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BOY, INTERRUPTED: - My Magical Misery Tour by Jeff Baker Jeff Baker © 2012
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BOY, INTERRUPTED:
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Bipolar Mood Swings Diagram BIPOLAR I - MANIA BIPOLAR II - HYPOMANIA AVERAGE MOOD AVERAGE MOOD LOW (SAD) BIPOLAR II - DYSTHYMIA BIPOLAR I – CLINICAL DEPRESSION AVERAGE MOOD HIGH (HAPPY)
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NORMAL STAGES OF GRIEF (DABDA) DENIAL: “Not happening” ANGER: “Why this?” “Why ME?” BARGAINING: I'll “give” or “trade” DEPRESSION: “I'm sad. Why bother?” ACCEPTANCE: “It's okay. Why worry?”
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NERVE ENDINGS... Microscopic: Axons & Dendrites Provide all signals to and from the brain Synaptic Gap: Neurotransmitters: Norepinephrine, Dopamine, Serotonin
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NEURAL NETWORKS
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NERVE STIMULATION LIMBIC SYSTEM (EMOTIONS) MANIA: Excess of neurotransmitters... DEPRESSION: Near lack of neurotransmitters...
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HOW WE ARE WIRED: “FACT” > BELIEF > THOUGHT > FEELING(S) > BEHAVIOR(S) > RESULT(S)
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STIGMA: FEAR, DISGUST, IGNORANCE BPD – BIOLOGICAL IN ORIGIN (LIKE CANCER, HEART DISEASE, DIABETES) DIFFERENCE IS OUTWARD VS. INWARD BEHAVIOR VS. PHYSICALLY VISIBLE OR INVISIBLE
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MOOD DISORDERS 1 of 5 Americans suffers one or more mental disorder(s) Depression 3rd reason for doctor visits Psych meds prescribed 2 nd only to analgesics Untreated mood disorder folks have a 33% suicide rate 90% of suicides result from clinical depression Only 49% of bipolar folks receive treatment 70% of bipolar patients have had at least 1 misdiagnosis 83% of bipolar cases are severe 37% of bipolar folks either ignore or don't recognize it
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PSYCHIATRIC VISITS, ETC. BPD diagnoses 13% by primary care physicians BPD diagnoses 18% by psychologists BPD diagnoses 64% by psychiatrists 20% of all mood disorder patients/np 33% commit suicide Depression 2x higher in women than in men BPD found equally among men and women BPD folks live 9.2 yrs less than the 78 yr nat'l average 40% BPD folks abuse drugs, alcohol or both (violence!) BPD folks unemployment rate is 50% higher
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APA STATISTICS Bipolar Disorder is an affective mood disorder 5.7 million adults diagnosed with Bipolar Disorder Bipolar Disorder average onset age is 25 Alcohol, drugs used to self-medicate Diagnosed Bipolar Disorder persons 15% suicide Takes up to 1 year to fully recover from a BP episode Takes up to 3 years to have meds properly adjusted It takes up to 10 years to be properly diagnosed w/BPD
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BIPOLAR DISORDER - PREDISPOSITIONS Genetics – 50 % German bloodlines High IQ Arts (1 study 85%) Trauma – PTSD, abuse Stressful environment Anyone at anytime Avg onset 25-35 years
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OBSERVATIONS: Children, Teens are often misdiagnosed as ADHD Bipolar patients almost always need medication Not unusual for BP patient to relapse after stable Rapid-cycler – patient with 4 or more severe episodes a year Mixed Mania – episodes occur daily for approx 1 week; mania & depression co-exist
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RELEVANT QUOTATIONS “You can think your way into depression, but you cannot always think yourself out of depression.” - Lewis E. Britton, M.D. “In a real dark night of the soul it is always three o'clock in the morning, day after day.” - F. Scott Fitzgerald “Where there is no hope there can be no endeavor.” - Samuel Johnson
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BIPOLAR SYMPTOMS - MANIA Grandiosity “I am God” I possess all abilities and powers Very little sleep, yet energetic Rapid, often loud speech Excessively judgmental Easily distracted, cannot concentrate Impaired judgment Wildly impulsive Reckless, despite the consequences
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BIPOLAR MANIA, CONT'D Delusional, sometimes with hallucinations Totally uninhibited--potentially psychotic Giving away cherished valuables Unending pursuit of pleasures: Wanton sex Abuse of Alcohol Chain smoking Abuse of illicit and/or prescribed R x
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BIPOLAR DEPRESSION Feeling sad, useless, hopeless Irritable Cannot experience pleasure Fatigue, energy depletion Loss of interests Appetite and weight changes Sleep – restless, excessive, insomnia Lack of concentration
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DEPRESSION, CONT'D Sporadic or total loss of memory Feeling guilty Feeling worthless Thoughts of death or suicide Loss of motor skills Catatonia Vegetative
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MEDICAL MANAGEMENT 3 GOALS: 1. Decreased Episode Frequency (8-10 avg) 2. Decreased Episode Duration 3. Decreased Intensity of UP and DOWN Mood Swings
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THREE TREATMENTS Psychiatric Drug Course Psychological Counseling Positive Lifestyle Changes
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MY APPROACH SERENITY ELIMINATE STRESS AVOID ANGER ACCEPT OR CHANGE
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SAD BUT TRUE... Mental facilities are often full, some with waiting lists Most of us are either uninsured or underinsured Primary-care physicians are untrained in mood disorders Patients are always the last to know Both unipolar and bipolar disorders are incurable; medical & lifestyle change for stability Psych Meds are powerful, with costly, wicked side-effects
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PREVENTATIVE MEASURES Hide the car keys Get rid of firearms Secure all debit/credit cards and checkbook – give weekly allowance Obtain Medical Power of Attorney; specify docs & hospitals Gather & list all meds Dispense meds Create a team game plan
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WHERE TO GET HELP! Angie's List, Web M.D.: Psychiatrists Primary care Doc or Psychologist Your clinic's nurse Patient referral Public Health officials Boy Interrupted's website / email: ( www.) BipolarAid.org bipolaraid@gmail.com
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QUESTION & ANSWER Clinical Aspects My experiences My history My prognosis My beliefs My outlook THANK YOU!
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“I am the way, the truth, and the life; no man comes to the Father, but by Me” - Jesus (John 14:6) “for God so loved the world, that He gave his only begotten Son, that whoever believes in Him shall not perish, but have everlasting life.” - (John 3:16)
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BOY, INTERRUPTED: - My Magical Misery Tour by Jeff Baker Jeff Baker © 2012
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