Priya Grover Altaf Loya M.D. Memorial Hermann Southeast Hospital Psychiatry Bipolar disorder Independent Study Mentorship- 1 st Semester Fall 2014 Mrs. Click *Some information in this presentation comes from outside resources

* Independent Study Mentorship is a course that is designed for students wishing to mentor an adult professional in a chosen career * The course requirements include : - Documenting a minimum of 2-3 hours of mentorship activities each week - Completing a Journal Entry each week documenting your mentorship experiences - Completing an ISM Professional Portfolio (online and binder format) - Completing all required assignments - Completing a Mid- Term Presentation - Developing a product and presentation to a panel of graders at the end of the semester

Specialties -Geriatric Psychiatry - Psychosomatic Medicine Board Certifications -Geriatric Psychiatry, Psychiatry, Psychosomatic Medicine, 2006 Awards & Recognitions - Healthgrades Honor Roll Education & Training MEDICAL SCHOOL - Dow Medical College & Dow University Of Health Sciences

Project topic: Bipolar disorder I chose this project because I’m very interested in the field of Psychiatry. I find Bipolar Disorder a fascinating topic because of the tremendous variability in mood and functioning that a patient experiences, and the impact this can have on their day to day life and relationships. I am also excited to learn about all the treatment modalities and rapid advancements in this particular field, both pharmocologically and with behavior modification and counseling.

* Bipolar disorder can be described as a a mental illness that brings severe high and low moods and changes in sleep, energy,thinking, and behavior * There are several types of bipolar disorder. All involve episodes of depression and mania to a degree. They include bipolar I, bipolar II, cyclothymic disorder, mixed bipolar, and rapid-cycling bipolar disorder. An equal number of men and women develop bipolar illness. It is found in all ages, races, ethnic groups and social classes. Most people with bipolar disorder have at least one close relative with the illness

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Types of bipolar disorder: 1. Bipolar I 1. Bipolar II 1. Rapid Cycling 1. Mixed Bipolar 1. Cyclothymia

* A person affected by bipolar I disorder has had at least one manic episode in his or her life * A manic episode is a period of abnormally elevated mood accompanied by behavior that disrupts life * Abnormal behavior during manic episodes includes: - Flying suddenly from one idea to the next ( flight of ideas) - Rapid and loud speech - Increased energy with hyperactivity and a decreased need for sleep - Excessive spending - Substance abuse

* Most people with bipolar I disorder also suffer from episodes of depression * There is usually a pattern of cycling between mania and depression * Many people with bipolar I disorder can live normal lives, especially with medications that are now available for treatment

* Bipolar II is similar to bipolar I disorder, with moods cycling between high and low over time * In bipolar II disorder, the "up" moods never reach full-blown mania * Less intense elevated moods in bipolar II disorder are called hypomanic episodes, or hypomania * The less-intense elevated moods in bipolar II disorder are called hypomanic episodes * Symptoms during hypomanic episodes include: - Flying suddenly from one idea to the next - Rapid and loud speech - Increased energy with hyperactivity and a decreased need for sleep

* These symptoms are similar to those of Bipolar I disorder, but they are not as severe, pronounced or debilitating * Hypomania can also lead to erratic and unhealthy behavior * Depressive episodes in bipolar II disorder are similar to "regular" clinical depression * Symptoms of clinical depression include: - people with depressed mood - loss of pleasure - low energy and activity - feelings of guilt or worthlessness - suicidal thoughts

* Rapid cycling is a pattern of frequent episodes in bipolar disorder * A person experiences four or more episodes of mania or depression in one year * The episodes can occur at any point and can come and go over many years, depending on how the illness is getting treated

* People with rapid cycling bipolar disorder spend far more time depressed than manic or hypomanic * Often misdiagnosed with unipolar depression * Unipolar depression is major depressive episode that occurs without the manic phase that occurs in the classic form of bipolar disorder

* A person with mixed episodes experiences both mood “poles”- mania and depression * Mixed episodes are described only in people with bipolar I disorder, not bipolar II disorder * People who develop bipolar disorder at a younger age are more likely to have mixed episodes

* People who develop mixed episodes may also develop "pure" depressed or "pure" manic or hypomanic phases of bipolar illness * Mania in mixed episodes usually involves irritability, racing thoughts and speech, and overactivity or agitation * Depression in mixed bipolar disorder is similar to "regular" depression, with feelings of sadness, loss of interest in activities, low energy, feelings of guilt and worthlessness, and thoughts of suicide

Cyclothymia is a relatively mild mood disorder Moods swing between short periods of mild depression and hypomania The low and high mood swings never reach the severity of major depression or full mania People with Cyclothymia have milder symptoms than people with a full-blown bipolar disorder

* 15% of bipolar persons may not experience the usual clinical depression that accompanies bipolar disorder * Less than 50% of bipolar disorder patients take their medications * 14.8 million Americans suffer major depression * 35% of bipolar people are obese * Bipolar people are 3 times more likely to have diabetes than the general population The following facts and statistics were collected from many sources……

* Bipolar disorder is the 3rd highest reason for doctor visits, 2nd highest reason for hospital ER visits * Nearly 7 million Americans suffer Bipolar I Disorder * More than 10 million Americans suffer Bipolar II Disorder * Bipolar folks are 2X as likely to die of heart disease, diabetes,and strokes * 2.4% of the world population has bipolar disorder

* I have a flip chart with each page explaining the bipolar disorder and the different types of bipolar disorders * My explanations will include what the disorder is, symptoms, who is at risk, and treatment for the disorder

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* This project helped educate me about bipolar disorder. I learned the different types, their symptoms, clinical manifestations and treatment options. In addition, I am able to correlate what I have learned with the patients I see on a weekly basis with my mentor Dr. Loya * This is a very complex disorder of human behavior which can have a tremendous and debilitating impact on patients who suffer from it. It impacts their day to day lives, their relationships, and their ability to experience life to the fullest. I am also inspired to learn about the tremendous changes and advancements in this field, and the positive impact these treatments and medicines can have on the lives of these patients

I received contributions and would like to thank my mentor, Dr. Altaf Loya who provided me information on this disorder, my parents who helped me with this presentation, and my teacher Mrs.Click who guided me throughout my project.

* "Bipolar Disorder Symptoms and Types - WebMD.” WebMD. WebMD, n.d. Web. 12 Oct * "Bipolar Disorder - Google Search." Bipolar Disorder -Google Search. N.p., n.d. Web. 13 Oct * "Mental Illness | Publish with Glogster!" Glogster. N.p., n.d. Web. 13 Oct * "Phases and Symptoms of Bipolar Disorder." Psych Central.com. N.p., n.d. Web. 13 Oct * "BIPOLAR DISORDER | OVER 400 FACTS STATISTICS |BIPOLAR AID." BIPOLAR DISORDER | OVER 400 FACTS STATISTICS | BIPOLAR AID. N.p., n.d. Web. 19 Nov.2014.