WeeK_5_Assgn_HALLR-Assessing and Treating Patients With Bipolar 1 Disorder

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Jan 9, 2024

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1 Assessing and Treating Patients With Bipolar 1 Disorder Week 5 NURS-6630N--Psychopharmacologic Approaches to Treatment of Psychopathology Walden University- Master of Science in Nursing Assessing and Treating Patients with Bipolar 1 Disorder In this paper, one will discuss the prevalence and Neurobiology of bipolar 1 disorder, find the differences between bipolar 1 disorder and Substance/Medication-Induced Bipolar to diagnostic criteria according to DSM 5 TR criteria. Discuss medication management of bipolar 1 disorder for pregnancy/post-partum women while evaluating legal and ethical considerations,

2 cultural considerations, social determinants of health. Discuss FDA and/or clinical practice guidelines for acute and mixed episodes vs maintenance pharmacological treatment. Side effects of lithium, FDA approvals and warnings, labs to monitor. Lastly, three proper prescriptions for the treatment of bipolar 1 disorder. Neurobiology of disorder 1 disorder According to Harrison & Geddes (2018), the emerging neurobiology of bipolar 1 disorder is a mood disorder and mental illness distinguished by extreme mood swings from extreme highs (mania) to extreme lows (depression) which often last for several weeks or months. Comprises of three states ddepression, hypomania, and mania. Mania tends to have a more significant impact on the majority of those who have this disorder. Mania is a highly intense phase of symptoms that come before the onset of the disorder, which is consequently followed by a cycle of remission and recurrence that occurs sporadically. According to NHS (2022) Mania symptoms include feelings of over excitement, fast talking, out burst of energy, self-esteem boost and confidence, full of great new ideas with important plans, easily distracted, flight of ideas, easily irritated or agitated, delusional thought, hallucinations and disturbed or illogical thinking. According to NHS (2022) Depression symptoms include feeling sad and blue, hopeless or irritable, low or lack of energy, difficulty concentrating and remembering things, loss of interest, feelings of emptiness or worthlessness, feelings of guilt and despair, feeling pessimistic/negative, self-doubt, delusional, hallucinations and disturbed or illogical thinking, lack of appetite, sleep disturbance, and suicidal thoughts. Differences between bipolar 1 disorder and Substance/Medication-Induced Bipolar

3 According to the American Psychiatric Association (2013), Substance/medication- induced bipolar disorder has three main categorizes defined as mania, hypomania or a major depressive episode directly caused by a substance/medication that is or has been taken. Substance/medication-induced bipolar disorders are directly related and caused by the utilization or ingestion of substance or medication like alcohol, phencyclidine, hallucinogens, and amphetamines. According to Substance Abuse and Mental Health Services Administration (2016), the bipolar 1 disorder is different because Substance/medication is self-induced environmental factors while bipolar 1 disorder are based on brain natural chemical instability. Substance/medication induced bipolar is acquired during or at the withdrawal state after exposure to a medication/substance. Another difference from bipolar 1 disorder is that Substance/medication-induced bipolar disorder first presents with delirium, which then evolves to a mixed or manic state. Another difference between bipolar 1 disorder and ssubstance/medication-induced bipolar disorder is that substance induced, the episodes are brief and usually resolves within 48 hours while bipolar one states can last weeks to months. Discuss medication management of bipolar 1 disorder for pregnancy/post-partum women Grover et al., (2015) states that Bipolar 1 Disorder and Pregnancy/post-partum population needs to take an extra precaution and planning to ensure the benefits of taking these medications while pregnant outweighs the risk. Legal and ethical considerations require due diligence, beneficence, and nonmaleficence, extra caution, clinical reasoning expertise, critical thinking, and a full comprehensive assessment of the severity of the patient’s frequency and number of episodes, treatment compliance, and physiological and social factors that could affect the

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