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2007 - Bipolar Disorders
2007 - Bipolar Disorders
By
M. Zubair Khan
Lecturer Kmu
DEFINITION
Bipolar, manic
Bipolar, depressed
Bipolar, mixed
Cyclothymia
BIPOLAR DISORDERS
Types (cont)
Bipolar I- Mania alternating with
depression.
Psychological Influences
– Highly expressed emotions
– Childhood experiences
Assessment- Hypomania
Talks and jokes incessantly, “life of the party”
demands constant attention.
Treats everyone with familiarity; often crude.
Sexual talk often inappropriate and obscene,
proposes to strangers.
Talk is fresh; flits from topic to topic.
Full of pep and humor; euphoria and sociability.
Inflated self-confidence and enthusiasm. Many
plans to become rich and famous.
Poor judgment; involved with schemes in which
job, financial, or marriage is destroyed.
High degree of involvement with the rich and
famous; world-wide phone calls.
Assessment- Hypomania (cont.)
Decreased attention span, overactive.
Busily preoccupied with grandiose plans (not delusions)
goes from one action to the next.
Increase sexual appetite; sexually irresponsible and
indiscreet, illegitimate pregnancies, increased incidences
of venereal disease. Sex used for escape not for relating.
Voracious appetite, gobbles food, eats on the run.
May go without sleeping, unaware of fatigue.
Financially extravagant, buying sprees, gives money and
gifts freely. Goes into debt easily.
Wears extravagant often inappropriate clothes and
jewelry.
Assessment- Mania
Labile moods
Inappropriate and intrusive behavior.
Speech profane and crude sexual remarks.
Flight of ideas; may have clang associations.
Good humor turns into rage and hostility specially
when not getting his way, or controls are set. Quick
shifts in moods, hostile to docility.
Grandiose delusions.
Judgment extremely poor.
Decreased attention span and distractibility
intensify.
Assessment- Mania (cont.)
Restless, disorganized and chaotic. Behavior
difficult to control, frequent outbursts and briefly
assaultive when crossed.
Too busy for sex.
No time to eat or sleep. Too distracted and
disorganized.
Severe hyperactive and restless. Can result in
exhaustion and death.
Same as hypomanic with finances but extreme.
Assessment- Depressed
Nature of illness
– Causes of bipolar disorder
– Cyclic nature of the illness
– Symptoms of depression
– Symptoms of mania
Client/Family Education
(cont.)
Support services
– Crisis hotline
– Support groups
– Individual psychotherapy
– Legal/financial assistance