Bipolar disorder is also known as manic-depression disorder, may cause unusual changes in mood and behavior such as grandiosity, decreased energy, distractibility, diminished interest, insomnia, pressured speech, suicidal thoughts, and decrease in the ability to carry out day to day tasks (Diagnostic and Statistical Manual of Mental Disorders; 5th Ed.; DSM-5; American Psychiatric Association, 2013). According to Jann (2014) the symptoms of bipolar disorders are severe alternating between normal ups and downs leading in damaged relationships, poor job and school performance, and even suicide among the most severe. There are four types of bipolar disorder which include bipolar I disorder, bipolar II disorder, bipolar disorder not otherwise specified, and cyclothymic disorder Jann (2014).
According to Jann (2014), bipolar disorder can be treated and people with this illness may perform full and productive in their lives. However the treatment of bipolar disorder is most effective when medication is combined with psychotherapy, and ECT as a last source Jann (2014). Pharmacologic treatments for this disorder include Lithium, as a first source which is a mood stabilizer; other mood stabilizers such as lamotrigine and valproate are effective as well (Jann, 2014). According to Jann (2014), the use of antidepressants and anticonvulsants for treating bipolar disorder are controversial due to the increased risk of the patient switching to mania. The prognosis of this illness will be severe and long term, or may be mild with infrequent episodes Jann (2014). The highest risk factor for developing bipolar disorder is hereditary. The statistic is that high-income families have a higher rate 1.4% than low-income families with only 0.7% (DSM-...
... middle of paper ...
...s article explains how this activity is beneficial to keep the mind engaged through learning, which will decrease anxiety and negative thoughts (Geddes & Miklowitz, 2013). Ideally by doing something that is pleasurable for us may lead in better results and more engagement in the activity (Geddes & Miklowitz, 2013). This activity clearly may decrease his mania symptoms by calm him down (Geddes & Miklowitz, 2013).
However, implementing the whole treatment to George definitely will help him to return to his previous level of functioning (Geddes & Miklowitz, 2013). Since several areas of function have been affected in George, combining those techniques will improve attention span, increase in eye contact, decrease of levels of energy, stay balanced through scheduled activities, and improve in job related activities and personal roles as well (Geddes & Miklowitz, 2013).
Bipolar Disorder (Formerly known as Manic Depression) is a mental illness linked to alterations in moods such as mood swings, mania, and depression. There is more than one type, Bipolar I and Bipolar II, and the subcategories are divided by the severity of the symptoms seen, such as cyclothymic disorder, seasonal mood changes, rapid cycling disorder and psychosis. Age of onset usually occurs between 15-30 years old with an average onset of 25 years old but it can affect all ages. (Harvard Medical School; Massachusetts General Hospital , 2013) Bipolar disorder affects more than two million people in the United States every year. (Gardner, 2011)
Geddes, J. R., & Miklowitz, D. J. (2013). Treatment of Bipolar Disorder. The Lancet, 381(9878), 1672-1682. doi: 10.1016/S0140-6736(13)60857-0
In the book, Spark: The Revolutionary New Science of Exercise and The Brain by Dr. John J. Ratey, MD (2008), Ratey discuses how exercise can help treat many mood disorders and how it can help strengthen our brains. This book is divided into ten chapters all with five to ten subsections in them. The chapters include: Welcome to the revolution: A Case Study on Exercise and the brain, Learning, Stress, Anxiety, Depression, Attention Deficit, Addiction, Hormonal Changers, Aging, and the Regimen.
Since Bipolar Disorder involves the cycling between two different states of mania and major depression, there are many different etiological factors in play. The neurotransmitters that are involved in this disease are serotonin, norepinehrine and dopamine. There has been some preliminary research involved with glutamate as well. In patients with the depressive portion of Bipolar Disorder, Serotonin levels were found to be lower than healthy, non-depressed patients (Young, Warsh, Kish, Shannak & Hornykeiwicz, 1994). Young et. al. (1994) found reduced amounts serotonin’s metabolite, 5-HIAA, in frontal and parietal lobes of deceased bipolar disorder patients. Norepinehphrine was also found to be lower as well. During the depressed state of bipolar disorder, the concentration of norepinehphrine ‘s synthesis enzyme, tyrosine hydroxylase, was lower in the locus coeruleus than patients who only had depression and not Bipolar Disorder (Wiste, Arango, Ellis, Mann, & Underwood, 2008). Although in the mania cycle of Bipolar Disorder, Norepinephrine is found to be elevated in the brain (Manji & Lenox,2000). Furthermore, Dopamine was also found to be lower in the brain as well during the depressed state of Bipolar disorder. According to a study by Vawter, Freed, Kleinman (2000), the concentration of the metabolite of dopamine, homovanillic acid, was found to be significantly lower in the parietal lobe of the brain. Dopamine Agonists, while they can treat the depression cycle of the disorder, can also bring about the mania in the disorder; therefore, the pharmacological treatment of the Bipolar disorder must be regulated heavily so that the treatment itself doesn’t exacerbate the disorder instead of treat the disorder (Manji et. al. 2003). ...
