Bipolar Disorder 躁鬱症(英文) | 衛教單張
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Bipolar Disorder 躁鬱症(英文). 2020/12/24. Brief introduction to bipolar disorder. Bipolar disorder is a mental disorder dominated by emotional disturbance ...
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BipolarDisorder躁鬱症(英文)
2020/12/24
Briefintroductiontobipolardisorder
Bipolardisorderisamentaldisorderdominatedbyemotionaldisturbancethatcausesperiodsofdepressionandperiodsofabnormallyelevatedmood.
Mania
A“manicstate”or“manicepisode”isastateofelatedorirritablemoodthatispresentthroughoutthedayforatleastaweekandcanbeviewedbyemotion,thought,attitude,movement,speech,behavior,andphysicalstate:
Emotion:Theyareconsciouslyhappy,excited,relaxed,cheerful,oftenoverjoyedfornoreason,occasionallyveryirritable,angry.
thought:Theyhaveinflatedorexaggeratedself-esteem,believingtheyhavesuperpower,greatplans,wealth,status,andboastingofbeingastarorgod,accompaniedbyflightofideaoroverwhelmingfeelings.
Attitude:Theybecomenosy,bold,overconfidentandgenerous.
Movement:Theyarewalkingaroundallday,doingthingsallthetime,andhavedecreasedsleepneeds(e.g.sleepingforonly3hoursisenoughforthem).
Speech:Theyareuncharacteristicallytalkingnon-stoptotheextentthattheirvoiceishoarse.
Behavior:Theyarespendingmoney,donatingmoney,investinglikemad,doingunusualandunwisethings.
Physicalstate:Originallyshy,introvertedandreticent,theysuddenlybecomeveryenthusiasticandeagertopursuetheoppositesex.Sometimestheyaresoexcitedthattheycouldnotsleepatnight.
Depression
A"depressivestate"or"depressiveepisode"referstothestateofbeingextremelydepressedandunhappy,andlosinginterestorpleasureinallactivitiesforatleast2weeks.Itcanbeviewedfromemotion,Thought,attitude,speech,movementandphysicalstate:
Emotion:Theyaredepressed,listlessandsadallday.
Thought:Theybecomepessimistic,negative,sad,andevenfeelthattheyhavecommittedaheinouscrimeandthattheydeservetodie,orfeelthattheyhaveaserious,incurabledisease,andmayhavesuicidalthoughtsorsuicidalbehavior.
Attitude:Alldaylong,itisobviousthattheyarenotinterestedineverything.Theyareextremelypessimisticandnegative.Theirconcentrationdropssignificantlyandtheyarehesitanttodealwiththings.
Speech:Theybecomesilent,andwhentheydospeak,theyspeakveryslowlyorwithpauses,ofteninalowvoicethatmakesithardtohearwhattheyaresaying.
Movement:Theymoveslowly,oftensitinadaze,sleepinbedallday,feellethargicallday,sleeplessatnight.
Physicalstate:Theyhavesignificantweightloss,poorappetite,constipation,aflagginglibido,impotenceinmen,cessationofmenstruationinwomen,andphysicalfatigueandleadenfeelinginlimbsthroughouttheday.
Treatmentforbipolardisorder
Pharmacotherapy
Manystudieshavesuggestedthatthephenomenonofbipolardisordermaybeassociatedwiththedysfunctionoftheneurotransmitterbetweencertainnervecellsinthebrain.Therefore,treatmentofmaniaismainlybasedonmoodstabilizers,suchaslithium.
Inthecaseofacutemania,antipsychoticsarecombinedtocontroltheagitation,whileantidepressantsareusedforthetreatmentofdepression,anditusuallytakes2-3weeksforthetreatmenttobeeffective.
Non-pharmacotherapy
Psychologicalandfamilytherapy.
Somestudiessuggestthatlifeeventsandpsychologicalconflictsmayplayaroleintheonsetofthedisorder.Therefore,whendiseasecontrolreachesremission,psychologicalandfamilytherapycanbecombinedtopreventrecurrenceofthedisease,toearlydetectthesignsofrecurrence,toassistwithpersonaladaptation,familymembercareandfinancialburdenmanagement.
Afterlong-termtreatment,abouttwo-thirdsofpatientswithbipolardisorderrecoverwellandcanlivenormallyunderthestablecontrolofdrugs,andaboutone-thirdofpatientshavetheirdailylifefunctionsaffected.However,earlydetectionandtreatmentinthepsychiatrydepartmentwillimprovetheprognosisofthedisease.
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