NURS 1000G Lecture Notes - Lecture 7: Cognitive Behavioral Therapy, Bipolar Disorder, Suicidal Ideation
Bipolar Disorder
Also alled ai-depressive illess.
Mental illness marked by alternating periods of elation and depression.
Typically consists of 3 states
- Mania (highs)
o Continuous happiness, euphoria, disruptive and aggressive behaviour
o Marked by poor judgment and impulsivity, exaggerated self-esteem, racing thoughts, less need
for sleep, and increased talking
o Must be present for at least 1 week
- Depression (lows)
o Depressed mood, loss of interest in activities, insomnia/hypersomnia, feelings of
worthlessness or guilt, suicidal ideation
o Must be present for at least 2 weeks
- Well state: the person is functional and feels normal
Other signs include psychotic symptoms such as hearing voices, losing touch with reality, and experiencing
catatonic movements.
1-2% of adults are diagnosed with bipolar disorder. Affects both men and women equally.
Causes of bipolar disorder are unknown. However there seems to be a strong hereditary correlation. An
imbalance in neurotransmitters also is related to bipolar disorder. Stress or difficult events may trigger
episodes in persons who have bipolar disorder.
Treatments consist of psychotherapies and pharmacotherapies, usually in combination. The goal of treatment
is to get signs and symptoms under control and to reduce the chances of relapse. Treatment is life-long.
Medications:
- Mood stabilizers (Lithobid)
- Antipsychotics (Risperidone, Olanzapine)
- Antidepressants
- Antianxiety (Benzodiazepines)
Psychotherapies:
- Cognitive behavioral therapy (helps identify triggers, replace negative thoughts with positivity)
- Psychoeducation (counseling on the disorder)
- Interpersonal and social rhythm therapy (stabilization of daily rhythms like sleep, eating, activities; a
consistent routine allows for better mood management
Other treatments:
- ECT (eletrial urrets passed through the rai, used espeially if perso a’t take or is
unresponsive to antidepressants)
- Transcranial magnetic stimulation (5 times a week for 6 weeks)
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Mental illness marked by alternating periods of elation and depression. Mania (highs: continuous happiness, euphoria, disruptive and aggressive behaviour, marked by poor judgment and impulsivity, exaggerated self-esteem, racing thoughts, less need for sleep, and increased talking, must be present for at least 1 week. Depression (lows: depressed mood, loss of interest in activities, insomnia/hypersomnia, feelings of worthlessness or guilt, suicidal ideation, must be present for at least 2 weeks. Well state: the person is functional and feels normal. Other signs include psychotic symptoms such as hearing voices, losing touch with reality, and experiencing catatonic movements. 1-2% of adults are diagnosed with bipolar disorder. However there seems to be a strong hereditary correlation. An imbalance in neurotransmitters also is related to bipolar disorder. Stress or difficult events may trigger episodes in persons who have bipolar disorder. Treatments consist of psychotherapies and pharmacotherapies, usually in combination.
