bipolar and related disorders dsm-v psychology. 2 1.bipolar divided into three categories: –...
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Bipolar and Related DisordersDSM-V
Psychology
2
1. Bipolar
• Divided into three categories:– Bipolar I– Bipolar II– Cyclothymia (mild form of
Bipolar)
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Bipolar Disorder
• A mood disorder involving high and low moods. Experience the swings b/w the ups of Mania and the downs of Major Depression.
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B.D.
• Manic episode occurs and then an episode of major depression.
• Manic: euphoric, energetic, talkative,
• Spend large amounts of money, etc.
• Typically, the person in the midst of a manic episode does not recognize what is happening to himself.
• Manic episodes can also include FLIGHT OF IDEAS
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Prevalence
• Onset of B.D. typically occurs in late teens or early 20s.
• Typically, B.D. tends to recur every couple of years.
• Genetic linked associated with bipolar cases.
• Professor Markus Nothen of the University of Bonn, Germany, explains, “There is no one gene that has a significant effect on the development of bipolar disorder. Many different genes are evidently involved and these genes work together with environmental factors in a complex way.”
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Evidence for Genetic Link (no need to copy)
• “ADCY2″ on chromosome five• “MIR2113-POU3F2″ on
chromosome six• “ANK3″ • “ODZ4″ • “TRANK1″
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Treatment for Bipolar
• 1. Mood StabilizersEx: Lithium
• 2. Atypical Antipsychotics• Originally disgned for
schizophrenia/psychotic disorders• More expensive drugs• Greater relief of symptoms• Greater side effects• Examples: Abilify
» Risperdel» Seroquel» Cloazril
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Treatment continues
• Side effects of Atypical Antipsychotics:– Signficant weight gain
• Risk factor for Type II Diabetes– Drownsiness
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Third treatment option
• 3. Psychotherapy and Self – Help Strategies
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2. Bipolar with Manic features
• Mood disorder involving extreme agitation, restlessness, rapid speech, and trouble concentrating.
• A Speech problem is the most notable part of this disorder.
(during an episode)
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Another important specifier for Bipolar with manic episodes• “Anxious Distress”: persons
exhibiting anxiety symptoms beyond the diagnostic criteria for a mood episode.– Tension or feeling wound up– Restlessness– Inability to concentrate– Feeling dread– Fear of losing control
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Speech problem
• Flight of Ideas: a confused state in which thoughts and speech go in all directions with no unifying concept.
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Example of Behavior for Mania Disorder
• They can get so excited that they begin to have delusions.
• Ex. Special powers or great influence.