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RiskFactors:

Havingbloodrelatives
suchasaparentor
siblingwithbipolar
disorder
Periodsofhighstress
Drugoralcoholabuse
Majorlifechanges,
suchasthedeathofa
lovedone
Beinginyourearly
20s







Bipolar
PossibleComplications:
Problemsrelatedto
substanceandalcohol
abuse
Legalproblems
Financialproblems
Relationshiptroubles
Isolationandloneliness
Poorworkorschool
performance
Frequentabsencesfrom
workorschool
Suicide

SignsandSymptoms:

Manic/hypomanicphaseof
bipolardisorder
Euphoria
Inflatedselfesteem
Poorjudgment
Rapidspeech
Racingthoughts
Aggressivebehavior
Agitationorirritation
Riskybehavior
Increasedsexdrive
Decreasedneedfor
sleep
Delusionsorabreak
fromreality
Pathophysiology:

BipolarIdisorder.Mood
swingswithbipolarIcause
significantdifficultyinyour
job,schoolorrelationships.
Manicepisodescanbe
severeanddangerous.
BipolarIIdisorder.BipolarII
islessseverethanbipolarI.
Youmayhaveanelevated
mood,irritabilityandsome
changesinyourfunctioning,
butgenerallyyoucancarry
onwithyournormaldaily
routine.Insteadoffullblown
mania,youhavehypomania
MedicalManagement:

Medications
Lithium.
Anticonvulsants.
Antipsychotics.
Antidepressants.
Symbyax.
Benzodiazepines.
Psychotherapy
Cognitivebehavioral
therapy.
Psychoeducation.
Familytherapy.
Grouptherapy.
Electroconvulsive
(psychosis)

Depressivephaseof
bipolardisorder
Sadness
Hopelessness
Suicidalthoughtsor
behavior
Anxiety
Guilt
Sleepproblems
Lowappetiteor
increasedappetite
Fatigue
Lossofinterestin
activitiesonce
consideredenjoyable
Problems
concentrating
Irritability
alesssevereformof
mania.InbipolarII,periodsof
depressiontypicallylast
longerthanperiodsof
hypomania.

therapy(ECT)

LabsandTests:
Physicalexam.
Labtests.Thesemay
includebloodand
urineteststor/oother
causeoftheproblems
Psychological
evaluation.
Etiology:Theexactcauseof
bipolardisorderisunknown,
butseveralfactorsseemto
beinvolvedincausingand
triggeringbipolarepisodes:
Biologicaldifferences
intheirbrains.
NANDA:

r/finjury
r/fselforotherdirected
violence
ineffectivecoping
disturbedthought
process
impairedverbal
communication
imbalancednutrition:
lessthanrequired
Moodcharting. Neurotransmitters
imbalance.
Hormoneimbalanced.
Inheritedtraits.
Environment.Stress,
abuse,significantloss
orothertraumatic
experiencesmayplay
aroleinbipolar
disorder.

selfcaredeficit
disturbedsleeping
pattern

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