what is it
a mood disorder characterized by alternating episodes of extreme mania and depression
manic symptoms
mood: elevated, irritable, restless flight of ideas delusions grandiose impulsive, poor judgement decrease attention span, insomnia neglect of ADL's
depressive symptoms
mood: dysphoric, flat affect, crying, despair anergia, anhedonia difficulty concentrating decrease appetite change in sleep pattern suicide risk
different types of bipolar
bipolar I
bipolar II
cyclothymia
bipolar I
at least 1 manic episode alternating between depression
bipolar II
at least one or more hypomanic episode alternating between depression
cyclothymia
like bipolar 2 but less severe in both mania and depression
risk factors for bipolar
psychologic stress
neurologic disorders
genetics
substance abuse
what to monitor
sleep
fluid and food intake
increase calories=give on the go snacks
medications
antidepressants
antipsychotics
anticonvulsants
mood stabilizer