Bipolar Disorders. Background- Bipolar Disorder. Mood disorder that follows cyclical pattern-episodes of mania and depression Essential feature- mania or hypomania
severe –at least 4 days)
(hypomania doesn’t lead to hospitalization)
*increased psychomotor activity- represents inner tension- shouting to hand-wringing-repetitive
*emotional lability (feelings or mood fluctuates often).
*euphoria or grandiosity (an inflated appraisal of one's worth, power, knowledge, importance, or identity. When extreme, delusional.
*coherent but tangential thinking
* increased psychomotor activity
* heightened lability
* possible grandiose/paranoid
*Frenzied motor activity
*Incoherent thought process
*disoriented or ideas of reference- e.g., TV announcer speaking to me
eventually came idea for use for acute mania.
to act out: stay up all night, be promiscuous and
spend money- show bad judgment
Serum Level: 0.8- 1.5 mEq/l
Serum Level 0.6-1.2 mEq/L
Dosage reduction after acute stage begins to subside.
Subsides for most except 10%
Use Inderal- beta blocker to control