Question

A brief explanation of the psychological disorder presented and the decision steps you applied in completing the interactive media piece for the psychological disorder you selected. Then, explain how the administration of the associated pharmacotherapeutics you recommended may impact the patient’s pathophysiology. How might these potential impacts inform how you would suggest treatment plans for this patient? Be specific and provide examples.

Answer 1

Bipolar disorder Bipolar mood or affective disorder is characterized by recurrent episodes of mania & depression in the same patient at different times. risk ninon Types: severe Bipolar I: Episodes of mania a severe depression Bipolar Characterised by episodes of hypomania of severe depression Etiologs- bet Tut Cabana Exact etiology not known (68) theoxtes Genetic eppothesis - gena 25% for First degree relatives with bipolar Biochemical theories - Catecholamine abnormality. GABA & Acetyl Choline may also playa role. endocrine theories - mood symptoms are prominently present in endocrine disorders like Hypothyroidism, cushing's disease. clinical feature: Depression Form - constantly feeling sad or worthless. - Sleeping too much or too little

- Feeling tired of having little energy - appetite a weight change - Problem focusing - thoughts of suicide manic form: - increase in energy level -less need for sleep - easily distracted - non-stop talking - increased self confidence - involved in risly achines Management - D Anti depressants for depression - like imipramine, Amitryptyline, Nortryptline, clomipramine. Fluoxetine, Paroxetine, sertraline, Escitalopram, Mirtazepine. 2 ECT 3) Lithium - For preventing manic episode. - Before starting lithium therapy CBC, Eca, urine routine, RFT ,TFT should be done Ank psychehcs - For Acute manic episode & delusional depression - eg? Risperidone, olan yepine, quetipine, haloperidol ,Chlorpromazine. othe mood stabilisers - Sodium valproate carbamazepine Corazepam Topix amate lamotrigine.