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Genetics of bipolar disorder Journal of Medical Genetics

Case Studies Bipolar Ii DisorderIt includes all published studies 1 which use the modern concept of bipolar disorder, 2 measure lifetime risk of bipolar disorder in first degree relatives of a. of cases of unipolar depression in the family of a bipolar proband are genetically bipolar, that is, share a common genetic susceptibility.37 Bipolar II disorder has. However, episodes of depression and anxiety robbed him of energy and concentration so that he never reached his full potential. They lived in a typical suburban home and his career was moderately successful. He also had a conflicted relationship with his wife and teenage children because of his sudden outbursts of anger. In the past he was diagnosed with dysthymia and was treated with psychotherapy alone. He continued to experience episodes of severe depression. As a result, the diagnosis was changed to Major Depression. Next


Casey Roberts - A Case Study in Bipolar II Disorder - YouTube

Case Studies Bipolar Ii DisorderSep 25, 2013. This documentary, created by Hieu Do and Marix Escobar, describes and demonstrates how Casey Roberts from "Mad Love" displays symptoms of bipolar II disorder. Although diagnosis of children and teenagers with bipolar disorder includes the same criteria that are used for adults, symptoms in children and teens often have different patterns and may not fit neatly into the diagnostic categories. Also, children who have bipolar disorder are frequently also diagnosed with other mental health conditions such as attention-deficit/hyperactivity disorder (ADHD) or behavior problems, which can make diagnosis more complicated. Referral to a child psychiatrist with experience in bipolar disorder is recommended. Treatment is best guided by a medical doctor who specializes in diagnosing and treating mental health conditions (psychiatrist) who is skilled in treating bipolar and related disorders. Depending on your needs, treatment may include: The primary treatments for bipolar disorder include medications and psychological counseling (psychotherapy) to control symptoms, and also may include education and support groups. You may have a treatment team that also includes a psychologist, social worker and psychiatric nurse. A number of medications are used to treat bipolar disorder. Next


Feeling Amazingly Better 16 year old with Severe Bipolar I Disorder.

Case Studies Bipolar Ii DisorderJul 5, 2017. Home Case Studies Feeling Amazingly Better 16 year old with Severe Bipolar I Disorder. A GeneSight® Psychotropic Case Study. Medication at the time of GeneSight testing lithium carbonate 300 mg tab, 1 QAM and midday, 2 QHS; quetiapine Seroquel® 100 mg 2 tabs BID and 1 tab Q midday;. Accepted for publication 10 July 2017 Published 14 August 2017 Volume 20 Pages 2175—2179 DOI https://doi.org/10.2147/NDT. S142321 Checked for plagiarism Yes Review by Single-blind Peer reviewers approved by Prof. Roumen Kirov Peer reviewer comments 2 Editor who approved publication: Professor Wai Kwong Tang Medical Imaging Department, Shenzhen Hospital of Chinese Medicine, Shenzhen, Guangdong, People’s Republic of China Abstract: Mood disturbances have been documented in cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL). The highly varied morbidity indicates that the affective symptoms in CADASIL have not been cataloged systematically, leading to ineffective treatment, affecting the patients’ quality of life, and possibly resulting in suicide. We present a case of CADASIL with bipolar II disorder as the first manifestation. A middle-aged female reported recurrent depressive episodes and appeared treatment resistant to adequate dosages and durations of antidepressants. Following a structured psychiatric interview and neuropsychological assessment, a past episode of hypomania was identified. Added treatment with sodium valproate alleviated most symptoms. Considering late-onset bipolar disorder with unexplained decline in cognition, a medical history of migraine, and a suspected family history of stroke, further cranial magnetic resonance imaging scan was performed and revealed severe leukoencephalopathy, prompting further investigation. Next


Bipolar Ii Disorder Presentation - SlideShare

Case Studies Bipolar Ii DisorderNov 15, 2009. Bipolar Ii Disorder Presentation. 1. DSM-IV-TR Presentationbr /By Fredi Beckettbr /; 2. Case Studybr /Jenn is a 32 y/o Caucasian female who describes long periods of depression for the last 10 yrs. She has multiple episodes of feeling depressed, with 2 suicide attempts of overdosing on meds. People with bipolar disorder often have cycles of elevated and depressed mood that fit the description of "manic depression." When a person's illness follows this classic pattern, diagnosing bipolar disorder is relatively easy. Symptoms can defy the expected manic-depressive sequence. Infrequent episodes of mild mania or hypomania can go undetected. Depression can overshadow other aspects of the illness. And substance abuse, if present, can cloud the picture. Taken together, these factors make bipolar disorder difficult to diagnose when symptoms are not obvious. A few facts about bipolar disorder you may not know: People with bipolar disorder are frequently misdiagnosed as having only depression. In bipolar II disorder, the milder form, manic episodes are mild and can pass by unnoticed. Time spent with depression symptoms, meanwhile, outnumbers time spent with hypomanic symptoms by about 35 to one in people with bipolar II disorder. Next


Do I Have Bipolar II Disorder? - Bipolar, Bipolar Manic Episode.

