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bipolar by Mind Map: bipolar

1. symptoms

1.1. Depression

1.1.1. sadness//hopelessness

1.1.2. loss of interest in enjoyable acts

1.1.3. struggle to concentrate

1.1.4. fatiuge

1.1.5. hard to make decisions

1.1.6. change in sleep/appeitie

1.1.7. consider/attempt suicide

1.2. mania

1.2.1. long period of high

1.2.2. rage/irratability

1.2.3. easily distracted/racing thoughts

1.2.4. sudden interest in new acts

1.2.5. overconfidence

1.2.6. no sleep

2. BDI

2.1. 21 item self report

2.1.1. measures severity of depression

2.2. 4 statements - choose most app

2.2.1. feeling in past 2 wk

2.3. scores for each

2.3.1. total added <10 min depress 19- 29 mod depress 30 > severe

2.4. BDI-2 -update

2.4.1. same struc inc appetitie & fatigue

3. explanations

3.1. genetic/neurohem

3.1.1. disorders can be passed on

3.1.2. 42 clinical bipolar grp 16 ppt had 1deg relative w affect disorder

3.1.3. 40 age/sex matched normal grp

3.1.4. DNA test- polymorphism serotonin receptor 2c serotonin transporter genes alteration link to depresssive episode

3.1.5. result- no sig association. serotonin sexually dimorphic in female risk of bp ^ in women

3.2. cognitive-beck

3.2.1. neg views form reality

3.2.2. cog distortion due to early life experi develp neg schemas

3.2.3. cog triad neg views abt themseleves thinks they are unworthy neg views abt world world is against them neg view abt the future anticipate failure

3.3. learned helplessness

3.3.1. perceive unpleasantness is inescapable

3.3.2. attribution style how ind explain cause of behaviour prev life exp lead to diff attrib style

3.3.3. link btwn attrib/depression BDI given to find severity dep/bipolar grp control attribu style questionnaire (ASQ) 12 hypo gud/bad situation causal attribu fr each rate cause on 7 point scale bi/uni ^ neg atti style than control

4. treatment

4.1. biomed

4.1.1. MAOI monoamine oxidase inhibitors stops monoamine oxidase enzyme from breaking maintains these at ^ lvl side effect headache insomnia addiction withdrawl probs/ issue w other meds

4.1.2. both drugs ^ eff than placebos

4.1.3. SSRIs selective serotonin reuptake inhibitors stop sero from reaborb/broken down common med

4.2. ECT

4.2.1. electricity applied uni/bilaterally to brain to induce seizures treatment resistant

4.2.2. 1000 uni/bipolar ppt ect gave 50 % remission rate short session > high relapse

4.3. cog restructuring

4.3.1. 1-1 talking therapy

4.3.2. explain how cog triad works- way of thinking = depression

4.3.3. practice outside therapy thoughts challenged explore if acc reflection of reality reattributing find cause of prob reframe thinking

4.4. REBT

4.4.1. based on stoicism perception of events matter

4.4.2. ABC model activating event fail interview belief ill never get anywhere consequence feeling sad

4.4.3. need to change belief about a event irrational = depression maintain construtive rational pattern

4.4.4. disputing question irrational belief reformulate them to healthy ones