Hopkins, H.S. and Gelenberg, A.J. (1994). Treatment of Bipolar Disorder: How Far Have We Come? Psychopharmacology Bulletin. 30 (1): 27-38.
Also, it can satisfy a persons stress level by focusing on the activity. Sometimes not playing sports, but just relaxing can be satisfying. Relaxing and not working can give a person time to think, breathe, and to recuperate. Relaxing is a very satisfying activity. Another activity that is satisfying is sleeping.
The character(s) that I chose to diagnosis and treat are the Minions from Despicable Me. I would diagnose them with ADHD or “Attention Deficit Hyperactivity Disorder” because they are extremely hyperactive, are constantly being distracted by random objects passing by, and had difficulty in properly carrying out Gru’s objectives because of their disposition to be distracted and wide-eyed at any little thing. In order to treat the minions’ ADHD, i would use behavior therapy which uses learning principles, such as classical and operant conditioning, to get rid of unwanted behavior and reinforced the desired behavior. Specifically, i would use progressive relaxation, despite the fact that it is used mostly to treat anxiety. Progressive relaxation
Bipolar Disorder can be classified by the occurrence of manic episodes followed by hypomanic or major depressive episodes. A manic episode is a distinct period of abnormally and persistently elevated, extensive, or irritable mood and abnormally and persistently increased goal-directed activity or energy, lasting at least 1 week and present most of the day, nearly every day. During the specific period of mood disturbance and increased energy or activity, many symptoms are present. Some examples of these symptoms can include: -Inflated self-esteem or grandiosity, decreased need for sleep, and are more talkative than usual (“Bipolar and Related Disorders, “n.d.). There is a 10- 15% risk of completed suicide associated with Bipolar Disorder (“Bipolar Depression”, 2)
It is suggested that the link between neuroscience and behavior is the revolutionary technology and that clinicians accustomed with the essentials of these disciplines will be better prepared to "integrate pharmacological, behavioral, and social work technologies into a comprehensive treatment plan" (Ellinwood,
The characteristics of bipolar disorder are significant shifts in mood that go from manic episodes to deep depressive episodes in a up and down trip that seemingly never ends. There are actually three types of bipolar disorder. In bipolar III disorder there is a family history of mania or hypomania in addition to the client experiencing depressive episodes. This category is not highly used but is worth noting. Bipolar II disorder is marked by hypomanic episodes that have not required hospitalization. Bipolar I disorder is the full-blown illness and is defined by the presence of manic episodes which require treatment, and usually hospitalization (Wilner 44).
The causes of bipolar disease vary between individuals. Available research indicates that genetic courses account for up to 90% of the reported cases (Fagiolini et al., 2013). It indicates there is a strong connection to hereditary components. Studies interested in genetics reveal the cause of this medical condition manifests in the candidate and chromosomal regions. The connection has currency because the regions are the main areas where the disease occurs. The disease tends to manifest in families, and research shows some people are likely to develop the disease more than others. For instance, children with a sibling or parent who suffers from bipolar disorder are likely to contract the disease more than those who from a family without a history of the disease. However, this does not mean that children from a family with the disease must develop it.
In life we all go through experiences that cause our moods to change for better or for worse. There are times that we experience degrees of great joy and happiness just as other times we experience great sadness and despair. These polar emotional opposites can be brought about by a cornucopia of circumstances such as the joy and excitement of getting married or the birth of a child to the deep sadness and grief over the loss of a loved one or one’s employment. Feelings of joy and feelings of sadness are normal parts of human life. Some however are unfortunate enough to be force to cope with these emotions to the extreme and on a regular basis. Some individuals must further cope with an ever present emotion rollercoaster, switching from one emotional extreme to the next with regularity. This personality disorder is known as bipolar disorder.
Mood disorders are complex and there are not any simple solutions. They affect people from every race, social and cultural background and economic status. Mood disorders can have profound effects on families as well as those afflicted, but there is hope. According to Craddock and Jones (1999) “It is however, almost certain over the next few years bipolar susceptibility genes will be identified. This will have a major impact of disease pathophysiology and will provide important opportunities to investigate the interactions between genetics and environmental factors”.
Bipolar Disorder is the tendency of manic episodes to alternate with major depressive episodes, like a roller coaster. Barlow, D., Durand, M., Stewart, S., & Lalumière, M., 2014, p. 222. Their moods and relationships are unstable and they usually have a very poor self image, recurrent feelings of emptiness and fear of abandonment. Barlow, D., Durand, M., Stewart, S., & Lalumière, M., 2014, p. 444.
Some hypothesize that moderate levels of exercise will decrease the symptoms of mental health conditions (Blumenthal et al., 2007; Diaz & Motta, 2008; Motta, Kuligowski, & Marino, 2010; Rosenbaum, Nguyen, Lenehan, Tiedemann, van der Ploeg, & Sherrington, 2011) and therefore be used as an alternative or complimentary treatment option for mental health (Libby, Pilver, & Desai, 2012).