BIPOLAR MANIA

SKILL 3 BLOK PERILAKU DAN PSIKIATRI

 DEFINITION
A common, severe, and persistent mental illness.
Bipolar disorder is characterized by periods of
deep, prolonged, and profound depression that
alternate with periods of an excessively elevated or
irritable mood known as mania.
ETIOLOGY - PATHOPHYSIOLOGY
• Genetic
• Biochemical
• Neurophysiological
• Environment
• pharmacological
CLASSIFICATION

BIPOLAR
DISORDER

MANIA HIPOMANIA
SIGN – SYMPTOMPS (DIAGNOSIS)
• Depressed mood
• Markedly diminished pleasure or interest in nearly all activities
• Significant weight loss or gain or significant loss or increase in appetite
• Hypersomnia or insomnia
• Psychomotor retardation or agitation
• Loss of energy or fatigue
• Feelings of worthlessness or excessive guilt
• Decreased concentration ability or marked indecisiveness
• Preoccupation with death or suicide
 Benzodiazepines

Antimanic agents

PHARMACOLOGY Anticonvulsants

THERAPHY Antipsychotics

Dopamine agonists

Psychotherapy
NON-
PHARMACOLOGHY
Electroconvulsive
therapy
 PROGNOSIS
Factors suggesting a worse prognosis include the Factors suggesting a better prognosis include the
following: following:
• Poor job history • Length of manic phases (short duration)
• Substance abuse • Late age of onset
• Psychotic features • Few thoughts of suicide
• Depressive features between periods of mania • Few psychotic symptoms
and depression
• Few medical problems
• Evidence of depression
• Male sex
• Pattern of depression-mania-euthymia