Case Studies Bipolar Ii DisorderOct 24, 2010. This is a hypothetical case study that demonstrates some of the difficulties associated with getting an accurate diagnosis of Bipolar II Disorder. Hypothetical Case “A fifty year old man, Mr. George, was referred to a psychiatrist because of chronic depression. For him, this was nothing new because he. Statistics on relapse rates show the difficulty of treating bipolar disorders; patients with stable bipolar disorder relapse into either mania or depression at a rate of 37% after 1 year and 60% after 2 years. Patients who have bipolar disorder can present with manic or depressive episodes, and the initial treatment depends on the presentation. For several decades, lithium or other “mood stabilizer” medications have been the mainstay of treatment for bipolar disorder. Patients taking lithium require regular monitoring to keep a safe and effective level of the drug in the bloodstream; excess lithium causes toxicity. Over the last decade, several other medications in different drug classes have been evaluated in clinical trials and approved by the Food and Drug Administration (FDA). In addition, psychiatrists prescribe many medications “off label” to treat bipolar disorder. provide compelling numbers on the importance of treating bipolar disorder and other mental health disorders over the long term. Over the course of 22 to 38 years, their study followed 406 patients with bipolar disorder. Next


Case report of a patient with bipolar disorder -

Case Studies Bipolar Ii DisorderKey words bipolar disorder – migraines – epilepsy - case report. * * * * *. INTRODUCTION. Bipolar disorder; epilepsy and migraines are three common and broad-spectrum disorders, for which their pathophysiological mechanisms still remain uncertain. Epidemiological studies have shown that these condi- tions often exist. People use the term mood to describe the emotional tones that color their daily lives. Moods are everywhere and ubiquitous; everyone has them. Moods may be happy or sad; energized or sluggish; embodying various combinations of emotional states. Moods consist of feelings as well as the thoughts and judgments that give feelings their meaning. An anxious mood may shift into an excited mood with a simple change of perspective, and a depressed mood may shift into a happier one upon hearing pleasing news. Moods are typically transient things that shift from moment to moment or day to day, but they can be prolonged states as well which color the whole psychic life for long periods of time. While people's moods rise and fall as various life events are experienced, most moods never become that extreme or feel uncontrollable. As depressed as an average person might get, it won't take too much for them to recover and start feeling better. Next


Case Studies Bipolar Ii DisorderBipolar disorder Bipolar disorder, mental disorder characterized by recurrent depression or mania with abrupt or gradual onsets and recoveries. There are several. Bipolar II disorder (BP-II; pronounced "type two bipolar" or "bipolar type two" disorder) is a bipolar spectrum disorder (see also Bipolar disorder) characterized by at least one episode of hypomania and at least one episode of major depression. Hypomania is a sustained state of elevated or irritable mood that is less severe than mania and does not significantly impact quality of life. Unlike mania, hypomania is not associated with psychosis. Patients usually seek help when they are in a depressed state, or when their hypomanic symptoms manifest themselves in unwanted effects, such as high levels of anxiety, or the seemingly inability to focus on tasks. Because many of the symptoms of hypomania are often mistaken for high functioning behavior or simply attributed to personality, patients are typically not aware of their hypomanic symptoms. In addition, many people who suffer from Bipolar II have periods of normal affect. As a result, when patients seek help, they are very often unable to provide their doctor with all the information needed for an accurate assessment; these individuals are often misdiagnosed with unipolar depression. Hypomania is the signature characteristic of Bipolar II disorder. It is a state characterized by euphoria and/or an irritable mood. Next


Incidence rates and risk factors of bipolar disorder in the general.

