INTRODUCTION 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). CAUSES There are no medically diagnosed causes of bipolar disorder and it is suggested that there is no single trigger or cause to this illness but a collaboration of comorbid factors that lead or cause the effect of bipolar depression. Also research has shown that this illness tends to run in families with the genes either from one or both parents. Also abnormal stress like physical illness or money problems may cause an episode (Manning,2015; NIMH, 2016; dmh.mo.gov). SINGS AND SYMTOMS Comorbid and bipolar depression progression in first episode symptoms could be passed through the inflammatory processes, oxidative stress, apoptosis, and genetic susceptibility in the neurologic, cardiovascular, autoimmune, and other systems. Symptoms during the manic phase
“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.
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.
The symptoms of bipolar disorder are numerous and vary depending on the individual, as well as the specific type of the disorder. The generalized
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
Hormonal imbalances are also believed to be a trigger for bipolar disorder, as well as traumatic stress, such as the death of a loved one, rape, moving, or losing your job, home, and possessions.
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 many potential causes: There does not appear to be one cause for bipolar disorder. Evidence suggests that many components may come into play, all of which affect the chemical balance of certain parts of the brain. Several studies on the occurrence of bipolar disorder in families demonstrate a genetic disposition toward the illness. Other factors may include extremely traumatic life events, chronic illness, alcoholism, and drug abuse.
According to the National Institute of Mental Health, more than two-thirds of people with this illness have at least one relative with the same illness or with unipolar major depression. It is safe to say that Bipolar disorder is very possibly hereditary. Bipolar disorder does not discriminate. It is found in both men and women of all ages and is found in people of all races, ethnic groups, and social classes. Young adults seem to be most at risk for developing this disorder. Signs and symptoms tend to first appear between the ages of 15 and 24 and will persist throughout the individuals lifetime. It is not usually seen in children or adults over the age of 65. There is no way to prevent the onset of Bipolar
Bipolar disorder, also known as manic depressive disorder, is defined as “a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks” (1). According to the Depression and Bipolar Support Alliance, this disorder affects approximately 5.7 million people age 18 and older in the United States annually (2). There are a few different categories of this disorder including Bipolar I Disorder, Bipolar II Disorder, and Cyclothymic
Bipolar disorder, otherwise known as manic-depressive disorder, is a severe psychological condition of rapid alterations of a contrasting momentary conscious state of mind. Conditions of this particular illness range in severity from an extreme high (Bipolar 1 or Mania) or to a dangerously low (Bipolar 2 or Depression). In addition, it is also common for an individual diagnosed with the illness to experience psychiatric indications of misconceptions. Onset traits of bipolar become present within young adulthood, generally within the age of 20, after an individual has endured recurring alterations for an abnormally extended time. BP is categorized into four types and the disorder has been linked to enhanced
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)