CLP 3140 Lecture Notes - Lecture 14: Bipolar Ii Disorder, Bipolar I Disorder, Bipolar Disorder

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8 Feb 2017
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Bipolar Disorders
- Symptoms of mania
o People in a state of mania typically experience dramatic and
inappropriate rises in mood and activity
- Five main areas of functioning may be affected
o Emotional symptoms
o Motivational symptoms
o Behavioral symptoms
o Cognitive symptoms
o Physical symptoms
Diagnosing Bipolar Disorders
- Kinds of bipolar disorders (DSM-5)
o BIPOLAR I DISORDER
o BIPOLAR II DISORDER
- Symptoms
o MANIC EPISODE
o HYPOMANIC EPISODE
o CYCLOTHYMIC DISORDER
- Recurrence
o RAPID CYCLING
- Prevalence and onset
What Causes Bipolar Disorders?
- Research insights into cause come from a variety of sources
o Neurotransmitters
o Ion activity
o Brain structure
o Genetic factors
Treatments for Bipolar Disorder
- Until the latter part of the twentieth century
o Psychotherapists reported almost no success
o Antidepressant drugs were of limited help and sometimes triggered
manic episodes
- In 1970
o Use of LITHIUM was approved; followed by introduction of mood
stabilizing drugs
Treatments for Bipolar Disorder: Lithium and Other Mood Stabilizers
- Significant body of research to the effectiveness of lithium and other mood
stabilizers in treating manic episodes
o Provides improvements for 60 percent of patients with mania
o Contributes fewer new episodes while patient is on the drug
o Aids in overcoming depressive episodes to a lesser degree
- Researchers do not fully understand how mood stabilizing drugs operate
Treatments for Bipolar Disorder: Adjunctive Psychotherapy
- Psychotherapy alone is rarely helpful for persons with bipolar disorder
- Mood stabilizing drugs alone are also not always effective
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