Case Studies Bipolar Ii DisorderStudies 15–19. Extended details on the database have been reported elsewhere 15. The Scientific and Ethical Advisory Group of the IPCI project approved. Case definition. The primary outcome of interest was bipolar I or. II disorder defined according to DSM-IV criteria. As bipolar I disorder is characterized by the occur-. The condition is divided into bipolar I disorder if there has been at least one manic episode, with or without depressive episodes, and bipolar II disorder if there has been at least one hypomanic episode (but no manic episodes) and one major depressive episode. Other conditions that may present in a similar manner include attention deficit hyperactivity disorder, personality disorders, schizophrenia and substance use disorder as well as a number of medical conditions. Mania is a distinct period of at least one week of elevated or irritable mood, which can range from euphoria to delirium, and those experiencing hypo- or mania may exhibit three or more of the following behaviors: speak in a rapid, uninterruptible manner, short attention span, racing thoughts, increased goal-oriented activities, agitation, or they may exhibit behaviors characterized as impulsive or high-risk, such as hypersexuality or excessive spending. but does not cause a significant decrease in the individual's ability to socialize or work, lacks psychotic features such as delusions or hallucinations, and does not require psychiatric hospitalization. while others are irritable or demonstrate poor judgment. Hypomania may feel good to some persons who experience it, though most people who experience hypomania state that the stress of the experience is very painful. Bipolar people who experience hypomania, however, tend to forget the effects of their actions on those around them. Even when family and friends recognize mood swings, the individual will often deny that anything is wrong. Next


Bipolar Disorder in Children - Hindawi

Case Studies Bipolar Ii DisorderDec 21, 2013. Case studies then began to suggest that bipolar symptoms in children were rare and that, if these symptoms did occur, they generally did not occur until late. Then, based on the mood episodes that were identified, diagnoses of bipolar I disorder, bipolar II disorder, and cyclothymia as well as bipolar. IMPORTANT INFORMATIONBy reading this site, the reader acknowledges their personal responsibility in choices for mental health for themselves and their children, and agrees that the AYCNP or anyone associated with this site, bears no responsibility for one's personal decisions in choices for mental health. Anyone coming off medication should do so gradually rather than abruptly, and under a doctor's supervision. Anyone experiencing thoughts of suicide should seek support. Overcoming Coming Bipolar Disorder Using Self Help Methods was written by the AYCNP, and includes the work of four mental health professionals. It was created to provide both inspiration and practical ways to deal with symptoms of bipolar disorder. Next


CASES; When Bipolar Masquerades as a Happy Face - The New.

Case Studies Bipolar Ii DisorderFeb 17, 2004. Dr Richard A Friedman Cases column explains how family and friends can sometimes miss diagnosis of bipolar disorder as lively or gloomy. Mental Health recognizes bipolar as potentially fatal illness with 10 to 20 percent of patients committing suicide; studies on prevalence of condition in United States. Or they only worked short term, you may have fallen slightly below the radar of your physician or referring psychotherapist, in terms of an accurate diagnosis. In many instances, Bipolar Disorder (formerly referred to as manic-depression) is under-diagnosed or misdiagnosed, and if this happened with you, your treatment was seriously compromised, and antidepressant therapy probably left you feeling disappointed and discouraged. definition of normal, even if every few months (more or less) you can barely make it out of bed for several days or longer. Between these intervals, you may feel fine and be able to socialize and function well in your chosen field of work, but when a depressive cycle hits, it pulls the rug out from under you--and all you of an individual's diagnostic picture, and other critical diagnoses are very frequently overlooked. This disorder may be genetically inherited, and is often attended by other neurological issues like ADD/ADHD--but patients could Borderline personalities engage in acting-out behaviors, such as extreme jealousy, drug/alcohol abuse, desperate attempts to gain attention, lying, self-harm (cutting or burning skin), intense/irrational abandonment concerns, lack of empathy, stalking, rebound relationships, perceptions that rapidly shift from loving, glorifying and idealizing you~ to diminishing, criticizing, and rejecting you (and back again), hypersexuality, 'crazy-making' interactions, histrionics, low self-esteem, poor impulse control, infidelity, selective memory or recall, emotional cut-off, cognitive distortions, suicidal ideation, eating disorders, anxiety or OCD (Obsessive-Compulsive Disorder) traits, emotional blackmail, extra-marital affairs, etc. attended by mood cycles, which can certainly heighten acting-out behaviors. This newfound awareness may help us more readily discern what type of pharmaceutical interventions can lead to favorable outcomes. While this does not imply that BPD problems are exclusively neuro-chemical rather than emotional, we might begin to treat and manage the (or Cyclothymia) is a rapid-cycling mood disorder that can produce numerous high and low mood swings during the course of a day. Next


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Case Studies Bipolar Ii DisorderCase Study Bipolar Disorder Name Institution CASE STUDY BIPOLAR DISORDER 2 Case Study Bipolar Disorder. With the studies presented. Abstract: Mania, an abnormally elevated mood disorder normally found in the context of bipolar or manic-depressive disorder, comes at a high personal cost. Symptoms range from abrupt alertness and grandiose plans to financial excess, delusions, and embarrassing behavior. Manic behavioral patterns lack predictability, rendering treatment only partially successful. Mild forms of mania benefit from lithium, while neuroleptics are faster acting in more severe cases. Electroconvulsive treatment is indicated after routine drug therapy fails. Mania is an abnormal condition of elevated mood which affects about 1% of the population, and which usually occurs in association with episodes of depression to constitute bipolar disorder or manic-depressive illness. Next


Case study of a patient presenting both type II bipolar affective.

