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Management Of Bipolar Disorder In Adults And Diagnosis In Adolescent Children

1039 words - 4 pages

Management of Bipolar Disorder

Bipolar disorder is a mood disorder when individuals experience
episodes of mania and depression. The medications used in treating
bipolar disorder have been effective when properly diagnosed, but
there is a risk of suicide while undergoing therapy. Treatments for
bipolar disorder our on the market but they can only treat the mania
or the depression, which is why the patient needs to be under
supervision. When a person does not follow the prescribed course of
treatment the risk of suicide increases. Another problem with bipolar
disorder is that it can be misdiagnosed in teenagers in going though
puberty.

There are two forms of bipolar disorder, bipolar I and bipolar II.
Bipolar I is characterized by episodes of mania with periodic episodes
of depression. Bipolar II is characterized by episodes of depression
with periodic episodes of mania as stated in an article by Ross J.
Baldessarini and Leonardo Tondo in 2003. When patients ore in a state
of mania they tend engage in loose sexual activities, increased
spending, and unlawful conduct. Bipolar I disorder is usually
diagnosed in people during the early twenties as stated in 2000
article by Kim S. Griswold and Lind F. Pessar.

When a person realizes they have bipolar disorder they need to consult
a psychiatrist or psychologist for proper diagnosis. It is important
that the family, the psychologist or psychiatrist, and the family
physician need to collaborate so that the patient receives the best
possible treatment. "Medication is the key to stabilizing bipolar
disorder." For twenty years the only treatment recommended by the FDA
was lithium carbonate (Leibenluft & Suppes, 1999). Not only was it the
only recommended treatment it was the only approved treatment
(Goodwin, Fireman, Simon, Hunkeler, et al, 2003). Lithium or valproic
acid also known as depakene is used for treating the manic side of the
disease. Carbamazephine or tegretol can be used in treating rapid
cycling manic episodes. A benzodiazephine can be used under extreme
caution because it has habit forming qualities. When the patient
cycles back to depression a selective serotonin reuptake inhibitor
also known as SSR or bupropion also known as Welbutrin is used. Some
antidepressants should not be used, such as tricyclics, because they
induce rapid cycling between mania and depression. All of the
information above was taken from an article by Kim S. Griswold and
Lind F. Pessar in the September 15, 2000 issue of the American Family
Physician.

In the past adolescent children were rarely diagnosed with bipolar
disorder. Diagnosing bipolar disorder in children is a very confusing
and complex process....

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