Presentation on theme: "MOOD DISORDERS BIPOLAR DR. HASSAN SARSAK, PHD, OT."— Presentation transcript:
MOOD DISORDERS BIPOLAR DR. HASSAN SARSAK, PHD, OT
Bipolar - Definition Mood swing from profound depression to extreme euphoria (mania) with intervening periods of normalcy. Psychotic symptoms may or may not be present.
Bipolar - Etiology Biological theories: Genetics First degree relatives have 5-10 fold greater risk of bipolar disorder 80%-90% of monozygotic twins concurrently has bipolar compared to 15% of dizygotic twins Biochemical influences: biogenic amines, electrolytes. Physiological influences: brain lesions, medication side effects. Psychological theories
Bipolar - Episode The criteria for both manic and major depressive episodes are met (review….) nearly every day for at least one week The symptoms cause significant distress or impairment in important daily areas of functioning and occupation The symptoms are not a result of use of a substance, medication, or medical condition, and they cannot be better accounted for by other disorders.
Bipolar - Disorder The classification is based on which is the dominant mood Bipolar type I: (frequent fluctuations between low and expansive mood) & features a dominant manic mood Single manic episode: there is the presence of a manic episode and no major depressive episode Most recent hypomanic episode: there is currently hypomanic episode and there has been at least one manic or mixed episode in the past
Bipolar - Disorder Most recent episode manic: there is a manic episode and there has been at least one major depressive, manic or mixed episode in the past Most recent mixed: there is a mixed episode and there has been at least one major depressive, manic, or mixed episode in the past Most recent depressed: there is currently major depressive episode and there has been at least one manic or mixed episode in the past.
Bipolar - Disorder Bipolar II: features a dominant depressed mood There is one or more major depressive episodes and at least one hypomanic episode in the past, but there has never been a manic or mixed episode. The impairment in function typically occurs during depressed mood not the hypomanic ones
Bipolar - Disorder o Cyclothymic disorder: is a chronic (at least 2 year period) mood disturbances that is characterized by o There have been periods of hypomanic symptoms with periods of depressive symptoms for at least two years that are NOT of sufficient number or severity to reach criteria for either manic episodes or major depressive episodes. and the person has not been symptoms free for more than two months. Moreover, there have been no major depressive, manic, or mixed episode during that time.
Bipolar - Impact on occupational performance Impaired occupational performance are similar to those individuals complaining of depression or manic episode.