Case Studies Bipolar Ii DisorderOct 17, 2016. Case Report. Case study of a patient presenting both type. II bipolar affective disorder and Klinefelter syndrome. H. Delavenne1, J. M. Khoury1, F. Thibaut2 and F. D. Garcia1,3. 1Departamento. Genetic studies have investigated individuals with KS because of their increased risk for schizophrenia van Rijn. Today, I was considering the revelation that Catherine Zeta-Jones, by her own admission, has been diagnosed as having Bipolar Disorder. This term has grown in popularity in the last decade. I had never heard of it until 1998, when a friend told me that her child had been diagnosed with it. Since that time, another acquaintance of mine has expressed concern that she too, may be bipolar. I’ve always wondered what bipolar disorder was and why there seems to be an increase of it in the last ten years or so. Next


Bipolar ii case studies Essay Help xopapergxvf.

Case Studies Bipolar Ii DisorderBipolar ii case studies. But there is one case report a study that just. Case study bipolar disorder general objective to provide knowledge about bipolar in relation to the condition of the client including history, assessment, treatment. Read this essay on bipolar disorder a case study come browse our large digital warehouse. IMPORTANT INFORMATIONBy reading this site, the reader acknowledges their personal responsibility in choices for mental health for themselves and their children, and agrees that the AYCNP or anyone associated with this site, bears no responsibility for one's personal decisions in choices for mental health. Anyone coming off medication should do so gradually rather than abruptly, and under a doctor's supervision. Anyone experiencing thoughts of suicide should seek support. Overcoming Coming Bipolar Disorder Using Self Help Methods was written by the AYCNP, and includes the work of four mental health professionals. It was created to provide both inspiration and practical ways to deal with symptoms of bipolar disorder. It is based on the experiences of those who have succeeded in achieving recovery and remission from Bipolar Disorder I & II, with professional research and references for each of the 33 self-help topics developed. Wellness Recovery Action Plan is authored by Mary Ellen Copeland who provides a personal guide for individuals who are coping with bipolar disorder symptoms. Copeland herself learned from experience how to overcome bipolar disorder. Next


Breaking News Two Major New Studies on Bipolar Disorder in.

Case Studies Bipolar Ii DisorderNov 13, 2011. Cases of major affective disorder in the bipolar offspring group were often preceded by severe behavior problems or severe anxiety disorders. days plus additional symptoms of mania or Bipolar II elevated or irritable mood for four continuous days, plus additional manic symptoms, plus depression. Researchers hypothesized that the structure of the auditory cortex is modified in patients with bipolar disorder and a lifetime history of auditory hallucinations, based on findings from studies in schizophrenia. Next


The Case Study of Susie Bipolar I Disorder ~ Criminology & Justice

Case Studies Bipolar Ii DisorderAug 7, 2011. Bipolar II is usually diagnosed when a person switches back and forth between mildly manic also referred to hypomania and depressive episodes. In the bipolar. Studies show that there is a clear link between genetics and bipolar disorder but have been unable to identify exactly what the abnormality is. Further characterizes hypomania as requiring (a) periods of elevated or irritable mood (mood changes), which must always be present and must last at least 4 days, different from the usual mood; (b) 3 of the following 8 symptoms if mood is elevated, 4 if mood is irritable: inflated self-esteem, decreased need for sleep, more talkativeness, racing thoughts, distractibility, increased goaldirected activity, psychomotor agitation, and excessive involvement in risky activities; (c) change in functioning; (d) observable mood and functioning change; (e) no marked impairment of functioning, no psychotic symptoms; and (f) symptoms must not be caused by substances, drugs (including antidepressants), or medical disorders. This article will focus on 3 issues of current concern: diagnostic criteria for hypomania, diagnosis of mixed depression, and management of mixed depression. A recent series of studies has found that BP II is much more common than the 0.5% community prevalence reported by However, clinical studies in different settings have found a much higher prevalence of BP II among depressed outpatients, reporting an equal number with major depressive disorder (MDD) in a ratio of 1:1. The use of fully structured interviews by lay interviewers, which used yes/no questions and did not provide for clinical evaluation, often led to underdiagnosis of BP II or misdiagnosis of BP II as MDD. The use of semistructured interviews by trained clinicians provides a clearer diagnostic perspective and consequently, a smaller margin of error. Next


