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Bipolar disorders Bipolar disorders

Bipolar disorders - PowerPoint Presentation

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Uploaded On 2016-02-21

Bipolar disorders - PPT Presentation

Other Conditions Mood disorder or personality dysthymia cyclothymia Grief reaction denial depression acceptance Atypical grief Adjustment disorder Bipolar disorders ID: 225250

depression bipolar mood disorders bipolar depression disorders mood disorder mania content prophylaxis lithium flight lamotrigine form stabilizers grief conditions

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Presentation Transcript

Slide1

Bipolar disordersSlide2

Other Conditions

Mood disorder or personality

dysthymia

cyclothymia

Grief reaction

denial , depression , acceptance

Atypical grief

Adjustment disorder Slide3

Bipolar disorders

Definition

C/F

1-behavior

dress,expression,activity,attitude

2-mood

Euphoria, elation, ecstasy, irritability

3- speech

Form rapid

Content Slide4

4- thought

Form flight of ideas

Content delusion grandiose

5- perception

Hallucinations

6-cognition

Distractibility

Disinhibition

, reckless spending

7- insight

N/B Sleep appetite

Mania and hypomaniaSlide5

Bipolar disorders

DDx

schizophrenia

drug induced states

organic conditions

 

Etiology

1- genetic

2- amine

theory

Raised noradrenaline metabolites

Serotonine

related mechanism

Dopamine

3-psychological

Flight into mania

 Slide6

Bipolar disorder

Epidemiology

Age 30

Prevalence 0.6-1%

No women

excess

Course and prognosis

3-6 months

Recurrence 50 %

Less mania more depression

 

Slide7

Bipolar disorders

Management

1- acute

phase

Mood stabilizers

Antipsychotics

;

haloperidol ECT

2- prophylaxis

Lithium; risk of toxicity,

teratogenic

Close monitoring

Physical work up

Carbamazepine,

valproate

lamotrigine

 

Indications of lithium

3 or > 2 years

severity

prophylaxis in unpopular depression

augmentation in resistant depressionSlide8

Bipolar disorder

Bipolar depression

unique entity

mood stabilizers ,

lamotrigine