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Bipolar disorder

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BIPOLAR AFFECTIVE DISORDER/ BIPOLAR MOOD DISORDER

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Bipolar disorder

  1. 1. BIPOLAR DISORDER
  2. 2. BIPOLAR DISORDER Bipolar disorder is characterized by mood swings from profound depression to extreme euphoria(mania) with intervening period of normalcy
  3. 3. DEFINITION • BPAD is characterized by recurrent episodes of mania and depression in the same patient at different times .Typically the patient experiences extreme heights (mania/hypomania) alternating with extreme lows (depression), Interspersed between the heights and lows are the periods of normal mood.
  4. 4. CLASSIFICATION • F31.0- BPAD, current episode mania • F31.1- BPAD, current episode mania without psychotic symptoms • 31.2- BPAD, current episode mania with psychotic symptoms • F31.3- BPAD, current episode mild or moderate depression • F31.4- BPAD, current episode severe depression without psychotic symptoms • F31.5- BPAD, current episode severe depression with psychotic symptoms • F31.6- BPAD, current episode mixed.
  5. 5. ETIOLOGY • Etiology of Bipolar depression – Biological theories • Genetics • Biochemical influences • Neuro endocrine disturbances • Physiological influences
  6. 6. Etiology of Bipolar depression • Psychosocial theories – Psychoanalytic Theory – Behavioral theory – Sociological theory – Cognitive theory
  7. 7. ETIOLOGY OF BIPOLAR MANIA • Biological theories • Psychosocial theories
  8. 8. BIPOLAR DISORDER MIXED • symptom presentation includes rapidly alternating moods - sadness , irritability , euphoria, accompanied by symptoms associated with depression and mania. • This disturbance is severe enough to cause marked impairment in social and occupational functioning .Require hospitalization • Psychotic features present .
  9. 9. BIPOLAR 1 DISORDER • Manic and depressive episodes
  10. 10. BIPOLAR 2 DISORDER • Hypo manic and depressed
  11. 11. CYCLOTHYMIC DISORDER • Characterized by short periods of mild depression alternating with short periods of hypomania; between the manic and depressive episode there will be brief periods of normal mood occur. • Manic and depressive episode is short and less severe than those in bipolar 1 and bipolar 2 disorder.
  12. 12. CLINICAL FEATURES • BIPOLAR MANIA Elevated mood : 4 stages Expansive mood: unceasing and unselective Irritable mood Psychomotor activity Speech and thought Attention
  13. 13. CLINICAL FEATURES • BIPOLAR DEPRESSION – DEPRESSED MOOD – DEPRESSIVE COGNITIONS • Hopelessness • Helplessness • Worthlessness • Unreasonable guilty feeling • Self blame
  14. 14. BIPOLAR DEPRESSION • SUICIDAL THOUGHTS: • PSYCHOMOTOR ACTIVITY: – Psychomotor retardation – Thinks, walks and acts slowly – Monotonous – Delay in answering questions
  15. 15. BIPOLAR DEPRESSION • Somatic symptoms – Significant decrease in appetite or weight – Early morning awakening – Pervasive lack of interest and lack of reactivity to pleasurable stimuli – Posture is stooped – Reddened eyes from crying – Persons look 10 years older than their chronological age. – Constipation and anorexia – dry mouth, headache, sleep disturbance, fatigue and lowered libido
  16. 16. DIAGNOSIS • ICD 10 diagnostic criteria • Based on signs and symptoms
  17. 17. COURSE OF ILLNESS • Average manic episode lasts for 3-4 months and a depressive episode lasts for 4-9 months.
  18. 18. TREATMENT
  19. 19. NURSING MANAGEMENT
  20. 20. ASSESSMENT
  21. 21. NURSING DIAGNOSIS • DEPRESSIVE EPISODE
  22. 22. • MANIC EPISODE
  23. 23. THANK YOU
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BIPOLAR AFFECTIVE DISORDER/ BIPOLAR MOOD DISORDER

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