Bipolar Depression Patient Case Studies Latuda® lurasidone HCl

Case Studies Bipolar Ii DisorderJane's psychiatric NP uses the Patient Health Questionnaire–9 item PHQ-91 to screen her for depression and the Mood Disorder Questionnaire MDQ2 to screen for a lifetime history of mania. The results of the MDQ point to a history of manic episodes, but more information is required. The psychiatric NP conducts a full. Doctors don't completely understand the causes of bipolar disorder. But they've gained a greater understanding in recent years of the bipolar spectrum, which includes the elated highs of mania to the lows of major depression, along with various mood states between these two extremes. Bipolar disorder seems to often run in families and there appears to be a genetic part to this mood disorder. There is also growing evidence that environment and lifestyle issues have an effect on the disorder's severity. Stressful life events -- or alcohol or drug abuse -- can make bipolar disorder more difficult to treat. Experts believe bipolar disorder is partly caused by an underlying problem with specific brain circuits and the functioning of brain chemicals called neurotransmitters. Three brain chemicals -- noradrenaline (norepinephrine), serotonin, and dopamine -- are involved in both brain and bodily functions. Noradrenaline and serotonin have been consistently linked to psychiatric mood disorders such as depression and bipolar disorder. Next


Bipolar II Disorder Symptoms, Course, and. - Psychiatric Services

Case Studies Bipolar Ii DisorderThe diagnosis, course, and treatment of bipolar II disorder. Diagnosis of bipolar II disorder. Despite its inclusion as a diagnostic entity in both the DSM and ICD clas- sification manuals. liminary studies suggest that the newer anticonvulsants may be of ben- efit for patients. on a case by case basis with age of on- set, cycle. Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in a person’s mood, energy, and ability to function. Different from the normal ups and downs that everyone goes through, the symptoms of bipolar disorder are severe. They can result in damaged relationships, poor job or school performance, and even suicide. But there is good news: bipolar disorder can be treated, and people with this illness can lead full and productive lives. About 5.7 million American adults, or about 2.6 percent of the population, age 18 and older in any given year, have bipolar disorder. Bipolar disorder typically develops in late adolescence or early adulthood. However, some people have their first symptoms during childhood, and some develop them late in life. It is often not recognized as an illness, and people may suffer for years before it is properly diagnosed and treated. Next


Young Mother Bipolar Disorder, Rockville MD Psychotherapy

Case Studies Bipolar Ii DisorderManic Depressive / Bipolar Disorder in an Adult Woman. “In these stories, the identities and locations have been changed to ensure client confidentiality.” A 29-year old married, mother of a young child age 2, presented with a history of recurrent and disabling depression and headaches. Several weeks prior to presentation. Researchers are looking for genes that may affect a person's chances of developing bipolar disorder. You can participate in this research study if you are over 18, have a bipolar diagnosis, or have a family member with bipolar disorder. This study includes a telephone interview (2-4 hours) and a blood sample (blood work from your physician.) The purpose of this study is to identify genes that may contribute to the development of bipolar disorder (manic depression), and related conditions. Bipolar disorder is a common and potentially life-threatening mood disorder. The tendency to develop bipolar disorder can be inherited, but this is poorly understood and probably involves multiple genes. This study will use genetic markers to map and identify genes that contribute to bipolar disorder. Families and individuals who have the disorder are asked to contribute personal information and a blood sample to an anonymous national database. This information will aid scientists around the world who are working together to develop better treatments for this serious mood disorder. Next


Case Study About Bipolar Disorder

Case Studies Bipolar Ii DisorderBipolar II Disorder Case Study. Choose the service, and our. Jerome solitaire phlebotomised hosted mythically. Ms. Bipolar Disorder Bipolar Disorder, also known as a manic depressive illness, is classified as a brain disorder; that causes unusual shifts in the mood, energy. Case Studies. Txt or read online for free CASE. You must read the material on this page before you can take the test. The California Department of Public Health, Training Program Review Unit has determined that is the only way to prove that you actually spent the time to read the course. Less The purpose of this activity is to enable the learner to understand how to assess, diagnose, and treat bipolar disorders using evidence-based practice. This course reflects the latest diagnostic criteria from the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders 5th Editions (DSM-5). Bipolar disorders are a group of disorders classified by their extremes in mood [1]. Historically, they were referred to as bipolar affective disorders or manic-depression. They consist of excessive swings in mood very different from the normal ups and downs of daily life. The shifts in mood, energy, and the ability to function in life that spring from bipolar disease can manifest in several forms ranging from periods of hyper-energy to intervals of deeply morbid depression [1]. Next


Case Study Carbamazepine Treatment of Juvenile-Onset Bipolar.

