Client has never experienced a full manic episode Cyclothymic disorder 2 years

Client has never experienced a full manic episode

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Client has never experienced a full manic episode Cyclothymic disorder 2 years chronic mood disturbance, never without symptom more than two months Numerous episodes of elevated mood that do not meet the criteria for hypomanic episode and numerous episodes of depressed.
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Substance/medication induced Bipolar disorder Ingestion or withdrawal from drug abuse or meds Elevated, expansive, irritable mood, inflated self esteem, decrease need for sleep distractibility Alcohol Cocaine Sedatives Hypnotics anxiolytics Anesthetics Analgesics Anticholinergics Anticonvulsants Antihypertensives Antiparkinsonian Antiulcer Cardiac meds Oral contraceptives Psychotropic meds Muscle relaxants Steroids sulfonamides Bipolar 2 Symptoms or hx of depression HYPOMANIA Has not experienced a full manic episode Most current episode is hypomanic, depression, or mixed If current syndrome is a major depressive episode psychotic or catatonic features may be noted Predisposing factors Chemical imbalance in the brain, Heredity factors Twin studies have proven this with monzygotic twins /dizygotic having less of a probability Environmental triggers (stressful life events)
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Biochemical influenc Defiency in norepinephrine Defiency in DOPAMINE Mania= excess of norepinephrine and dopamine Serotonin remains low in both mania/ depressed state Developmental in childhood and adolence Hard to diagnose in this stage Guide line
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