RiskFactors: PossibleComplications:

Havingbloodrelatives Problemsrelatedto

suchasaparentor substanceandalcohol

siblingwithbipolar abuse
Legalproblems
disorder
Financialproblems

Bipolar
Periodsofhighstress
Relationshiptroubles
Drugoralcoholabuse
Isolationandloneliness
Majorlifechanges,
Poorworkorschool
suchasthedeathofa
performance
lovedone Frequentabsencesfrom
Beinginyourearly workorschool
20s Suicide

SignsandSymptoms: Pathophysiology: MedicalManagement:

Manic/hypomanicphaseof BipolarIdisorder.Mood Medications

bipolardisorder swingswithbipolarIcause
Lithium.
significantdifficultyinyour
Euphoria Anticonvulsants.
job,schoolorrelationships.
Antipsychotics.
Inflatedselfesteem Manicepisodescanbe
Antidepressants.
Poorjudgment severeanddangerous.
Symbyax.
Rapidspeech
Benzodiazepines.
Racingthoughts
BipolarIIdisorder.BipolarII
Aggressivebehavior
islessseverethanbipolarI. Psychotherapy
Agitationorirritation
Youmayhaveanelevated
Riskybehavior Cognitivebehavioral
mood,irritabilityandsome
Increasedsexdrive therapy.
changesinyourfunctioning,
Decreasedneedfor Psychoeducation.
butgenerallyyoucancarry
sleep Familytherapy.
onwithyournormaldaily
Delusionsorabreak Grouptherapy.
routine.Insteadoffullblown
fromreality Electroconvulsive
mania,youhavehypomania
 (psychosis) alesssevereformof therapy(ECT)

mania.InbipolarII,periodsof

depressiontypicallylast
longerthanperiodsof
Depressivephaseof hypomania.
bipolardisorder

Sadness
Hopelessness
Suicidalthoughtsor
behavior
Anxiety
Guilt
Sleepproblems
Lowappetiteor
increasedappetite
Fatigue
Lossofinterestin
activitiesonce
consideredenjoyable
Problems
concentrating
Irritability

LabsandTests: Etiology:Theexactcauseof NANDA:

Physicalexam.
bipolardisorderisunknown,
r/finjury
Labtests.Thesemay r/fselforotherdirected
butseveralfactorsseemto
includebloodand violence
beinvolvedincausingand ineffectivecoping
urineteststor/oother disturbedthought
triggeringbipolarepisodes:
process
causeoftheproblems
impairedverbal
Psychological Biologicaldifferences communication
imbalancednutrition:
evaluation. intheirbrains. lessthanrequired
 Moodcharting. Neurotransmitters selfcaredeficit
disturbedsleeping
imbalance. pattern
Hormoneimbalanced.
Inheritedtraits.
Environment.Stress,
abuse,significantloss
orothertraumatic
experiencesmayplay
aroleinbipolar
disorder.