Bipolar disorder
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BIPOLAR DISORDER. Designed by Debra Caywood-Rukas 7/02. Bipolar. Disorder. What is Bipolar Disorder? “Manic-Depression”. A brain disorder affecting moods and energy that effects over 2 million in the U.S.A.*

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BIPOLAR DISORDER

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Bipolar disorder

BIPOLAR DISORDER

Designed

by

Debra Caywood-Rukas

7/02


Bipolar

Bipolar

Disorder


What is bipolar disorder manic depression

What is Bipolar Disorder? “Manic-Depression”

  • A brain disorder affecting moods and energy that effects over 2 million in the U.S.A.*

  • Emotions, thoughts and moods are distorted resulting in mood swings that are overly “high” to extremely sad and hopeless

  • Defined as having one or more manic or mixed episodes and depression episodes lasting most of the day, every day for 2 weeks or more

  • A long-term illness that typically develops in adolescence or early adulthood but symptoms often seen in childhood

  • Often misdiagnosed as ADHD, OCD, OD, CD and depression and sometimes schizophrenia

  • Often leads to suicidal thoughts

  • Can be treated and lead full productive lives


Signs and symptoms

MANIC

Feelings of grandiosity or very high self-esteem, euphoric

Extreme talkativeness, racing thoughts

Decreased need for sleep

Highly distractible

Engaged excessively with pleasurable activities, often recklessly

DEPRESSION

Ongoing sad, anxious or empty mood

Lack of energy and ability to concentrate

Sleeping too much or too little

Lacks interest in others and activities, irritable, feeling hopeless and worthless

Thoughts of death or suicide

Signs and Symptoms

  • SIGNS IN YOUNGER CHILDREN

    • Poor sleep and night terrors

    • High activity level

    • Easily startled

    • Bedwetting

    • Oppositional behavior


Range of mood and emotion

Range of Mood and Emotion

severe mania

mild to moderate mania (hypomania)

normal-balanced mood

mild to moderate depression

severe depression


Treatment

Treatment

  • Just like long-term illnesses such as diabetes and heart disease, bipolar disorder is an illness that requires medication to improve quality of life

  • Not all medications work for every person

  • Severity of moods and side effects must be weighed

  • Medical management by a psychiatrist is best

  • A combination of medication and talk therapy is most effective, specifically cognitive behavior and family therapy

  • Long-term management of symptoms reduces risk of suicide

    ** suicide rate 10-15%, NIMH


Medication

Medication

“Mood-stabilizers”

Medicine combinations

Lithiumreduces manic episodes and aggression. Eskalith, Lithobid, Lithonate

  • Side effects: upset stomach, tremors, headache, weight gain, tiredness and difficulty with memory.

    Anticonvulsants/Antiepileptics reduce seizures, mania, aggression. Side effects include upset stomach and drowsiness.

  • Tegretol Carbamazepine: nausea, irritability and agitation

  • Depakene &, Depakote Valproic: hand tremors and loss of hair

  • Neurontin/Gabapentin, Lamictal/lamotrigine, Topamax/topiramate and Gabitriltiagabine are the newest medications. Side effects are similar with the addition of rash, nausea & dry mouth


School accommodations

School Accommodations

  • Inform teacher how disorder is manifested and alert to side effects of medication

  • Is there an IEP? If so, accommodations, modifications and interventions are written along with goals

  • Counseling with school psychologist or social worker

  • Reduced work load due to level of concentration and fatigue

  • Provide clear instructions to alleviate/prevent frustration

  • Offer instruction, corrections and feedback in a calm, positive manner

  • Prearrange an area in and/or outside the classroom for the student to retreat to when needed and a discrete cue

  • Allow extra time to complete assignments

  • Mutually choose a peer mentor to assist when needed

  • Consult with the school psychologist for additional information

  • Employ effective classroom management programs


Family issues and interventions

Family Issues and Interventions

  • Attend to behavior such as rage with therapeutic hold, quiet retreat area and pick your battles, behavior modification does not work well

  • Siblings relationships and marriages often become strained

  • Get family therapy

  • Don’t ignore signs of suicide ideation or extreme hopelessness

  • Educate family on disorder and how to deal with mood swings

  • Seek support groups and parent resources


Resources

Resources

WEBSITES

National Institute of Mental Health (NIMH)

http://www.bipolarbrain.com/SoWhatsBipolarIllness.html

http://www.nimh.nih.gov/publicat/bipolarmenu.cfm

http://www.nimh.nih.gov/publicat/manic.cfm

Excellent brochure and other pertinent information 

National research of mental health , booklet. Articles

Northern County Psychiatric Association (Maryland) 

http://www.ncpamd.com/Bipolar.htm

articles, links on disorder, meds, suicide, etc

Pediatric Psychiatry Pamphlets

http://www.klis.com/chandler/pamphlet/bipolar/bipolarpamphlet.htm

definition, case studies, treatment, side effects

Child and Adolescent Bipolar Foundation (CABF): Wilmette, IL

Phone: (847) 256-8525 http://www.bpkids.org/

National Mental Health Associatopn (NMHA)

http://www.nmha.org/infoctr/factsheets/76.cfm

Pediatrician Guide to Health and Safety

http://www.keepkidshealthy.com/

Illinois State Board of Education (ISBE)

http://www.isbe.state.il.us/; Special education information, IEP

MEDICAL TERMS AND MEDICATION INFORMATION

Dictionary:

http://www.medicinenet.com/script/main/AlphaIdx.asp?li=MNI&p=A_DICT

RX Drugs: http://www.nlm.nih.gov/medlineplus/druginfo/drug_Aa.html

http://www.healthsqr.com/aindex.htm

ASSOCIATIONS

National Institute of Mental Health (NIMH)  Bethesda, MD 20892-9663 Phone: (301) 443-4513

Depression and Related Affective Disorders Association (DRADA) Johns Hopkins HospitalBaltimore, MD 21287-7381 Phone: (410) 955-4647 or (202) 955-5800

 National Alliance for the Mentally Ill (NAMI)  Arlington, VA 22201  Toll-Free: 1-800-950-NAMI (6264)  Web site: http://www.nami.org

 National Depressive and Manic-Depressive Association (NDMDA)  730 North Franklin Street, Suite 501  Chicago, IL 60610 Toll-Free: 1-800-826-3632 : http://www.ndmda.org

 National Mental Health Association (NMHA)  Alexandria, VA 22314-2971  Toll-Free: 1-800-969-NMHA (6642)   E-mail: [email protected]; Web site: http://www.nmha.org

BOOKS: The Bipolar Child by Demitri F. Papolos M.D.

The Explosive Child byRoss W. Green Ph.D.

SCHOOL:http://www.bipolarworld.net/job_school.html

http://www.schoolbehavior.com/conditions_bipolar.htm

http://www.nami.org/youth/schoolprog.html

SUPPORT GROUPS and DISCUSSIONS:

http://www.soc.support.depression.manic

http://www.families-first.com/whc/depression3.htm

http://www.bipolarparents.vitualave.net/

*National Institute of Mental Health (NIMH)

** Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR)


Thank you

Thank You

The End


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