Mood Disorders

Moods Disorders: Highs and Lows

• Moods disorders involve extreme in emotions and motivation, namely DEPRESSION and MANIA

  • Bipolar includes an episode of both

Depression vs Mania

• Extreme Moods:

  • Depression: Low self worth, sad, unmotivated

  • Mania: Elevated, impulsive, and energized

• Having episodes of both = BIPOLAR DISORDER

Depression

• Depression makes everyday tasks seem extremely difficult and challenging to INITIATE them or get started

  • Problems

    • Poor decision making, poor motivation, worthlessness, guilt, isolate, negative attitude, low energy, inability to focus on daily routines

Mania

• Exaggerated self-esteem and difficult FINISHING task (NO PROBLEM STARTING THEM!)

  • Problems:

    • Poor Judgement, attention seeking, impulsive, irritable, hyper sexuality, sleep difficulties, inflated, high energy

Bipolar

• Bipolar disorder involves maniac and depressive episodes

  • Bipolar I leans towards MANIA

  • Bipolar II leans towards DEPRESSION

• Both kinds require at least one episode of mania & depression

Depression Interventions

• We help them feel successful

  • Activities: Concrete, tangible, short-term, simple

  • Grade for successful completition

  • Re-establish normal routines

  • Social skills and interpersonal psychotherapy (role-play, couching)

  • Movement and mindfulness activities

• We can help them build Self-worth

  • CBT

  • Reality testing (focus on the right now)

Depression Interventions- Simplified

• Do something SIMPLE enough that they SUCEED at it

• Do something EXPRESSIVE (psychotherapy)

• Help the challenge their bad ASSUMPTIONS (CBT)

Depression-Suicide Awareness

• Signs a client is suicidal- GET HELP INMMEDIATELY!

  • Acquiring something lethal (ex: stocking pill medication, buying a gun)

  • Making a will or taking out life insurance

  • Giving away belongings

  • Seeking caretaker for pets/ children (If anything happens to me)

  • Passive suicidal behavior (ex: not eating)

Mania Interventions

• Interventions have to be organized & structured

  • Introduce Order & structured

    • Activities: Concrete, tangible, short, success enhancing, structured and simple

      • A few materials, 3 steps or less

    • Redirect attention, limit distractions

    • Provide clear expectations and set limits

    • Only present what is necessary for the activity

    • Movement is ideal

  • AVOID REALITY CHECKING AND SHOW EMPATY !

Mania Interventions- Take away!

• What to do for Mania

  • Highly structured task

• What NOT to do

  • Self-directed or expressive activities or groups

Bipolar Disorder Intervention

• We address whichever they are dealing with currently : Depression or Mania

Depression Medications- Monoamine oxidase inhibitors (MAOIs)

• Some foods can interact BAD w/ medication

  • AVOID aged cheese, wine, beer, yogurt, tea, coffee, avocados, bananas, soy sauce, pickled herring, yeast, protein extract, raising, dates and other foods

    • What to look for in answers:

      • Food preparation activities should educate on FOODS TO AVOID

      • Give a list of FORBIDDEN FOODS from a physician, nurse, or clinical dietician

      • Have client prepare a simple meat and CHEESE sandwich (WRONG ANSWER)

Mood Disorders Keyline

• “MOODS”

  • M- Mania

  • O- Organized

  • O- On task

  • D- Depression

  • S- Sucess, Self-worth