psychopathology - Bipolar Disorder, Mania, Suicide

bipolar disorder (defined)

biologically-based disorder causing unusual/extreme shifts in a persons mood and energy, leading to significant impairment in the ability to function

manic episodes

distinct period of elevated expansive or irritable mood and increased activity or energy

lasting at least 1 week

present almost every day

three or more symptoms are present

expansive mood

emotional state:

• self importance

• overwhelming optimism

• heightened sense of self

• belief in capabilities

• speak rapidly

• reduced need for sleep

subtypes of bipolar

Bipolar 1: recurrent episodes of both mania and depression

Bipolar 2: in some cases the person never develops severe mania, experiences milder episodes of hypomania that alternates with depression

Rapid-Cycling Bipolar: episodes of illness occur within a year

symptoms of mania

• limited duration of sleep

• poor judgment

• spending sprees

• increased sexual drive

• abuse of drugs

• denial that anything is wrong

mania can impact

work and professional life

relationships

financial stability

social interactions

domains of mania

1. cognitive: delusional ideas, poor judgment

2. emotional: will feel really good, does not want anyone to intervene

3. behavorial: increase in work, sex, social activity, reckless, cannot remain still

4. physical: increased energy, decreased sleep

Thomas Joiner Theory about suicide

Interpersonal Theory of Suicide:

in order for someone to die by suicide

• develop the desire to die

• must have developed the capacity to enact deadly self-harm

desire to die comes from

• think that you are a burden

• think that you don’t belong

• you can’t be scared of death (more exposed to pain the better)

NSSI

non suicidal self injury

• cutting