Bipolar+Manic+Lecture-student.pptx - Bipolar Disorder Manic Episode Pathophysiology Review A manic episode is part of psychiatric disorder called

Bipolar+Manic+Lecture-student.pptx - Bipolar Disorder Manic...

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Bipolar Disorder Manic Episode
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Pathophysiology Review A manic episode is part of psychiatric disorder called Bipolar Disorder or per the DSM* - Bipolar Spectrum Disorders (BSDs) Bipolar Disorder can have acute episodes of: Mania – elevated, expansive or irritable mood accompanied by changes in activity and energy Hypomania – lesser manic symptoms Major depression - clinical depressive symptoms Mixed – concurrent symptoms of both mania and clinical depression Acute symptoms come in cycles with periods of “euthymia” or a stable “normal” mood
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Pathophysiology Review
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Pathophysiology Review Genetic factor, and neuroendocrine and neurobiological changes are associated with the development of bipolar disorder Neurotransmitters dopamine, norepinephrine and glutamate, serotonin and GABA are also disrupted.
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Primary Concept Mood and Affect: (Giddens, pp. 317) Mood – the way a person feels Affect – observable response to one’s feelings Mood and affect are conceptualized as being on a spectrum from one end (low mood or depression) to the opposite end (mania)
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Primary Concept Secondary concepts Psychosis – syndrome of neurocognitive symptoms that impairs cognitive capacity leading to deficits of perception, functioning and social relatedness (Giddens, pp 348) Loss of contact with reality Clinical Judgment Patient Education
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Priority Focused Assessments Mental Status Exam* (MSE) Appearance/Behavior/Motor behavior unusual dress, hyperactive or “busy” behavior excessive engagement in pleasurable activities (like excessive buying, sexual acting out) Speech rapid and “pressured speech” (speech that is hard to interrupt) Mood/Affect feeling “on top of the world” or be angry and irritable mood can be “labile” (changes rapidly)
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Priority Focused Assessments Mental Status Exam* (MSE) Thought process “flight of ideas” (jumps from subject to subject) easily distracted; may report racing thoughts Thought content inflated sense of self grandiose delusions (false beliefs of having extraordinary powers or abilities) other types of delusions (paranoid or jealous)
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Priority Focused Assessments Mental Status Exam* (MSE) Perception hallucinations may be present Insight /judgment Little insight (understanding) of having an illness judgment impaired and can lead to painful consequences impulsive; can act aggressively Cognition ability to concentrate is impaired easily distractible
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Clinical Manifestations Memory Tool: Symptoms of Mania : D I G F A S T D istractibility and easy frustration I rresponsibility and erratic uninhibited behavior G
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