Bipolar Flashcards
(12 cards)
Mania
an observable alteration in mood
elevated, flight of ideas, rapid speech, hyperfixated, distractible
Mania
SX
inflated self esteem
decrease sleep
talkative
flight ideas
distracted
intense goal-directed activity
Hypomania
Euphoric, change for person/observable, not severe enough for hospitalization
NO PSYCHOSIS
Bipolar
mood swing from profound depression to extreme euphoria
Bipolar -
Bipolar I
full syndrome of manic symptoms
Psychosis possible
Alternate with depression
CM - Anxiety / Suicide
Bipolar -
Bipolar II
major depression with hypomania
never full manic episode
CM - anxiety, substance use
Bipolar -
Cyclothymic Disoder
hypomania with mild-depression
CM - substance use, sleep dx
Bipolar -
Genetic risk factors
HEREDITARY IMPLICATIONS
Bipolar -
Biochemical risk factors
Excess Norepi/dopamine
Low serotonin
Bipolar -
Brain Structure
grey matter loss
(prefrontal, hippo, amy)
neuroendocrine
(hypothalamic, thyroid)
Bipolar-
For psychotherapy to be effective the patient…
needs to be stabilized with meds first!
Bipolar-
Nursing interventions: Mania
maintain safety of client and others
calm attitude
monitor behavior
DISTRACTION
