HLTHAGE 1CC3 Lecture Notes - Lecture 3: Psychomotor Agitation, Bipolar Disorder, Mood Disorder
10 Jan 2017
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Department
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Professor
Psychotic disorder vs. Bipolar/Mood Disorder
Genetic link seems to be high
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Still common to have ‘misdiagnoses’
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Many types of schizophrenias and Bipolar Disorder
ex. cancer- lung cancer, pancreatic.
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“I am Invincible” - Manic symptom or delusional?
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Mood Disorder Lingo:
Mood is sustained and long term (days, weeks, months)
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Emotion (short term- responsive)
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Affect
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Episode: Period of time where they are dominated by certain behaviours
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Mood has a ‘halo effect’
Surrounds a person and shapes perspectives
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Bipolar Disorder
Cycling between Mania and Depressive episodes
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Mania- ‘Highest of High’ Mood
Unrealistic belief in your capabilities
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Creativity
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Talkativeness, Flirtatious.
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Flighty thoughts/Distractibility
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Decreased need for sleep, or food
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Irritability
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Psychomotor agitation
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Higher goal-oriented behaviour, new projects
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Excessive involvement in pleasurable activities (with high potential for painful consequences)
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Crash.
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Bipolar I- Full mania, possible psychosis
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Bipolar II- Hypomania- “Super-functional- half mania”
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Bipolar Disorder diagnoses has increased x4.
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Society fetishizes mentally ill art-
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Some with mental illness do extraordinary things BUT not everyone has achieved greatness
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Social Phenomenon
How society perceives them
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Cancer:
heroic, fighter, battle, struggle
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Schizophrenia- “schizophrenic” can be damaging due to negative connotation- dehumanizing, infantilizing
crazy, psycho, violent, unreasonable, stay away
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Bipolar Disorder
romanticized idea of extreme happy and sad, crazy
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“INSANITY” is a social construct- experience is a social role
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Stress
Life event- environmental factor that triggers illness
New jobs, schedule changes (Bipolar Disorder)
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Does stress affect the physical structure of the brain, cortisol levels kill neutrons
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Genetic Predisposition (Bio-Psycho-Social)
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Treatment
Separate treatment options
Schizophrenia- Before anti-psychotic ECT, or Insulin Coma therapy (unethical… was rarely effective. Malaria fever .
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Chlorpromazine- Positive symptoms-positive effects and Poor side effects: tar dive dyskinesia
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Peer Support, Housing, Non-Pharma
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Mood stabilizers, anticonvulsant for Bipolar disorder
Nauseating
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Impaired coordination
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Disruptive Mood Disregulation Disorder (DMDD)
“Tantrum disorder” 0 children 6-18 years.
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Irritable, angry outbursts disproportionate to situation
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Oppositional Defiant Disorder II, angry, disobedient, hostile toward authority beyond ‘normal’ patriotic behaviour
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Medicalizing disorders, especially kids, 40x Bipolar Disorder, 3x ADHD, 20x autism
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Do no harm to children
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Office Hours: Wednesday 3:30-6pm
Monday, Sept. 19
Bipolar/Mood+Disorders+&+Psychotic+Disorders
Document Summary
Many types of schizophrenias and bipolar disorder ex. cancer- lung cancer, pancreatic. Mood is sustained and long term (days, weeks, months) Episode: period of time where they are dominated by certain behaviours. Excessive involvement in pleasurable activities (with high potential for painfu. Some with mental illness do extraordinary things but not everyone has achieved g ainful consequences) ved greatness. Some with mental illness do extraordinary things but not everyone has achieved g. Schizophrenia- schizophrenic can be damaging due to negative connotation- dehuman crazy, psycho, violent, unreasonable, stay away. Bipolar disorder romanticized idea of extreme happy and sad, crazy. Insanity is a social construct- experience is a social role. Does stress affect the physical structure of the brain, cortisol levels kill neutro. Schizophrenia- before anti-psychotic ect, or insulin coma therapy (unethica. Chlorpromazine- positive symptoms-positive effects and poor side effects: ta. Oppositional defiant disorder ii, angry, disobedient, hostile toward authority beyon. Medicalizing disorders, especially kids, 40x bipolar disorder, 3x adhd, 20x autism.