Case Studies Bipolar Ii DisorderH\, ~1 ARC II I'I'll this disorder AACAP, 1997. Although lithium has been best described Alessi ct al. 1994; Kafanraris. 1995, studies of its efficacy and safety. disorder. A. G. had a family history of chronic hypo- mania and bipolar II disorder. A. G.'s episode of major depression had begun 6 months previously, after a 2-. Bipolar disorder and cannabis have a troubled relationship. Some people sware by the herb, and others wouldn’t touch it with a ten-foot pole. Research is limited, but is there evidence that the herb can symptoms of manic depression? Here’s the nitty gritty on cannabis and bipolar disorder. Dialectical behavioral therapy (DBT) was originally designed for treatment of Borderline Personality Disorder. It combines methods from Cognitive Behavioral Therapy and Zen Buddhism. This helps you reframe the way that you think about day-to-day challenges and teaches you compressive stress-management techniques. The more stress you experience, the greater the likelihood of an episode. Taking a little time each day to focus and calm the mind can drastically improve symptoms and help you cope when they become overwhelming. Maintaining a stable routine is also crucial for overall wellness. Make sure you eat at regular intervals and avoid fasting. All of these factors help your body adjust to a natural daily rhythm. Next


Valproate in Bipolar Disorder Case Examples From a Family Practice

Case Studies Bipolar Ii DisorderIt is an effective and generally well-tolerated medication for the treatment of bipolar disorder and has been approved by the Food and Drug Administration for use in manic states. Studies also suggest that it is effective in other bipolar spectrum illnesses. This report describes 2 clinical cases of DSM-IV bipolar disorder where. Mania, also known as manic syndrome, is a state of abnormally elevated arousal, affect, and energy level, or "a state of heightened overall activation with enhanced affective expression together with lability of affect." Although mania is often conceived as a "mirror image" to depression, the heightened mood can be either euphoric or irritable; indeed, as the mania intensifies, irritability can be more pronounced and result in violence, or anxiety. The symptoms of mania include heightened mood (either euphoric or irritable); flight of ideas and pressure of speech; and increased energy, decreased need for sleep, and hyperactivity. They are most plainly evident in fully developed hypomanic states; in full-blown mania, however, they undergo progressively severe exacerbations and become more and more obscured by other signs and symptoms, such as delusions and fragmentation of behavior. Although the vast majority of cases occur in the context of bipolar disorder, it is a key component of other psychiatric disorders (such as schizoaffective disorder, bipolar type) and may also occur secondary to various general medical conditions, such as multiple sclerosis; certain medications may perpetuate a manic state, for example prednisone; or substances of abuse, such as cocaine or anabolic steroids. In the current DSM-5, hypomanic episodes are separated from the more severe full manic episodes, which, in turn, are characterized as either mild, moderate, or severe, with specifiers in regard to certain symptomatic features (e.g. Mania is divided into three stages: hypomania, or stage I; acute mania, or stage II; and delirious mania (delirium), or stage III. This "staging" of a manic episode is very useful from a descriptive and differential diagnostic point of view. Mania varies in intensity, from mild mania (hypomania) to delirious mania, marked by such symptoms as disorientation, florid psychosis, incoherence, and catatonia. it is not always the case that the clearly manic bipolar person needs or wants medical help; such persons often either retain sufficient self-control to function normally or are unaware that they have "gone manic" severely enough to be committed or to commit themselves. Manic persons often can be mistaken for being under the influence of drugs. Next


Adult with Bipolar Disorder Case Study - Kate Meads Associates

Case Studies Bipolar Ii DisorderKate Meads Associates offer help and support with bipolar. This case study looks into the support given to an elderly man with bipolar disorder. This disorder is also known as “manic-depressive illness”. Bipolar disorder is a brain disorder which causes unusual changes in mood, energy, activity levels, and the ability to carry out every day simple tasks. The symptoms of Bipolar disorder are very different from the normal highs and lows or ups and downs, which all people experience from time to time. This disorder can result in broken & problematic relationships, poor job and or school performance, and at extreme low’s even suicide. Being given a diagnosis of Bipolar disorder is devastating but it can be treated, and help those who live with this everyday to lead full and productive lives. Many scientists study the possible causes of this disorder and most agree that there is no one cause but rather, many pieces of a puzzle which fit together to make the illness appear or increase the risk that the person with these pieces may be diagnosed at some point. Some of the puzzle pieces: Genetics: Bipolar disorder can be seen in generations of families. While not every person in the family, who may have the gene, will develop bipolar disorder, their risk of eventually doing so is higher than in those who do not carry the gene. It appears that if a child has a parent or sibling who has been diagnosed with the disorder, they are at a higher risk to develop the disorder, compared to children who do not have a family member or history of the disorder. The good news is that most children with a family member who has been diagnosed with Bipolar disorder, will not be given the same diagnosis. Next


