that seems to have lasting effects. This treatment uses therapy with a professional coupled with medications. “Antibipolar drugs, also called mood stabilizers, help steady the mood of those with a bipolar disorder” (Chapter 2, 2009). The advances in treatment are due to the discovery of lithium as a medication. This drug works extremely well to eliminate manic episodes and even help with the depression. The drugs
CBT has shown to be as useful as antidepressant medication for individuals with depression and is superior in preventing relapse. Clients receiving CBT for all depression disorders are encouraged to schedule activities in order to increase the amount of pleasure they experience. In addition, depressed patients learn how to restructure negative thought patterns in order to interpret their environment in a less biased way. CBT for Bipolar Disorder and the high-risk depressed client is used as an adjunct to medication treatment and focuses on psychoeducation about the disorder and understanding cues and triggers for relapse. The client will have more reason to gain more confidence in them. Studies indicate