15. Bipolar and Personality

difference between bipolar 1 and bipolar 2?

1 characterized by 1 or more manic episodes

2 characterized by hypomania

examples of manic behavior

grandiosity, no sleep, TALK, flight of ideas, distracted, goal-directed activity, psychomotor agitation, impulsive activities

how does a patient experiencing hypomania feel and how long does it last?

they feel euphoric and motivated. functioning is increased but they’re gonna run out of gas. lasts 4 days

what characterizes rapid cycling?

4 episodes of mania in one year. these episodes could last weeks or minutes. it’s a see-saw of mania to depression.

comorbidities with mania

high anxiety. ADHD, conduct disorder, substance use disorder, binge eating disorder

where in the brain is affected by mania?

prefrontal cortex - executive decision making, personality, sociality

hippocampus - memory

amygdala - memory, decision making, emotion

thought processes and speech patterns seen in manic patients

pressured speech

flight of ideas

circumstantiality, tangentiality

loose associations

clanging

how is mania similar to schizophrenia?

pt can be delusional - grandiose, persecutory

as it escalates, they can hallucinate

outcomes for pts experiencing mania

improved impulse control

sleeps 4-6h a night

completes __% of meals (they will forget to eat)

attends to hygiene, wears clean clothes

improved verbal interactions, doesn’t violate others space

takes prescribed medication

nursing interventions for bipolar patients experiencing mania

communication - firm, short, calm, concise. act on legit complaints. redirect energy (walk up and down hallway)

milieu - less stimuli, structured solitary activities

self-care - fluids, nutrition

sleep, hygiene, elimination

nursing interventions for bipolar patients experiencing depression

treatments for mania?

treatments for depression?

maintenance treatment for bipolar

education needs of bipolar patients and families

populations at risk for developing bipolar?

DSM-5 criteria for BPD

describe the concept of a personality

impact of personality disorders on mental health?

characteristics of antisocial (B)

how will antisocial act in group?

characteristics of avoidant (C)

how will avoidant act in group?

characteristics of borderline (B)

how will borderline act in group?

characteristics of schizotypal (A)

ch

how will schizotypal act in group?

characteristics of paranoid (A)

how will paranoid act in group?

characteristics of narcissistic (B)

how will narcissistic act in group?

characteristics of schizoid (A)

how will schizoid act in group?

characteristics of dependent (C)

c

how will dependent act in group?

characteristics of histrionic (B)

how will histrionic act in group?

characteristics of obsessive-compulsive (C)

how will obsessive compulsive act in group?