Ethical & Legal
Tying down a patient against their will
Assault & Battery
Highest Risk for Suicide
White Males
Sad Most Days or 2 or more years
Dysthymic Disorder
Physical Complaints
Prodromal
Epidemiological Statistics
Males & Females are diagnosed equally
Refusing to treat uninsured pt
Justice
Strategy of asking a Suicidal Patient
Ask a DIRECT question
Missed a Dose of medication
I will not take two pills
Disordered Thoughts Process
Acute
Present during mania absent in hypomania
Psychosis
Dangerous to others, gravely ill, suicidal.
Involuntary commitment
More Likely to attempt Suicide
Patient has a plan
Teaching for MAOIs
I will not stop my medication abruptly
I will not drink wine
Occurs between episodes of psychosis
Chronic
Types of Bipolar
Bipolar 1
Bipolar 2
Cyclothymia
Substance/Mediation Induced Bipolar
Verify name and day prior to procedures
Informed Consent
Affectiveness of medication
4 weeks
Used to Assess Depression
Hamilton Depression Rating Scale
Symptoms in remission with milder, residual symptoms possible
Recovery
Approved Bipolar Tx for Children & Adolescents
Olanzapine (Zyprexa) & Fluoxetine (Prozac)