Case Studies - PSYweb

Case Studies Bipolar Ii DisorderDec 2, 2015. These sample case studies are for illustration only. They should not be used to make a. Case Study 2. Kristen is a 38 year-old divorced mother of two teenagers. She has had a successful, well-paying career for the past several years in upper-level management. Even though she has worked for the same. People use the term mood to describe the emotional tones that color their daily lives. Moods are everywhere and ubiquitous; everyone has them. Moods may be happy or sad; energized or sluggish; embodying various combinations of emotional states. Moods consist of feelings as well as the thoughts and judgments that give feelings their meaning. An anxious mood may shift into an excited mood with a simple change of perspective, and a depressed mood may shift into a happier one upon hearing pleasing news. Next


Treatment of Patients With Bipolar Disorder Second. - Eastpointe

Case Studies Bipolar Ii DisorderThat have been studied in the treatment of bipolar disorder. Although few studies involving patients with bipolar II disorder have been conducted, consideration of maintenance treatment for this form of the illness is also. peutic range and in some cases achieving a higher serum level although one still within the ther-. Bipolar disorder is one of the most highly investigated neurological disorders. The National Institute of Mental Health (NIMH) estimates that it affects nearly 4.5 percent of adults in the United States. Of these, nearly 83 percent have “severe” cases of the disorder. Unfortunately, due to social stigma, funding issues, and a lack of education, less than 40 percent of people with bipolar disorder receive what the NIMH calls “minimally adequate treatment.” These statistics might surprise you, given the centuries of research that have been conducted on this and similar mental health conditions. Humans have been trying to decipher the causes of bipolar disorder and determine the best treatments for it since ancient times. Next


Natural course and burden of bipolar disorders - Oxford Journals

Case Studies Bipolar Ii DisorderMunity that remain untreated. Another requirement of such studies is that they should take into account time and age effects, e.g. to reflect changes that might occur over time as a result of improvement in the provision of care. In the case of bipolar I and II BP I and BP II disorders, however, significant additional obstacles. The condition is divided into bipolar I disorder if there has been at least one manic episode, with or without depressive episodes, and bipolar II disorder if there has been at least one hypomanic episode (but no manic episodes) and one major depressive episode. Other conditions that may present in a similar manner include attention deficit hyperactivity disorder, personality disorders, schizophrenia, and substance use disorder as well as a number of medical conditions. Mania is a distinct period of at least one week of elevated or irritable mood, which can range from euphoria to delirium, and those experiencing hypo- or mania may exhibit three or more of the following behaviors: speak in a rapid, uninterruptible manner, short attention span, racing thoughts, increased goal-oriented activities, agitation, or they may exhibit behaviors characterized as impulsive or high-risk, such as hypersexuality or excessive spending. but does not cause a significant decrease in the individual's ability to socialize or work, lacks psychotic features such as delusions or hallucinations, and does not require psychiatric hospitalization. while others are irritable or demonstrate poor judgment. Next


Bipolar II Disorder - Canadian Psychiatric Association

Case Studies Bipolar Ii DisorderWell-designed studies with larger samples are needed to improve the evidence base for managing this disorder. Bipolar II disorder BD II may be more common than previously thought; systematic probing improves. Benazzi F. Prevalence of bipolar II disorder in outpatient depression a 203-case study in private. James is 60 years old with Bipolar Disorder and is divorced with two children in their late 20s. His life had undergone a lot of significant changes - he took early retirement on health grounds, his marriage had ended and he had recently had to move from the family home to a one bedroom flat. James had had difficulties with his mental health for much of his life and was diagnosed with Bipolar Disorder 15 years ago. James was referred to occupational therapy by his Mental Health Nurse as he was struggling with his mood and motivation since moving to his new flat six months previously. He had not unpacked many of his belongings and spent his day pacing his flat unable to settle to any activities. Next


Bipolar disorder - Wikipedia

Case Studies Bipolar Ii DisorderTwin studies have been limited by relatively small sample sizes but have indicated a substantial genetic contribution, as well as environmental influence. For bipolar disorder type I, the rate at which identical twins same genes will both have bipolar disorder type I concordance is estimated at around 40 percent, compared. Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks. There are four basic types of bipolar disorder; all of them involve clear changes in mood, energy, and activity levels. These moods range from periods of extremely “up,” elated, and energized behavior (known as manic episodes) to very sad, “down,” or hopeless periods (known as depressive episodes). Less severe manic periods are known as hypomanic episodes. People with bipolar disorder experience periods of unusually intense emotion, changes in sleep patterns and activity levels, and unusual behaviors. These distinct periods are called “mood episodes.” Mood episodes are drastically different from the moods and behaviors that are typical for the person. Extreme changes in energy, activity, and sleep go along with mood episodes. Sometimes a mood episode includes symptoms of both manic and depressive symptoms. People experiencing an episode with mixed features may feel very sad, empty, or hopeless, while at the same time feeling extremely energized. Next


Bipolar II Disorder Current Issues in Diagnosis and Management.

