Medications include mood stabilizers, especially lithium, flaxseed oil, phospholipids, lecithin, antioxidants, folate, amino acids, multivitamins and minerals (Kidd 2004). Psychosocial measures include a change of lifestyle, a change in diet, the inclusion of dietary supplements, cognitive behavior therapy and therapeutic parenting (Kidd).
A plan that can be devised in treating or managing bipolar disorder can include traditional medications for symptoms, the new electroconvulsant therapy resistant cases, and preventive measures (Kidd 2004). The family must be educated on possible relapses through informational pamphlets, videos or their involvement in advocacy groups. Family physicians, psychiatrists and mental health professionals should be involved in the plan. Family members should be informed about and trained to recognize the warning signs of suicide. They should also be taught how to distinguish between the signs of mania and those of depression. Substance abuse should be discouraged or stopped. Even seemingly modest or "innocent" social drinking should be discouraged as well. Guns should be confiscated or removed from the house. The person afflicted with bipolar disorder and his or her family members should be tested for sexually transmitted disease. Spouses should be informed about their legal rights and where they can take refuge in case of violence. If the person with the disorder shows signs of overspending, help should be solicited from the social services entities and banks to prevent undue withdrawals (Kidd).
Overall, the family physician should manage the disorder in cooperation with psychiatrists (Grisworld and...
Bipolar I disorder is an axis 1 clinical disorder in the DSM-IV and is a serious mental illness that can lead to suicidal ideation or action. The history of bipolar disorder research is a long one, and understanding of the disease has deepened considerably over the last several generations. Diagnosis of bipolar disorder 1 is complicated by its resemblance to other mood disorders, mainly major depression but also psychotic disorders
Bipolar Disorder Symptoms Bipolar disorder has been studied for more than a decade after remaining undiagnosed in children and adolescents for many years. Much literature such as that by Pavuluri, Birmaher, and Naylor (2005b), and Kowatch and Debello (2006) is available on diagnostic issues pertaining to paediatric bipolar disorder. In addition, many cases studies have also been published on the topic such as those by DuVaI (2005) and Hamrin and Bailey
In other words, the nurse needs to become the patient's mentor and confidant all at the same time. This requires excellent communication skills and listening skills on the part of the nurse. Applicable Psychological Theory: Cognitive Behavioral Therapy (CBT) The Cognitive Behavioral model is an amalgamation of three major psychology disciplines: behavior therapy, cognitive therapy and social psychology (Cooper & Lesser, 2008). There are a series of steps that need to be
She has also recently experienced a "depressive episode characterized by the presence, while depressed, of two (or more) of the following:" poor appetite, insomnia and hypersomnia, low energy and fatigue, low self-esteem, poor concentration, difficulty making decisions, feelings of hopelessness, and a lack of energy that stood in notable contrast to her agitated, incessant movement and energy during her manic phase. During her manic phase, Katherine showed clear signs of
Sixteen percent of people taking Zyprexa for a year gained more than sixty-six pounds, according to documents obtained for a potential class action suit against the drug's manufacturer (Berenson 2007). The drugs used to treat depression are of limited use in treating the repeating depressive episodes of bipolar illness, both in terms of long-term efficacy and their danger in causing the bipolar sufferer to enter a manic episode, not
[Frank et.al, 2006)] Baethge et.al (2005) examined substance use disorders in patients with first episode BP 1 disorder using 'Structured Clinical Interview for DSM-IV Axis I Disorders' (SCID). The study included a total of 172 patients who were admitted in the McLean hospitals between 1989 and 1996 for clinically diagnosed first lifetime manic/mixed BP 1 episodes. All the 172 subjects underwent follow-up assessment at 6,12 and 24 months respectively. Results
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