Case Studies Bipolar Ii DisorderAug 1, 2006. Three issues of current concern in bipolar II disorder include diagnostic criteria for hypomania, diagnosis of mixed depression, and management of. A recent series of studies has found that BP II is much more common than the 0.5% community prevalence reported by DSM-IV the current estimate of. Jane is a 30-year-old elementary school teacher who has been referred to a psychiatric nurse practitioner (NP) by her primary care provider after she expressed frustration with her lack of response to antidepressant therapy as prescribed by a previous psychiatrist. When asked how she is doing in general, she responds that this year has been tough. When urged for specifics, Jane divulges that she has experienced on-and-off bouts of depression for about 10 years. Jane complains that she has low energy and has had increasing difficulty coping with the demands of her job, which she used to love. Part of Jane’s frustration with her previous psychiatric provider is that she is tired of trying one antidepressant after another. Next


History of Bipolar Disorder - Healthline

Case Studies Bipolar Ii DisorderFeb 12, 2018. Bipolar disorder is one of the most highly investigated neurological disorders. The National Institute of Mental Health NIMH estimates that it affects nearly 4.5 percent of adults in the United States. Of these, nearly 83 percent have “severe” cases of the disorder. Unfortunately, due to social stigma, funding. Major depressive disorder has significant potential morbidity and mortality, contributing to suicide, incidence and adverse outcomes of medical illness, disruption in interpersonal relationships, substance abuse, and lost work time. During 2009–2012, 7.6% of Americans aged 12 and over had depression (moderate or severe depressive symptoms in the past 2 weeks). Depression was more prevalent among females and persons aged 40–59. With appropriate treatment, 70-80% of individuals with major depressive disorder can achieve a significant reduction in symptoms. Most patients with major depressive disorder present with a normal appearance. Next


Symptoms and signs of the initial prodrome of bipolar II disorder

Case Studies Bipolar Ii DisorderCollaboration on one of the patient cases included in the final sample. Disorders. 135 1-3, 419-423. Paper IV. Skjelstad, D. V. Holte, A. & Malt, U. F. Putative early manifestations of bipolar II disorder emerge later in the initial. Birmaher et al. 2006; Duffy et al. 2007; 2 case studies Thompson et al. 2003; 3 studies. A 29-year old married, mother of a young child age 2, presented with a history of recurrent and disabling depression and headaches. Several weeks prior to presentation, she became severely depressed and had difficulty moving, had diminished appetite, had crying spells much of the day and felt suicidal. At the time she presented, she was on Prozac 20 mg a day, and described herself as getting “manicky” on the Prozac. By this, she meant that she was “rushing around, laughing a lot and having more anxiety.” A past trial with Wellbutrin was poorly tolerated because of sweating episodes, insomnia and agitation. Her depression was worsening despite the Prozac treatment. Next


Case Studies Bipolar Ii Disorder A child struggling with a bipolar disorder is often highly gifted, but may have difficulty making transitions, and may have co-morbid syndromes that make him or her distractible, inattentive, anxious, or very perfectionistic. He or she may also be sleepy from medications or may be having cognitive difficulties as a result of them. Frequently, children with bipolar disorder have associated learning disabilites and executive function deficits which make it extremely difficult for them to organize and break things down and accomplish complex tasks (we will discuss these executive function deficits in more detail below). All of these co-morbid conditions, medication issues, known and unknown learning disabilities and organizational deficits complicate a student’s acquisition of knowledge and adjustment to academic demands. When one also considers that these children have an illness which causes their ability to focus and energy levels to wax and wane (often according to the season) it’s not hard for parents and educators to realize these children need special accommodations in school. Next


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Case Studies Bipolar Ii Disorder Bipolar disorder, formerly called manic depression, is a mental health condition that causes extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). When you become depressed, you may feel sad or hopeless and lose interest or pleasure in most activities. When your mood shifts to mania or hypomania (less extreme than mania), you may feel euphoric, full of energy or unusually irritable. These mood swings can affect sleep, energy, activity, judgment, behavior and the ability to think clearly. Episodes of mood swings may occur rarely or multiple times a year. Next


Case Studies Bipolar Ii Disorder When my sister took me to the emergency room of the psychiatric hospital in January of 2013, I was simply a mess. I had barely slept for weeks, having visions of an evil, black shadow hovering over me and telling me to kill myself. All of this made me so paranoid that I began slipping deeper and deeper into suicidal ideation, which scared everyone around me. The previous three years had been very tough on me. I had been through a separation from my cheating husband, which left me to care for my two small children alone. Next